Academic literature on the topic 'Pregnancy – Complications – Psychological aspects'
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Journal articles on the topic "Pregnancy – Complications – Psychological aspects"
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Zhuk, S., and O. Schurevska. "Threat of premature birth: psycho-social aspects." HEALTH OF WOMAN, no. 6(112) (July 29, 2016): 86–89. http://dx.doi.org/10.15574/hw.2016.112.86.
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The objective: to study the psychological characteristics of women’s status in one of the most common complications of pregnancy - the threat of termination of pregnancy, depending on the level of stress load. Patients and methods. We have studied the psychological status (the Holmes-Rahe level of psychosocial stress, the Spielberg-Hanin level of anxiety, V.I.Dobryakov’s related to a pregnancy test, diagnosis of psychological defense mechanisms, assessment of quality of life) 60 pregnant women with threat of premature birth in the third trimester of pregnancy. Surveyed women were divided into 2 groups: group 1 included 30 pregnant women – forced migrant of Donetsk and Lugansk area and 2 group – 30 pregnant women who resided in Kiev. Results. At the same clinical picture of the threat of premature birth we detected discrepancy between the subjective assessment of their condition in women – forced migrants: a high level of situational and personal anxiety, decrease in physical (physical functioning, role-physical functioning) and psychological (social functioning, role emotional functioning) health, doubtful and pathological subtypes of gestational dominant. This creates prerequisites for complications of pregnancy, childbirth and postpartum future period and requires the participation of psychologists in the work with this category of patients. Conclusion. So, revealed a discrepancy between the objective clinical signs similar obstetric pathology (on the example of threatened abortion) in pregnant women with different levels of stress load and their subjective evaluation of their condition that affects their psychological status. This should be reflected in individually tailored therapy and be mainstreamed into the work of obstetricians and gynecologists with these patients, and requires mandatory participation of psychologists in the work with this category of patients. Key words: pregnancy, the threat of premature birth, stress, psychological status.
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Zhuk, S. I., and O. D. Shchurevska. "Fetal macrosomia: obstetrical, psychological and social aspects." HEALTH OF WOMAN, no. 7(153) (September 29, 2020): 36–39. http://dx.doi.org/10.15574/hw.2020.153.36.
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One of the main markers of socially unfavorable pregnancy is anthropometric indicators of newborns. They reflect not only the narrow medical problems of complicated gestation but also social problems in general, the quality and access to the medical care. The objective: to determine the risk factors for fetal macrosomia in pregnancy with high levels of psychosocial stress. Materials and methods. The course of pregnancy and childbirth, demographic and medical risk factors for a fetal macrosomia were analyzed in 140 pregnant women with different levels of psychosocial stress. They were divided into 2 groups: 1 group (main) – 56 women-forced migrants from Luhansk and Donetsk regions, 2 group – 84 women with low and moderate level stress according to the questionnaires and psychological tests (L. Reeder, Spielberg–Khanin scale). Results. Gestational diabetes was the main reason for the birth of heavy children in both groups. Women–forced migrants had late manifestation of impaired tolerance to carbohydrates and a higher frequency of pathological weight gain. Male neonates are at risk for macrosomia. Childbirth in women with macrosomia is accompanied by a high frequency of complications and abnormal births. Conclusions. The frequency of births of macrosomic children in women - forced migrants is higher than in women at low risk of psychosocial stress. Risk factors in this group of pregnants include: the level of stress and behavioral responses to stress, impaired carbohydrate tolerance due to gestational diabetes, abnormal weight gain due to malnutrition and male sex of the fetus. Keywords: macrosomia, pregnancy, childbirth, women–forced migrants psychosocial stress, gestational diabetes, weight gain.
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Zhuk, S. I., and O. D. Shchurevskaya. "Psychosocial aspects of childbirth." HEALTH OF WOMAN, no. 6(132) (July 30, 2018): 15–18. http://dx.doi.org/10.15574/hw.2018.132.15.
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The level of population migration is growing up over the world. Pregnant women are the most vulnerable category of migrants. Their psychosocial problems cause problems in their reproductive health. The objective: to research the influence of psychosocial factors on the course of labor in migrants women. Materials and methods. Determined the psychological status, studied the course of labor in 734 women resettled (the main group). Control group – 5,000 births in the family living in Kyiv. Results. According to the results of this study, in 23.5% of women migrants were pathological births, in 76.5% – physiological births against 20.2% and 79.8% in the control group, respectively. The main proportion of pathological births in both groups was the delivery by caesarean section, the frequency of which practically does not differ between groups, but the structure of evidence has significant differences that may be related to psychosocial factors. Conclusion. The obtained results showed the presence of the psychosocial factors influence on the structure of pathological births and complications in vaginal births: fast infected childbirths with high levels of obstetrical trauma. Key words: pregnancy, childbirth, stress, cesarean section, complications.
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Zaręba, Kornelia, Jolanta Banasiewicz, Hanna Rozenek, Michał Ciebiera, and Grzegorz Jakiel. "Emotional Complications in Midwives Participating in Pregnancy Termination Procedures—Polish Experience." International Journal of Environmental Research and Public Health 17, no. 8 (2020): 2776. http://dx.doi.org/10.3390/ijerph17082776.
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Background: Ethically controversial medical procedures, such as the termination of pregnancy, are frequently associated with a discrepancy between personal attitude and values versus requirements related to a professional situation. The study aimed to assess emotional complications in midwives participating in pregnancy termination procedures. Methods: The study included 181 midwives working in state-governed healthcare facilities in central and eastern Poland. The Oldenburg Burnout Inventory (OLBI) and the present authors’ own questionnaire were used in the study. The results indicating the level of occupational burnout were presented in two scales: the exhaustion scale and the disengagement scale. Results: The study revealed that 48% of midwives had never participated in pregnancy termination procedures due to fetal defects. The level of occupational burnout described with the exhaustion factor (t = 2.06; p < 0.041) and disengagement factor (t = 2.96; p < 0.003) was significantly higher in the group of midwives participating in pregnancy termination procedures due to fetal defects than in the group of midwives who did not participate in pregnancy terminations. The most common factors contributing to burnout reported by midwives who participated in pregnancy terminations were: moral dilemmas (68%), seeing the aborted fetus (65%), anticipating the child’s death in case it was born with signs of life (59%) and the lack of professional psychological support for medical personnel (56%). Conclusions: Importantly, pregnancy termination should be performed by persons who find such procedures acceptable from the viewpoint of their value system. It is a protective factor in regards to work with women who undergo terminations. Moreover, developing a system of informational and psychological support for midwives participating in pregnancy termination procedures is also a significant aspect.
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Dainty, K., B. Seaton, V. Rojas-Luengas, et al. "LO45: Women's perspectives on early pregnancy complications and supportive care needs: a qualitative multi-site study." CJEM 22, S1 (2020): S23. http://dx.doi.org/10.1017/cem.2020.100.
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Introduction: Women experiencing early pregnancy loss or threatened loss frequently seek care in emergency departments (ED) or early pregnancy clinics (EPC). The dearth of existing qualitative studies has left understudied questions about how these women perceive their healthcare and which strategies best meet their supportive care needs, particularly in the Canadian context. The objective of this study was to deepen our understanding of these women's experiences and gain insight into how clinicians and healthcare services can lessen the impact of this traumatic event on patients and their families. Methods: We conducted a descriptive qualitative study of women who presented to the ED or EPC at an urban tertiary care hospital and an urban community hospital for early pregnancy loss or threatened loss. Purposive sampling was used to recruit patients for in-depth, one-on-one telephone interviews conducted 4-6 weeks after the index visit. Data collection and analysis were concurrent and continued until thematic saturation had occurred. Data analysis was led by two qualitative researchers with support from a multi-disciplinary research team following standard thematic analysis techniques. Results: Interviews were completed with 59 women between July 2018 and August 2019. Participants ranged in age from 22 to 47 years and reflect the diversity of the multicultural city where the study occurred. Our analysis revealed that the medicalization and normalization of early pregnancy complications among ED and EPC clinicians is at odds with women's general lack of knowledge about the frequency, personal risk, causation, duration, and physical intensity of the miscarriage experience. Women identified the value of rapid access to appointments, point of care ultrasound, detailed care plans, and knowledgeable advice as key to lessening the physical and emotional trauma related to early pregnancy loss. Conclusion: This research highlights the physical, emotional, and psychological complexity of a medical situation frequently minimized within the current healthcare system. The results impart important knowledge about which aspects of ED and EPC care are most valued by women experiencing early pregnancy loss or threatened loss and demonstrate the clear need for women and their families to be provided with more education about the totality of the early pregnancy experience, including the possibility of pregnancy complications and loss.
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Druguet, Mònica, Laura Nuño, Carlota Rodó, Silvia Arévalo, Elena Carreras, and Juana Gómez-Benito. "Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy." Journal of Clinical Medicine 8, no. 8 (2019): 1213. http://dx.doi.org/10.3390/jcm8081213.
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Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State–Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman’s rho, Student’s t test, and the Mann–Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations.
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Gautam, Kamal. "Child Marriage in Nepal: Stakeholders’ Perspective." Journal of Health Promotion 7 (September 6, 2019): 1–6. http://dx.doi.org/10.3126/jhp.v7i0.25489.
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This study is about child marriage in Nepal from stakeholder’s perspective. It includes school going girls, women, teachers, health post staffs and local politicians as stakeholders and intends to find the situation, effects and perfectives of stakeholders on child marriage in Nepalese context. It comprises both qualitative and quantitative aspects followed by interview schedule and FGDs as tools. Fathers, relatives and friends were responsible for the incidence of early marriage in study site. Regarding effects, problems to become self dependent and deprivation of opportunity are the major effects that respondents had to face in their life. Workload in the families seems another effect to be faced followed by health problems to be experienced. Bleeding during pregnancy, low count of RBC, weakness, postpartum complications were seen in mothers during and after child births. Teenage mothers being more likely to experience complications during pregnancy and less likely to be emotionally, physically and psychologically prepared to deal with pregnancy related challenges, which often leads to maternal illness and consequently death was seen as the main conclusion of this study.
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Matulníková, Ľudmila, and Krystyna Mizerska. "APPLICATION OF MERCER MODEL IN THE EVALUATION OF THE RISK FACTORS OF OBESITY FOR PREGNANT WOMEN." Scientific Journal of Polonia University 34, no. 3 (2019): 120–34. http://dx.doi.org/10.23856/3415.
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The study presents an assessment of risk factors that affect obesity of a pregnant woman through components in the macrosystem, mesosystem, exosystem, and microsystem hierarchy according to Ramona Mercer's conceptual framework. Through the conceptual framework, we identify aspects with maternal and child impact in women with excessive body weight. The benefits of using the Mercer model are that multiple domains are identified and factors that affect nutrition, physical activity, and optimization of weight gain in a pregnant woman are taken into account. The conceptual framework supports the perception of contextual circumstances, helps to create conditions for changing health behavior and reducing health risks. Obesity in a pregnant woman, excessive weight gain and gestational body weight are influenced by physiological, psychological, behavioral, family, cultural and environmental factors. The interaction of factors creates preconditions for improving or worsening the health of a pregnant woman and a prenatal child during pregnancy. The process of caring for a pregnant woman with excessive body weight is focused on four concepts of obesity, pregnancy, complications and nursing management. The analysis of the conceptual framework helps to create preventive interventions and to select effective strategies. The aim of interventions is to achieve a change of environment for the pregnant woman, which may affect the regulation of body mass index, maintenance of gestational weight, behavioral changes, attitudes, nutritional adjustments, physical activity and reduced risk of complications in the mother and the child.
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Nguyen, Lam Duc, Long Hoang Nguyen, Ly Thi Ninh, et al. "Fear of Childbirth and Preferences for Prevention Services among Urban Pregnant Women in a Developing Country: A Multicenter, Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 10 (2021): 5382. http://dx.doi.org/10.3390/ijerph18105382.
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This study aimed to examine fear of childbirth and willingness to pay for fear-prevention services in pregnant women. A multicenter, cross-sectional study was conducted on pregnant women in two obstetric hospitals in Vietnam. The Fear of Birth Scale was utilized to evaluate fear of childbirth. Multivariable, generalized linear regression and logistic regression models were performed to identify associated factors with fear of childbirth, demand, and willingness to pay for prevention services. Of 900 pregnant women, fear of childbirth was moderately high with a mean score of 18.1 (SD = 2.3). Age of partner; ever having complications of pregnancy; attitudes toward different aspects of childbirth delivery; satisfactions with friends, parents, and siblings’ care; and information support were associated with fear of childbirth. Only 33.8% participants had a demand for the prevention service, and 43.7% were willing to pay for this service with an average amount of $US 10.0 per month (SD = 72.0). Our study suggested that individualized psychological counseling and information-seeking guidance should be provided appropriately and differently for multiparous and nulliparous women for reducing fear and improving the acceptability of the prevention services.
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Prudnikov, P. M. "Adenomyosis: diagnostics, tactics of treatment and rehabilitation of genesial function." HEALTH OF WOMAN, no. 8(134) (October 30, 2018): 30–32. http://dx.doi.org/10.15574/hw.2018.134.30.
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The objective: depression frequencies disturbances genesial function and gestational complications at| women with various forms of an adenomyosis on the basis of studying of new aspects of pathogenesis nodal and diffuse forms, and also development of algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions depending on an adenomyosis form. Materials and methods. Researches were conducted in three stages. At 1 stage 200 women of genesial age with an adenomyosis who addressed for surgical treatment in unit of operational gynecology were surveyed. At the 2nd stage of researches 100 women of genesial age who were operative concerning the sterility caused by existence of nodal or diffuse forms of an adenomyosis І and ІІ to degree were surveyed. To all patients sterility treatment with use of auxiliary genesial technologies – an extracorporal fertilization or ICSI was carried out. At the 3rd stage we studied features of a course of pregnancy and labors at 33 of 100 women (the 2nd stage) who had various programs of auxiliary genesial technologies. The complex of the conducted researches included clinical, ekhografical, dopplerometrical, endocrinologic, immunohistochemical, morphological, psychological and static methods. Results. Results of the conducted researches testify that the problem of conservation of genesial health at women with various forms of an adenomyosis is rather actual and conforms to all modern requirements. The algorithm of maintaining women developed by us with various forms of an adenomyosis, since well-timed diagnostics, expeditious treatment, rehabilitation of genesial function and finishing the course of pregnancy and labors allows to reduce the frequency of disturbances of genesial health at women of genesial age with an adenomyosis. Conclusion. The received results allow to recommend them for wide use in practical health care. Key words: adenomyosis, various forms, sterility, diagnostics, treatment, pregnancy, labors.
Dissertations / Theses on the topic "Pregnancy – Complications – Psychological aspects"
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Ives, Angela Denise. "Breast cancer and pregnancy : how does a concurrent or subsequent pregnancy affect breast cancer diagnosis, management and outcomes?" University of Western Australia. School of Surgery, 2010. http://theses.library.uwa.edu.au/adt-WU2010.0038.
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[Truncated abstract] A diagnosis of breast cancer is a life-changing event for any woman. For young women and their families it can be devastating. Women aged less than 45 years make up 20% of new cases of breast cancer diagnosed annually in Australia. With the trend for women to delay pregnancy, young women diagnosed with breast cancer may want at least the option to become pregnant after diagnosis and treatment but little is known about how pregnancy affects breast cancer or how breast cancer affects pregnancy. The aims of this thesis were to investigate how concurrent and subsequent pregnancy affects the development and outcomes of breast cancer and how breast cancer affects a concurrent or subsequent pregnancy. This study describes two groups of women identified from the entire Western Australian population less than 45 years of age when diagnosed with: 1. Gestational breast cancer, defined as breast cancer diagnosed while a woman is pregnant or in the first twelve months after completion of a pregnancy; and 2. Breast cancer who subsequently conceive. This study focused on three main areas; patterns of care and outcomes for women diagnosed with gestational breast cancer and those women diagnosed with breast cancer who subsequently conceived; the imaging and pathological characteristics of gestational breast cancer; and lastly the psychosocial issues associated with gestational breast cancer. ... This result was statistically significant. In an age and staged matched case control study lymph node negativity did not purvey a survival advantage for women diagnosed with gestational breast cancer as it did for the non- gestational breast cancer controls. Women diagnosed with breast cancer who have good prognosis tumours need not necessarily wait two years to become pregnant. In an age matched case control study women diagnosed with gestational breast cancer were more likely to have extensive insitu carcinoma, higher mitotic rates and tumours with medullary like features than their age matched controls. In a Cox's proportional hazards regression model which included pathological characteristics, there was no significant difference in survival for women diagnosed with gestational breast cancer were compared to women diagnosed with non-gestational breast cancers. The psychosocial issues for women diagnosed with gestational breast cancer are similar to other young women diagnosed with breast cancer but the effect on the 9 lives of women dealing with pregnancy and breast cancer simultaneously was much greater. The issues of breast cancer and pregnancy are complex at both a physical and psychological level. Much more research is needed to understand the mechanisms of how pregnancy affects breast cancer and its spread. Women who are pregnant when diagnosed with breast cancer or who consider pregnancy after their diagnosis need unbiased support from those around them. Survival is important but other survivorship issues may be just as important. To translate these findings into clinical practice and offer directions for future research eleven recommendations are proposed.
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Irambona, Renovate. "Contribution à l'étude de l'accompagnement psychosocial de la femme enceinte dans les services de Prévention de la Transmission Mère-Enfant du VIH au Burundi." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209773.
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L’annonce des résultats du diagnostic d’une maladie grave est toujours un moment difficile à vivre pour le patient et, dans une moindre mesure, pour le médecin. Lorsqu’il s’agit du VIH/SIDA, la difficulté est d’autant plus importante que bien souvent, cette maladie véhicule honte et culpabilité avec risque de stigmatisation de la personne séropositive. Chez les femmes enceintes burundaises, cette situation est encore plus préoccupante. Des barrières liées au contexte socio-culturel les poussent à des conduites d’évitement du test du VIH, alors que le dépistage constitue une porte d’entrée pour les soins de prévention de la transmission du VIH de la mère à l’enfant. <p><p>L’objectif de cette thèse était de comprendre l’état psychologique des femmes enceintes lors du dépistage du VIH dans les services de Prévention de la Transmission Mère-Enfant (PTME) du VIH à Bujumbura. Cette compréhension permettrait d’optimiser la prise en charge psychologique de ces femmes enceintes au moment du dépistage du VIH et de mettre en place un accompagnement psychosocial dans leur milieu de vie. De façon spécifique, ce travail visait à :(1) analyser le contenu verbal des entretiens de conseils pré et post-test tels qu’ils sont faits dans les services de PTME, et de les comparer avec les normes proposées en la matière par l’OMS ;(2) évaluer l’anxiété chez les femmes enceintes à différents moments du dépistage du VIH; (3) analyser les raisons du refus du dépistage et du renoncement aux soins par les femmes enceintes séropositives à VIH. <p><p>La recherche a été réalisée principalement auprès des femmes enceintes rencontrées dans les services de consultation prénatale à Bujumbura, capitale du Burundi. Les outils de récolte des données étaient des entretiens conseillers-femmes enceintes au cours des activités de dépistage, les échelles d’évaluation de l’anxiété (HADS et STAI), des questionnaires de rétention/impact de l’information, des focus groups et un récit de vie. Ces outils nous ont permis de recueillir des données que nous avons traitées qualitativement par analyse de contenu et quantitativement par des analyses statistiques avec le logiciel SPSS.<p><p>Les résultats sont présentés dans cinq études. Notre première étude a montré que l’adaptation locale du schéma proposé par l’OMS pour les conseils pré et post-test en dépistage prénatal du VIH est une nécessité. Cela permettrait aux conseillers de mieux communiquer avec les femmes enceintes. Les trois autres études portant sur l’évaluation de l’anxiété ont montré que les besoins psychologiques des femmes enceintes au cours du dépistage du VIH devraient être reconnus et pris en compte. La détection de l’anxiété devrait être systématique afin de commencer une prise en charge psychologique dès le début du processus de dépistage et ainsi aller au devant des conduites d’évitement. La cinquième et dernière étude a montré que la stigmatisation et ses conséquences seraient à la base du refus du dépistage du VIH et du traitement en cas de séropositivité. Dès lors, le suivi médical doit être associé à un suivi psychologique pour réaliser une prise en charge intégrée des femmes enceintes dans les services de PTME. En continuité avec cette prise en charge au niveau des structures de santé, des stratégies d’accompagnement psychosocial adéquates devraient être planifiées au niveau des communautés. En outre, nous recommandons des études visant les problématiques psychologiques et sociales liées au VIH/SIDA chez la femme enceinte au Burundi. <p><p>Abstract:The announcement of the diagnosis of a serious illness is always a difficult experience for the patient and to a lesser extent, to the doctor. When it comes to HIV / AIDS, the challenge is even more important that in many cases, this disease vehicle with shame, guilt and risk of stigmatization of HIV-positive person. For pregnant women in Burundi, the situation is even more worrying. Socio-cultural barriers cause avoidance of HIV testing, while the screening is a gateway to care for the prevention of HIV transmission from mother to child.<p><p>The objective of this thesis was to understand the psychological state of pregnant women in HIV testing services in the Prevention of Mother to Child Transmission (PMTCT) of HIV in Bujumbura. This understanding would maximize the psychological care of pregnant women at the time of HIV testing and to develop psychosocial support in their living environment. Specifically, this work aimed to: (1) analyzing the verbal content of counseling interviews pre and post-test as they are made in PMTCT services, and compare them with the proposed standards in this area by WHO, (2) assess anxiety in pregnant women at different stages of HIV testing, (3) analyze the reasons for refusal of screening and seeking care for pregnant HIV-positive.<p><p>The research was conducted mainly among pregnant women encountered in antenatal clinics in Bujumbura, Burundi's capital. Tools for data collection were interviews between counselors and pregnant women during routine screening, rating scales of anxiety (HADS and STAI), questionnaires of retention / impact of information, focus groups and a life story. These tools have allowed us to collect data that we have treated qualitatively by content analysis and quantitatively by statistical analysis using SPSS.<p><p>The results are presented in five studies. Our first study showed that local adaptation of the scheme proposed by the WHO for counseling pre and post-test in antenatal HIV testing is a necessity. This would allow counselors to better communicate with pregnant women. The other three studies of anxiety assessment showed that the psychological needs of pregnant women in HIV testing should be recognized and taken into account. Anxiety screening should be systematic to begin psychological support early in the process of HIV testing. The fifth and final study showed that stigma and its consequences would be the causes for refusal of HIV testing and treatment in HIV positive cases. Therefore, medical care should be combined with psychological support to achieve an optimal management of pregnant women in PMTCT services. In continuity with this support in the structures of health, psychosocial support strategies should be planned at the community level. In addition, we recommend studies related to psychological and social issues of HIV / AIDS among pregnant women in Burundi.<p><br>Doctorat en Sciences Psychologiques et de l'éducation<br>info:eu-repo/semantics/nonPublished
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Clower, Christen E. "Pregnancy Loss: Disenfranchised Grief and Other Psychological Reactions." Thesis, University of North Texas, 2003. https://digital.library.unt.edu/ark:/67531/metadc4340/.
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It is widely acknowledged in the literature that grief is most intense when it is experienced by parents whose children have died. However, as recently as 20 years ago, mothers whose children died at birth or before the pregnancy had reached full term were often dismissed as merely medical patients, and their psychological reactions were not considered or acknowledged by professionals, their friends, or their families. More recently fields such as psychology have recognized that women who have experienced pregnancy loss have complex psychological reactions to their loss. The present study examined the patterns of grief of women who have had a pregnancy end in spontaneous abortion or stillbirth and the ways in which these women gave meaning to their experiences. Participants were asked to complete several measures including the Perinatal Grief Scale (PGS), the Hogan Grief reaction Checklist (HGRC), the Perceived Social Support Scale (PSS), and the Inventory of Social Support (ISS). The participants also wrote a narrative account of their loss experience. These narratives were content analyzed to delineate common themes. The findings indicated several important factors which may be useful in understanding and assisting in post-loss adjustment.
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Zetterström, Karin. "Chronic Hypertension and Pregnancy : Epidemiological Aspects on Maternal and Perinatal Complications." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7755.
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<p>These studies were undertaken to investigate risks of maternal and perinatal complications in pregnant women with chronic hypertensive disease, and to investigate future risk of preeclampsia in women born small for gestational age (SGA). Population based cohort studies using the Swedish Medical Birth Register from different years were performed.</p><p>The maternal complications mild and severe preeclampsia, gestational diabetes and abruptio placenta were studied in a population of 681 515 women, with a prevalence of 0,5% for chronic hypertension. Risk estimates were adjusted for differences in maternal characteristics as age, parity, BMI, ethnicity and smoking habits. Chronic hypertensive women wore found to have significantly increased risks of all complications. </p><p>The perinatal complication SGA was studied in a population of 560 188, with a prevalence of 0,5% for chronic hypertension. Risk estimates were adjusted for differences in maternal characteristics and for the secondary complications mild and severe preeclampsia. Chronic hypertensive women were found to suffer a significantly increased risk of giving birth to an offspring that is SGA. </p><p>The perinatal complication fetal/infant mortality was studied in a population of 1 222 952 with a prevalence of 0,6% for chronic hypertension. Risk estimates were adjusted for differences in maternal characteristics and for the complications mild and severe preeclampsia, gestational diabetes, abruptio placenta and offspring being SGA In the analysis an effect modification by gender was included. Chronic hypertensive women were found to have a significantly increased risk for stillbirth and neonatal death in male, but not in female, offspring. Thus a clear gender difference in mortality was revealed. The risk of mortality of offspring was mediated by severe preeclampsia, abruptio placenta and offspring being SGA. Mild preeclampsia and gestational diabetes did not affect the risk. No increased risk of post neonatal mortality was found.</p><p>A generation study was performed in 118 634 girls of which 5.8% were born SGA. Their future risk for mild and severe preeclampsia in first pregnancy was analysed. Risk estimates were adjusted for age, smoking, BMI and for preeclampsia in the mothers while pregnant with the study population. Women who were born SGA were shown to have a significantly increased risk for severe preeclampsia, but not for mild preeclampsia. </p>
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Zetterström, Karin. "Chronic hypertension and pregnancy : epidemiological aspects on maternal and perinatal complications /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7755.
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Swallow, Brian L. "Nausea and vomiting in pregnancy : psychological and social aspects." Thesis, University of Lincoln, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.496084.
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Selwyn-Cross, Halina. "An examination of psychological issues in the pregnancy and birth process with reference to personal responsibility and control." Thesis, Rhodes University, 1991. http://hdl.handle.net/10962/d1002062.
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This study examines the psychological issues of personal responsibility and control in the childbirth process. It examines the implications of the woman's preparation process and the choices she makes during pregnancy and childbirth. It also explores the way in which the birthing environment and the woman's interpersonal relationships affect her experience of personal control within the context of the childbirth period. Use was made of the case study research design. This qualitative design involved indepth exploration, of cases in which the women had recently given birth to their first child in the local hospital of a small town. The data analysis involved the use of a "reading guide", established by the researcher to allow for the examination of the data specifically in terms of the themes in question. Within the study the importance and value of the woman's accurate and sufficient preparation for the birth was seen to facilitate a realistic sense of predictability, which led to an increased awareness and ability of the woman to remain in control. This, along with the active participation of the husband and supportive network in the hospital, allowed for a sharing of the responsibility within the labour situation. This taking and appropriately yielding of control and responsibility had positive effects on the woman's experience of the event and for initial mother-infant bonding
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Elton, Caroline Sarah. "Psychological aspects of pregnancy amongst women with insulin-dependent diabetes mellitus." Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265018.
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This study investigated emotional adjustment and regimen adherence of pregnant women \\ith insulin-dependent diabetes mellitus (lDDM). 40 pregnant women with IDDM (P/D group), 35 pregnant non-diabetic women (PIN-D group) and 25 non-pregnant women who had IDDM (NP/ D group) were interviewed in their homes. Both of the diabetic groups self-monitored their regimen adherence in the week following the interview. All PID and PIN-D interviews took place in the second trimester of pregnancy. Pregnancy was associated with significant shifts in blood glucose testing behaviour but only minor shifts in dietary behaviour. The two diabetic groups also differed in the factors that predicted blood glucose testing. Health beliefs and attitudes to the disease did not alter dramatically during pregnancy. The 2 pregnant groups did not differ in terms of physical symptoms of pregnancy or in rates of hospitalization. The PID group did not report higher levels of health anxieties and they were optimistic about the prognosis for the pregnancy. No group differences were found in psychological attachment to the foetus. Within both pregnant groups attachment to the foetus was found to be unrelated to feelings about the state of pregnancy. The three groups did not differ in current levels of depressed mood but the N-P/D group had experienced a significantly higher rate of previous emotional problems. The generally favourable psychological adjustment of the PIO women was attributed to changes in the medical management of diabetic pregnancy and the improved prognosis for both mother and baby. The suggestion is also made that that the PIO women may have differed in their tolerance of physical symptoms of pregnancy. The limitations of the current study and suggestions for future research are discussed.
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Nodine, Janet Lynn. "THE EFFECT OF THERAPEUTIC TOUCH ON ANXIETY AND WELL-BEING IN THIRD TRIMESTER PREGNANT WOMEN." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276506.
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This study was conducted to determine whether or not a significant difference exists in pregnant women among those receiving therapeutic touch, mock therapeutic touch, or no touch on measurements of anxiety and well-being. Thirty third trimester primigravida subjects were tested pre- and postintervention using the State-Anxiety Inventory and a Well-Being Visual Analog; heart and respiratory rates were monitored before, during, and after the treatment. No significant differences were found using analysis of covariance with the pre-test scores as the covariate. The findings indicate that therapeutic touch may not be useful in reducing state anxiety or enhancing subjective well-being in pregnancy. Study limitations include a small sample size, use of an instrument without established reliability and validity, and a study environment that may have increased anxiety.
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DeMarkis, Caroline F. "The relationship between prepartum expectations about the transition to parenthood and actual postpartum experiences." Thesis, This resource online, 1991. http://scholar.lib.vt.edu/theses/available/etd-08142009-040342/.
Full textBooks on the topic "Pregnancy – Complications – Psychological aspects"
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Zelig, Lisah. Tiḳṿat ḥayim: Hitmodedut be-matsavim shel heryonot mesubakhim : la-ishah, la-zug ṿela-mishpaḥah kulah. Feldhaim, 1999.
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service), ScienceDirect (Online, ed. Neurological disorders and pregnancy. Elsevier, 2010.
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A, Kraut Deborah, ed. Pregnancy bedrest: A guide for the pregnant woman and her family. H. Holt, 1990.
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Colwyn, Trevarthen, and Anna Freud Centre, eds. Psychological processes of childbearing. 4th ed. Anna Freud Centre, 2005.
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Maloni, Judith A. Antepartum bed rest: Case studies, research & nursing care. Association of Women's Health, Obstetric and Neonatal Nurses, 1998.
Find full textBook chapters on the topic "Pregnancy – Complications – Psychological aspects"
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Roy, Deblina. "Pregnancy Complications." In Encyclopedia of Evolutionary Psychological Science. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-16999-6_730-1.
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Roy, Deblina. "Pregnancy Complications." In Encyclopedia of Evolutionary Psychological Science. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-19650-3_730.
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LaCoursiere, D. Yvette. "Psychological Aspects of Obesity in Women." In Pregnancy in the Obese Woman. Blackwell Publishing Ltd., 2011. http://dx.doi.org/10.1002/9781444391183.ch2.
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G.Grudzinskas, J., J. G. Westergaard, and B. Teisner. "CLINICAL ASPECTS OF PLACENTAL PROTEIN MEASUREMENTS IN EARLY PREGNANCY AND ITS COMPLICATIONS." In Pregnancy Proteins in Animals, edited by Jann Hau. De Gruyter, 1986. http://dx.doi.org/10.1515/9783110858167-004.
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Nejatisafa, Ali-Akbar, Flavia Faccio, and Ronak Nalini. "Psychological Aspects of Pregnancy and Lactation in Patients with Breast Cancer." In Advances in Experimental Medicine and Biology. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41596-9_28.
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Sharma, Arjun D. "Critical Appraisal of Cardiac Implantable Electronic Devices: Complications and Management." In Psychological, Emotional, Social and Cognitive Aspects of Implantable Cardiac Devices. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-55721-2_7.
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Schatz, Jeffrey, and Eve S. Puffer. "Neuropsychological Aspects of Sickle Cell Disease." In Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease. Oxford University Press, 2006. http://dx.doi.org/10.1093/oso/9780195169850.003.0033.
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The purpose of this chapter is to summarize current knowledge about the brain bases of the psychological effects of sickle cell disease (SCD). For the purpose of this chapter, we categorize two broad approaches commonly used to identify the behavioral correlates of brain function. Psychological or behavioral models are used that have been developed independent of the study of the nervous system. A common example of this approach is psychoeducational assessment, which focuses on constructs relevant to functional outcomes such as IQ scores and academic skills. Psychological models are also used for assessments that have been derived more directly from neuroscience. This approach typically involves assessing specific neurocognitive domains derived from theories of brain organization, such as language, visual-spatial, and executive functions. SCD offers a challenge to neuropsychologists because of the multiple factors to consider for understanding brain function. Because SCD is a genetic condition present from birth, the disease is likely to interact with developmental factors in infancy or early childhood. Because of social-historical factors, individuals with SCD are more likely than the general population to grow up in difficult social and economic conditions that place them at higher risk for some adverse brain effects. The disease itself also has specific effects on the brain that may lead to acquired brain injury during childhood or later in life. This context creates a challenge; there are multiple potential routes for brain effects that could have an impact on psychological functioning throughout the life span. We discuss research to date on a number of these factors, including pregnancy and birth risks, social and environmental factors in early childhood, and more direct effects of the disease on the brain. These factors are discussed in their likely order of impact based on current research, with direct effects of SCD on the brain having the most robust and well-established effects on neuropsychological functioning. An overview is presented in table 24-1. Mothers of children born with SCD either have SCD or trait. Data on pregnancy outcomes of mothers with SCD or trait indicate that most of these pregnancies are successful and without serious complications (Koshy, 1995; Sun, Wilburn, Raynor, & Jamieson, 2001).
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Duffy, Thomas P. "Hematologic Aspects of Pregnancy." In Medical Complications During Pregnancy. Elsevier, 2004. http://dx.doi.org/10.1016/b978-0-7216-0435-0.50008-0.
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Raphael-Leff, Joan. "Prebirth loss and pregnancy complications." In Psychological Processes of Childbearing. Routledge, 2018. http://dx.doi.org/10.4324/9780429482922-30.
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"Bereavement: Grief and Psychological Aspects of Multiple Birth Loss." In Multiple Pregnancy. CRC Press, 2005. http://dx.doi.org/10.1201/b14615-115.
Full textConference papers on the topic "Pregnancy – Complications – Psychological aspects"
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Winarna, Nuristy Brillian Ainindyahsari, and Andari Wuri Astuti. "First-Time Advisory Experience of Husbands During Labor Time of Pregnancy: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.66.
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ABSTRACT Background: Mothers experienced enormous physical and emotional changes, especially during childbirth. Birth support role of husbands reassured both husband and wife about labor and birth. This study aimed to review the first-time advisory experience of husbands during labor time of primigravida wife. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included ScienceDirect, Wiley Online Library, ProQuest, and grey literature through Google Scholar search engine databases. The inclusion criteria were English/ Indonesian-language and full-text articles in peer-reviewed journals published between 2009 and 2019. A total of 543,111 articles were obtained by the searched database. After the review process, six articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Six articles from developed countries (Australia, Sweden, Singapore, Israel, and England) met the inclusion criteria with qualitative and quantitative (cross-sectional) studies. Three main aspects discussed were support, challenges, and psychological conditions of experience of husbands during labor time of pregnancy. Support of husbands was identified as physical and moral. Challenges faced by husbands included lack of preparedness, knowledge, and encouragement from health care professionals. Psychological conditions of satisfaction and concern were found in husbands’ transition to fatherhood. Conclusion: Responsibility, emotion, experience, and barrier of husbands are related to maternal health problems. Better involvement of fathers will be able to enhance better quality of relationships and family health through understanding, experience, and assistance, especially in the childbirth process. Keywords: advisory, husbands, experience, labor, pregnancy Correspondence: Nuristy Brillian Ainindyahsari Winarna. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: nuristybrillian02@gmail.com. Mobile: +6285338800207. DOI: https://doi.org/10.26911/the7thicph.03.66