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1
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.
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Medoeva, Tamara Mikhailovna, Madina Zaudinovna Dugieva, and Vadim Viktorovich Portnov. "The combined application of transvaginal collagenase electrophoresis and pulsed magnetic therapy to improve the quality of life of patients with chronic salpingo-oophoritis." Fizioterapevt (Physiotherapist), no. 3 (May 25, 2021): 14–19. http://dx.doi.org/10.33920/med-14-2106-02.
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Chronic salpingo-oophoritis (CSO) is one of the most common diseases among the entire gynecological pathology, the frequency of which reaches 65-68%. Despite the progress made in the treatment of CSO, there is a serious problem due to the steady growth and complications leading to infertility, ectopic pregnancy and the development of chronic pelvic pain syndrome, which significantly reduces the quality of life of patients. In this regard, the development of promising pharmaco-physiotherapeutic methods with pronounced analgesic, anti-inflammatory, immunomodulatory and bacteriological effects to increase the therapeutic effectiveness and improve the quality of life of patients with salpingo-oophoritis is an important task of modern gynecology and physiotherapy. Objective: To study in a comparative aspect the effect of the combined use of transvaginal electrophoresis of the collagenase complex and pulsed magnetic therapy and their mono-effects on the quality of life of patients with chronic salpingo-oophoritis. Materials and research methods. The study included 77 patients aged 18 to 42 years (median age was 26,7±2,8 years) with a diagnosis of chronic salpingo-oophoritis of non-specific etiology. More than half of the patients (59,7%) were women under 25 years of age. All patients were divided into three groups that were comparable according to the main clinical and anamnestic data, somatic and obstetric-gynecological status: group 1 — the main group — included 28 patients who received a course of combined application of transvaginal electrophoresis of the collagenase complex and pulsed magnetic therapy; group 2 — comparison group 1 — included 25 patients who received acourse of transvaginal electrophoresis of the collagenase complex; group 3 — comparison group 2 — included 24 patients who received a course of pulsed magnetic therapy. The quality of life was assessed by the indicators of the Quality of Life Index (QOL), which takes into account the three most important and informative aspects of patients’ lives: physical condition and its dynamics, mental (psychological) health and daily functioning. The results of the study. Based on the obtained results, it was proved that the most pronounced results were achieved in patients of the main group who received a course of transvaginal electrophoresis of the collagenase complex in combination with pulsed magnetic therapy, where the quality of life improved by 89,3% according to the QOL index, compared to the monotherapy with transvaginal electrophoresis and pulsed magnetic therapy — 75,7% and 73,1%, respectively.
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Burger, JoAnne, Sarah McCue Horwitz, Brian W. C. Forsyth, John M. Leventhal, and Philip J. Leaf. "Psychological Sequelae of Medical Complications During Pregnancy." Obstetrical & Gynecological Survey 48, no. 10 (1993): 649. http://dx.doi.org/10.1097/00006254-199310000-00001.
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Villeneuve, Claude, Catherine Laroche, Abby Lippman, and Myriam Marrache. "Psychological Aspects of Ultrasound Imaging during Pregnancy." Canadian Journal of Psychiatry 33, no. 6 (1988): 530–36. http://dx.doi.org/10.1177/070674378803300616.
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The psychological impact of ultrasound examination on expectant parents is assessed through direct observation, interviews and the administration of a questionnaire to a large group of parents. The examination was a positive and reassuring experience for most parents. Among a wide array of variables that could account for the effects of the exam, the results were the most important. Women viewing their first ultrasound, specially primiparae were more moved. The results did not confirm that there is a traumatic effect when viewing precedes quickening. Contrary to previous reports, fathers were as emotionally involved as the mothers. The presence of the father seemed also to have a beneficial effect on the mother. One-half of parents wanted to know the sex of the fetus before birth. These findings are discussed, along with implications for problems arising from introduction of new technologies during pregnancy.
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Gardanova, Z., D. Khritinin, and K. Anisimova. "Psychoemotional Disorders in Pregnancy with Hypertensive Complications." European Psychiatry 41, S1 (2017): S107. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1874.
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Psychoemotional disorders in pregnant women represent a significant medical and social problem as well as the effects caused by this pathology have a profound effect on children born to such mothers, as well as to themselves mothers during and after pregnancy. The goal–psychological correction of psycho-emotional states in pregnant women with hypertensive syndrome by Erickson hypnosis. The study was conducted on the basis of state organization “Research Center for Obstetrics, Gynecology and Perinatology named after Academician VI Kulakov”. The study involved 150 pregnant women with hypertensive syndrome. Seventy-five pregnant women with hypertensive syndrome received psychological correction method of Erickson hypnosis in an amount of 15 sessions. To assess the state of mental and emotional techniques used depression scale Beck Anxiety Scale, Spielberger-Hanin. The study was conducted 4 times–the first, second, and third trimesters of three months after childbirth. When comparing the psycho-emotional state of pregnant women with hypertensive syndrome on the background of psychological adjustment method Erickson hypnosis and in pregnant women with hypertensive syndrome who did not receive psychological correction revealed a statistically significant difference. In pregnant women with hypertensive syndrome who received psychological correction method of Erickson hypnosis, revealed lower levels of depression and situational anxiety than women who did not receive psychological correction. Thus, our study proved the need for psychological correction method of Erickson hypnosis and its effectiveness for stabilizing the psycho-emotional state of pregnant women with hypertensive syndrome and pre-eclampsia prevention.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Rizzardo, Renzo, Guido Magni, Cesare Andreoli, et al. "Psychosocial Aspects during Pregnancy and Obstetrical Complications." Journal of Psychosomatic Obstetrics & Gynecology 4, no. 1 (1985): 11–22. http://dx.doi.org/10.3109/01674828509016716.
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Steinberg, Julia R., and Lisa R. Rubin. "Psychological Aspects of Contraception, Unintended Pregnancy, and Abortion." Policy Insights from the Behavioral and Brain Sciences 1, no. 1 (2014): 239–47. http://dx.doi.org/10.1177/2372732214549328.
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The knowledge of important biopsychosocial factors linking women’s reproductive health and mental health is increasing. This review focuses on psychological aspects of contraception, unintended pregnancy, and abortion because these are common reproductive health experiences in U.S. women’s lives. This review addresses the mental-health antecedents and consequences of these experiences, mostly focusing on depression and depressive symptoms before and after unintended pregnancy and contraception. As mental-health antecedents, depressive symptoms predict contraceptive behaviors that lead to unintended pregnancy, and mental-health disorders have been associated with having subsequent abortions. In examining the mental-health consequences, most sound research does not find abortion or contraceptive use to cause mental-health problems. Consequently, evidence does not support policies based on the notion that abortion harms women’s mental health. Nevertheless, the abortion-care setting may be a place to integrate mental-health services. In contrast, women who have births resulting from unintended pregnancies may be at higher risk of postpartum depression. Social policies (e.g., paid maternity leave, subsidized child care) may protect women from mental-health problems and stress of unplanned children interrupting employment, education, and pre-existing family care responsibilities.
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Cunha, Ana Cristina B., Solange F. Patricio, Laila Pires F. Akerman, Paula S. Maynarde, and Claudia Saunders. "Pica in the Pregnancy and Related Psychological Aspects." Temas em Psicologia 25, no. 2 (2017): 631–46. http://dx.doi.org/10.9788/tp2017.2-12en.
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Vileikyte, Loretta, Richard R. Rubin, and Howard Leventhal. "Psychological aspects of diabetic neuropathic foot complications: an overview." Diabetes/Metabolism Research and Reviews 20, S1 (2004): S13—S18. http://dx.doi.org/10.1002/dmrr.437.
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Shillitoe, Richard. "Psychological aspects of the Diabetes Control and Complications Trial." Practical Diabetes International 11, no. 3 (1994): 93. http://dx.doi.org/10.1002/j.1528-252x.1994.tb00016.x.
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Herasymenko, Larysa O. "POSTNATAL PERIOD PSYCHOLOGICAL ASPECTS." Wiadomości Lekarskie 72, no. 2 (2019): 271–74. http://dx.doi.org/10.36740/wlek201902124.
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The result of labour is not only the birth of a child but also the formation of a mother, woman who has got to know motherhood. Moreover there is a radical change in the social status of the couple as a whole. It turns into a mother and father. The consequence of this is a change in attitude towards yourself and others, that is, the transformation of the personality. This explains why during pregnancy and delivery the risk of family problems worsening rises sharply and somatic and neuropsychic disorders emerge. The aim of the work is to describe and systematically outline the main psychological and psychiatric aspects of the postnatal period in the life of a woman and a child. Changes occur in the life of a woman, and the possible to diagnose the manifestations of disharmonious development in a timely manner, to prevent and help to solve them constructively. The information is presented taking into account both historical aspects and the state of the issue in modern society.
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Tam, Leslie W. "Psychological aspects of pregnancy in the military: A review." Women's Health Issues 5, no. 4 (1995): 237. http://dx.doi.org/10.1016/1049-3867(96)82983-5.
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Tarn, Leslie W. "Psychological Aspects of Pregnancy in the Military: A Review." Military Medicine 163, no. 6 (1998): 408–12. http://dx.doi.org/10.1093/milmed/163.6.408.
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Ramiro-Cortijo, David, Maria de la Calle, Vanesa Benitez, et al. "Maternal Psychological and Biological Factors Associated to Gestational Complications." Journal of Personalized Medicine 11, no. 3 (2021): 183. http://dx.doi.org/10.3390/jpm11030183.
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Early detection of gestational complications is a priority in obstetrics. In our social context, this is linked to maternity age. Most studies are focused on biological factors. However, pregnancy is also influenced by social and psychological factors, which have not been deeply explored. We aimed to identify biopsychosocial risk and protective factors associated with the development of maternal and fetal complications. We enrolled 182 healthy pregnant women, and plasma melatonin and cortisol levels were measured in the first trimester by chemiluminescent immunoassays. At different time points along gestation, women answered several questionnaires (positive and negative affect schedule, hospital anxiety and depression scale, pregnancy concerns scale, life orientation test, resilience scale, life satisfaction scale and life–work conflicts scale). They were followed up until delivery and categorized as normal pregnancy, maternal or fetal complications. Maternal complications were associated with low melatonin (OR = 0.99 [0.98; 1.00]; p-value = 0.08) and life satisfaction (OR = 0.64 [0.41; 0.93]; p-value = 0.03) and fetal complications were associated with high cortisol (OR = 1.06 [1.02; 1.13]; p-value = 0.04), anxiety (OR = 2.21 [1.10; 4.55]; p-value = 0.03) and life–work conflicts (OR = 1.92 [1.04; 3.75]; p-value = 0.05). We conclude that psychological factors influence pregnancy outcomes in association with melatonin and cortisol alterations. High maternal melatonin and life satisfaction levels could be potential protective factors against the development of maternal complications during pregnancy. Low anxiety and cortisol levels and reduced work–life conflicts could prevent fetal complications.
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Clare, Anthony W., and Janette Tyrrell. "Psychiatric aspects of abortion." Irish Journal of Psychological Medicine 11, no. 2 (1994): 92–98. http://dx.doi.org/10.1017/s0790966700012428.
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AbstractObjective: To examine the evidence concerning the psychological consequences of abortion, the risk of suicide in pregnancy and the psychological consequences for the mother and the child in cases of refused abortion. Method: An extensive literature search was undertaken and key relevant papers were examined and analysed. Results: Legal abortion has become more widely available throughout the western world and the actual reported incidence of cases of refused abortion is low. The majority of studies indicate that the psychological consequences of abortion itself are in the main mild and transient but there is evidence that women who have strong religious or cultural attitudes negative to abortion do experience high levels of psychological stress following abortion. The risk of suicide is low in pregnancy and suicide is a rare outcome of refused abortion. There is evidence of psychological and social difficulties experienced by mothers of unwanted pregnancies forced to proceed to term and by many offspring of such unwanted pregnancies. Conclusions: Definitive conclusions are difficult to draw from the published studies of refused abortion and many studies are over thirty years old.
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Zolese, G., and C. V. R. Blacker. "The Psychological Complications of Therapeutic Abortion." British Journal of Psychiatry 160, no. 6 (1992): 742–49. http://dx.doi.org/10.1192/bjp.160.6.742.
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Psychological or psychiatric disturbances occur in association with therapeutic abortions but they seem to be marked, severe, or persistent in only a minority (approximately 10%) of women. These consist mostly of caseness depression and anxiety. Psychoses are very uncommon, being repotted in only 0.003% of cases – most of whom have a history of previous psychiatric illness. Certain groups are especially at risk from adverse psychological sequelae; these include those with a past psychiatric history, younger women, those with poor social support, the multiparous, and those belonging to sociocultural groups antagonistic to abortion. This is not to overlook the fact that, adopting a crisis-resolution framework, subsequent termination of an unwanted pregnancy is itself ‘therapeutic‘. A better understanding of the nature of the risk factors would enable clinicians to identify vulnerable women for whom some form of psychological intervention might be beneficial.
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Doherty, Anne M. "Psychiatric aspects of diabetes mellitus." BJPsych Advances 21, no. 6 (2015): 407–16. http://dx.doi.org/10.1192/apt.bp.114.013532.
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SummaryDiabetes is an increasingly common health problem, especially in the West, where there is an emerging epidemic of type 2 diabetes, closely related to the epidemic of obesity. Many people with diabetes struggle to optimise their diabetes control, often because they also have mental illnesses or psychological and social problems. Poor diabetes control has significant consequences for the individual, and if not addressed will result in complications that include blindness, kidney failure and even amputations. There are also consequences for health services resulting from increased admissions and emergency department presentations with diabetes-related difficulties. In the long-term, the costs associated with complications such as renal failure and amputation are high. Addressing the psychiatric and psychological barriers to good glucose control can help reduce the burden of diabetes and its complications on both the individual and the health service.
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Bjelica, Artur, and Petronila Kapor-Stanulovic. "Pregnancy as a psychological event." Medical review 57, no. 3-4 (2004): 144–48. http://dx.doi.org/10.2298/mpns0404144b.
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Introduction Apart from physiological and somatic changes, pregnancy is a complex phenomenon which also includes psychological and social changes. Pregnancy, especially the first one, represents a powerful psychological event. This paper deals with pregnancy as a psychological event, considering psychological changes in the course of pregnancy as a stressful event. Psychological changes during pregnancy Pregnancy is always associated with changes in psychological functioning of pregnant women. It is usually associated with ambivalence, frequent mood changes, varying from anxiety, fatigue, exhaustion, sleepiness, depressive reactions to excitement. During pregnancy, changes include body appearance, affectivity and sexuality, whereas the position and role of women attains a new quality. Even thoughts of pregnancy can bring about numerous worries about its course and outcome, and especially of the delivery itself, which may be so intense that they acquire a features of phobia (which may be the reason for avoiding pregnancy). Pregnancy as a stressful event Pregnancy is identified as a potent stressor that can seriously affect the psychic status of pregnant women, perinatal outcome, but also psychic functioning of the new-born individual. Appropriate relationship of partners and support of the society play an important role in overcoming stress during pregnancy. Conclusion Pregnancy is an event that involves numerous somatic and psychological changes. However, pregnancy can also be a potent stressor. Existence of prenatal maternal stress may lead to different perinatal complications that may have long-term consequences on the newborn. In prevention of maternal stress emphasis has to be put on partner?s emotional support, as well as empathy of the social environment. However, in certain cases, professional psychotherapeutic support is necessary, in form of short supportive treatment. Preventive measures should include adequate psychological support during pregnancy, especially the first one, provided for all pregnant women, but also for those women that plan to get pregnant in the near future.
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Sharma, J., and Rinchen Zangmo. "Psychosocial aspects of diabetes in pregnancy." Journal of Social Health and Diabetes 05, no. 01 (2017): 009–11. http://dx.doi.org/10.4103/2321-0656.193993.
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AbstractAs treating physicians, we usually focus on the patient's medical condition, forgetting the impact of the illness on the psychosocial aspects of the patient's life. Patients with chronic medical illnesses usually suffer from a lot of psychosocial stress. Diabetes is one such medical condition where numerous studies focus on the physical and medical aspects, but fewer are concerned with the psychosocial experiences and needs of the patients. Transition to motherhood is a major life-changing event for all women. It brings in a big psychological impact on the woman who has to go through this transition with an added medical condition which can affect her pregnancy and also the health and well-being of the unborn child. In this article, we discuss the psychosocial issues faced by a diabetic woman going through the transition from pregnancy to motherhood.
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Sydsjö, Gunilla. "Prevalence and Significance of Social and Psychological Risk Factors During Pregnancy." International Journal of Technology Assessment in Health Care 8, S1 (1992): 123–28. http://dx.doi.org/10.1017/s0266462300013015.
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AbstractModerate psychosocial problems identified during early pregnancy in 78 women were found to predispose for various “complications” during gestation, but not for prematurity or obstetrical complications during delivery. However, from a normal postnatal status the children of these mothers demonstrated a significantly unfavorable somatic, as well as psychomotoric development, until the age of 4. Pregnant women with certain psychosocial problems must be early identified and property attended to in order to preclude an adverse child development.
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Ulianich, Anna L., Tatyana G. Bokhan, Svetlana B. Leshchinskaia, Lyubov A. Agarkova, Irina G. Kutsenko, and Galina A. Miheenko. "Internal Image of Pregnancy in Women with Somatic Complications and Possible Miscarriage." Bulletin of Kemerovo State University 21, no. 2 (2019): 435–50. http://dx.doi.org/10.21603/2078-8975-2019-21-2-435-450.
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The article describes some characteristics of the internal image of pregnancy in women with a possible miscarriage during a complicated pregnancy. The study involved 230 women from three groups: those with an extragenital pathology, those with an HIV infection, and those with an IVF pregnancy. The experiment employed the following psychological methods: The Beck Depression Inventory; Self-Assessment of Psychological States (H. Aysenk); The Questionnaire of reproductive motives "My Pregnancy" (O. Magdenko); The Semantic Differential Scale (C. Osgud), which reveals the attitude of women towards such concepts as "Me myself", "My Pregnancy", "My Child", "My Future"; the "Quality of Life" Questionnaire (SF-26). The authors indentified the common and specific characteristics of the internal image of pregnancy for each group. On the level of bodily experience, all the women experienced a sense of restrictions during physical exercise and social contacts. For the extragenital pathology group, the pro-life choice was connected with achieving a new social status. The HIV group revealed a depressive state related to pregnancy. For the IVF group, pregnancy was connected with unfulfilled needs: in love, care, attention, acceptance, desire to change their lives, overcome past failures, etc. The results can be used in psychological practice in antenatal clinics, maternity homes, centers of reproductive technologies, and AIDS prevention and treatment centers.
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Boiko, Volodymyr I., Alla V. Boychuk, Irina M. Nikitina, Tetyana V. Babar, Alesya V. Boiko, and Maryna A. Bolotna. "BASIC CLINICAL AND PATHOGENETIC ASPECTS OF DEVELOPING THE COMPLICATIONS DURING MULTIPLE PREGNANCIES." Wiadomości Lekarskie 72, no. 1 (2019): 52–55. http://dx.doi.org/10.36740/wlek201901110.
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Introduction: In order to evaluate the value of the Placenta Growth Factor (PlGF) in the developing the gestational complications during multiple pregnancies, a study of this indicator in serum of 320 pregnant women with multiple pregnancies in the first trimester, as well as 40 pregnant women with single pregnancy, constituted a control group. The aim: of the study is to investigate the effect of the placental growth factors on gestational process during multiple pregnancies. Materials and methods: A prospective study of maternity pregnancy in 320 females with multiple pregnancies was conducted, which comprised the main group of the subjects and 40 healthy women with unipolar pregnancy. The level of PlGF in serum was determined by solid phase enzyme analysis using monoclonal antibody sets in the first trimester of pregnancy. Indicators of the hemostasis system (vascular thrombocyte and coagulation link) were evaluated according to generally accepted methods. Dopplerometry of placental and fetal blood flow was performed in uterine arteries, arteries and umbilical cord veins, middle cerebral artery of the fetus. Results: Women with multiple pregnancies are at the risk of gestational complications - premature births in 67.8% (p <0.01), feto placental dysfunction, pre eclampsia - in 17.5% (p <0.05) cases. The revealed violations of the vascular thrombocyte and coagulation homeostasis in the first trimester of pregnancy are the main risk factors for early premature abortion. It has been shown that the low level of placental growth factor in serum of pregnant women with multiple pregnancies in the case of premature labor, feto placental dysfunction and pre-eclampsia (111.23 ± 8.4, 203.24 ± 6.4 and 305.86 ± 7.4 pg / ml) compared with the corresponding indicators for single-pregnancy (418.2 ± 10.4 pg / ml) is a prognostic marker for the development of gestational complications. Conclusions: Timely medical correction of gestational complications during multiple pregnancies with the use of micronized progesterone, low molecular weight heparins, angio protectants allowed prolonging the pregnancy with mono choric type of placentation by 3.2 weeks (up to 34.2 ± 2.4 weeks), and in the case of dichoric twins - to full-term pregnancy.
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Grigoryan, Olga Rafaelyevna, and Yelena Nikolayevna Andreyeva. "Modern aspects of pregnancy planning in women with diabetes." Journal of obstetrics and women's diseases 62, no. 1 (2013): 79–89. http://dx.doi.org/10.17816/jowd62179-89.
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Pregnancy is a complex metabolic state, which includes dramatic changes in hormone secretion, amid growing demand for energy-rich compounds necessary for growth and development of the fetus. Women with diagnosed diabetes is always a greater risk of obstetric complications, which can be prevented by knowing the risk factors for diabetes, the criteria for early diagnosis, an algorithm of pregnancy, careful management of the postpartum period.
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Szkodziak, Filip, Jarosław Krzyżanowski, and Piotr Szkodziak. "Psychological aspects of infertility. A systematic review." Journal of International Medical Research 48, no. 6 (2020): 030006052093240. http://dx.doi.org/10.1177/0300060520932403.
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Objective Fertility may be defined as a capacity to conceive and produce offspring. Infertility is characterized by failure to establish a clinical pregnancy after 12 months of regular and unprotected sexual intercourse. Infertility concerns an estimated 8–12% of the global population, and is associated with factors including time of unwanted non-conception, age of female partner and number of diseases impacting fertility. Unexplained infertility is described as idiopathic. This study aimed to analyse and evaluate the influence of mental disorders, often considered as reasons for idiopathic infertility, on female and male fertility, including stress, depression, sleep and eating disorders, and addictions. Methods This systematic review comprised a search of MEDLINE, Cochrane and PubMed databases for relevant articles that were analysed by two independent reviewers. Results A total of 106 articles published between 1955–2019 were included. Mental disorders modify endocrine gland and immune system functioning at both the tissue and cellular level, and are negatively associated with female and male fertility. Conclusion Mental disorders may negatively impact female and male fertility. Further studies are required to explain the exact role and contribution of mental disorders to fertility.
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Campos, Rodolfo, Mariza Avelino, and Eleomar Moraes. "Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 38, no. 06 (2016): 293–300. http://dx.doi.org/10.1055/s-0036-1585072.
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БОЙЧУК, А. В., І. М. НІКІТІНА, В. К. КОНДРАТЮК, Н. В. КАЛАШНИК, and М. А. БОЛОТНА. "CLINICAL AND PATHOGENETIC ASPECTS OF DEVELOPMENT OF GESTATIONAL COMPLICATIONS WITH MULTIPLE PREGNANCY." Scientific digest of association of obstetricians and gynecologists of Ukraine, no. 2(42) (September 12, 2018): 30–35. http://dx.doi.org/10.35278/2664-0767.2(42).2018.172828.
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Hviid, Thomas Vauvert F. "HLA-G in human reproduction: aspects of genetics, function and pregnancy complications." Human Reproduction Update 12, no. 3 (2005): 209–32. http://dx.doi.org/10.1093/humupd/dmi048.
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Vygivska, L. M., and T. R. Nykoniuk. "Etiopathogenetical aspects of I trimester pregnancy course in women after assisted reproductive technology." HEALTH OF WOMAN, no. 4(120) (May 30, 2017): 98–101. http://dx.doi.org/10.15574/hw.2017.120.98.
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The objective: to study etiopathogenetical aspects of pregnancy after IVF in women with a history of infertility. Patients and methods. A prospective comprehensive survey of 220 pregnant in the first trimester of pregnancy after IVF with infertility of different genesis in history and 50 naturally firstly pregnant women. Results. Etiopathogenetical factors of complications of pregnancy and reproductive losses in women after IVF in the first trimester of pregnancy were defined, including the leading role played by the age of pregnant women over 27 years, burdened obstetric and gynecological history, a long period of infertility, the imbalance of steroid hormones and the development of OHSS, consequences carried inflammatory processes and surgery on the pelvic organs. Conclusion. First trimester of pregnancy is most dangerous for developing of complications of pregnancy and reproductive losses for women after ART regardless of etiologic factors of infertility in history, and involves optimization and implementation of comprehensive diagnostic and treatment and preventive measures. Key words: infertility, pregnancy, assisted reproductive technology.
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Lantsburg, M. E., T. V. Krysanova, and E. V. Solovyeva. "Psychological and psychosomatic disorders during pregnancy and childbirth: a review of contemporary international researches." Современная зарубежная психология 5, no. 2 (2016): 78–87. http://dx.doi.org/10.17759/jmfp.2016050210.
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In recent decades, the increasing worldwide problems in the reproductive sphere of people, the problem of preserving reproductive health of the population has become very topical, it requires joint medical and psychological efforts. This article presents a review of more than 70 modern English-language scientific publications devoted to the study of psychological and psychosomatic peculiarities of men, women and couples with reproductive disorders and psychological predictors and consequences of these problems. The best known and the least explored psychological aspects of reproductive disorders are highlighted, the results of research are described, also R. Linder’s psychotherapeutic method of preventing premature births is outlined. The article has two parts: the first part presents the research of psychosomatic aspects of male and female reproductive diseases, including infertility; the second one is devoted to psychological and psychosomatic disorders of women during pregnancy and childbirth
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Mostafa, Rashad, Rasha Abd Elfatah, Ohoud Khalil, and Hany Saad. "Sexual Function and Related Endocrinological and Psychological Aspects in Pregnancy: A Controlled Study." Suez Canal University Medical Journal 24, no. 2 (2021): 144–54. http://dx.doi.org/10.21608/scumj.2021.192859.
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Zanatta, Djulie, Mariane Rossini, and Alberto Trapani Júnior. "Pyelonephritis in Pregnancy: Clinical and Laboratorial Aspects and Perinatal Results." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 39, no. 12 (2017): 653–58. http://dx.doi.org/10.1055/s-0037-1608627.
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Objective To identify the prevalence of pyelonephritis during pregnancy and to analyze the clinical and laboratorial aspects, perinatal results and complications. Methods A transversal study of 203 pregnant women who had pyelonephritis during pregnancy and whose labor took place between 2010 and 2016 at a hospital in the state of Santa Catarina, Brazil. The analysis was based on medical records as well as on the hospital's database. Clinical and laboratory conditions, antibiotics, bacterial resistance, perinatal outcomes and complications were all taken into account. The data was compared using the Mann-Whitney test and the Chi-square test. Results A prevalence of 1.97% with pyelonephritis was evidenced, with most patients having it during the second trimester of gestation. The bacteria most commonly found in the urine cultures was Escherichia coli, in 76.6% of cases, followed by Klebsiella pneumoniae (8.7%). Ceftriaxone had the lowest bacterial resistance (only 3.5% of the cases). On the other hand, ampicillin and cephalothin presented higher bacterial resistance, 52% and 36.2%, respectively. The risk of very premature delivery was more than 50% higher in patients with pyelonephritis. Conclusion Ampicillin and first-generation cephalosporins are associated with a higher bacterial resistance while ceftriaxone proved to have a high efficacy for the treatment of pyelonephritis due to low bacterial resistance. Patients with pyelonephritis showed a higher risk for very premature delivery (< 32 weeks). In this casuistry, there were no others significant differences in the overall perinatal outcomes when compared with the routine service series.
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OLARU, Claudia, Magdalena IORGA, Radian Alexandru OLARU, Nicoleta GIMIGA, Camelia SOPONARU, and Smaranda DIACONESCU. "Psychological aspects of patients with encopresis associated with chronic constipation." Romanian Journal of Medical Practice 10, no. 4 (2015): 333–37. http://dx.doi.org/10.37897/rjmp.2015.4.5.
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Chronic constipation is an extremely common and costly condition that can negatively impact the patient’s quality of life, resulting in a major economic and social burden. Most patients do not understand their situation and suffer from social isolation. The developmental particularities of the child cause the etiology and symptomatology of constipation to differ from those described by adults, which requires a specific management in terms of diagnosis and treatment. The specialty literature to date relies on fragmented studies focused on these particularities, as well as on the multitude of aspects of diagnostic and treatment related to chronic stool retention and bowel evacuation in children. The problem that is being studied is important not only from a medical and socioeconomic point of view, but also because some complications caused by chronic constipation (such as encopresis and enuresis) lead to the social isolation and physical and psycho-emotional impairment of these children.
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Frost, Mary, and John T. Condon. "The Psychological Sequelae of Miscarriage: A Critical Review of the Literature." Australian & New Zealand Journal of Psychiatry 30, no. 1 (1996): 54–62. http://dx.doi.org/10.3109/00048679609076072.
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Miscarriage, although a common event in pregnancy, has been frequently overlooked in psychological research. This paper reviews the literature on the psychological sequelae of miscarriage, including the shortcomings of that literature. Best understood against the background of psychological changes in early pregnancy, the literature reveals aspects of grief specific to miscarriage. Important components of this grief comprise high levels of guilt, the loss of part of the self and a large impact upon personal identity. The psychological sequelae impact upon other family members, including partners and surviving children. Psychiatric consequences include depression, anxiety and posttraumatic stress disorder. Given the potentially serious nature of these sequelae, it behoves the psychiatrist to enquire routinely about pregnancy loss in all female patients.
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Brockington, Ian. "Puerperal disorders." Advances in Psychiatric Treatment 4, no. 6 (1998): 312–19. http://dx.doi.org/10.1192/apt.4.6.312.
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Childbearing, from the standpoint of psychological medicine, is the most complex event in human experience (Brockington, 1996). Pregnancy and childbirth involve major biological, social and emotional transitions and expose the mother to a range of psychological and medical complications. There are about 20 psychiatric disorders occurring in the post-partum period (see Table 1).
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Didier, Kouamé Arthur, Diomandé Fatoumata Alice, Kakou Charles, et al. "Epidemiological and clinical aspects of respiratory pathologies during pregnancy and puerperality." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 3 (2018): 829. http://dx.doi.org/10.18203/2320-1770.ijrcog20180507.
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Background: The purpose of this study was to describe the characteristics of respiratory pathologies during pregnancy and postpartum.Methods: This was a case-control study over a 7-year period from January 2008 to December 2014 at CHU de COCODY. We compiled 86 cases of the PPH department hospitalized patients for pulmonary disease during pregnancy and for postpartum up to 42 days after delivery. The control samples were represented by those hospitalized in Obstetrics for a non-respiratory general condition during the same gravido puerperal period.Results: The age group of 20-29 years was the most affected in both groups with extremes ranging from 16 to 40 years (p=0.827). Respiratory pathology was common among housewives or unemployed women (p=0,001). Pauciparous and multiparous were the most affected (p=0.020). They had a medical history in 55.8% of cases versus 22.8% in controls (p=0.001). Positive HIV serology was also found (p=0.001) and was most often passive tobacco related (p=0.015). Respiratory pathology was progressive in 72.9% in cases vs 8.9% (p=0.001) with dyspnoea as the main sign (58%). Tuberculosis (29.70%) was the most common respiratory disease. Maternal complications accounted for 48.1% of PPH vs 25.6% (p=0.001) with maternal mortality of 11.6% (p = 0.001). As for foetal prognosis, 25.6% of foetal complications were noted in patients admitted to PPH versus 48.1% (p = 0.001).Conclusions: Respiratory disease during the gravido puerperal period is severe with significant maternal repercussion.
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Zhuk, S. I., O. D. Shchurevska, and A. A. Shlyahtina. "Perinatal loss – psychological aspects of the obstetricians and gynecologists work (clinical lecture)." HEALTH OF WOMAN, no. 1(117) (February 28, 2017): 11–14. http://dx.doi.org/10.15574/hw.2017.117.11.
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The article presents current approaches to case management of perinatal loss in the terms of psychology. The features and patterns of experiences of women, depending on the type of loss. The general guidelines regarding the construction of the physician-patient dialogue and algorithm of actions by the example of antenatal fetal death are described. Key words: perinatal loss, pregnancy, childbirth, the fetus, fetal death, psychological support.
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Bales, M., E. Pambrun, M. Melchior, et al. "Prenatal Psychological Distress and Access to Mental Health Care in the ELFE Cohort." European Psychiatry 30, no. 2 (2015): 322–28. http://dx.doi.org/10.1016/j.eurpsy.2014.11.004.
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AbstractBackground:Pregnant women are vulnerable to the deleterious impact of environmental stressors. The aims were to identify the environmental and pregnancy characteristics independently associated with prenatal psychological distress and access to mental health care.Methods:We used data from the French cohort Étude Longitudinale Française depuis l’Enfance (ELFE), a nationally representative cohort of children followed-up from birth to adulthood. Information about prenatal psychological status and access to mental health care was collected during the maternity stay. Maternal/pregnancy characteristics independently associated with psychological distress and access to mental health care were explored using multivariate analyses.Results:Of the 15,143 mothers included, 12.6% reported prenatal psychological distress. Prenatal distress was more frequent in women with very low economical status, alcohol/tobacco use, unplanned/unwanted pregnancy, late pregnancy declaration, multiparity and complicated pregnancy (high number of prenatal visits, prenatal diagnosis examination, obstetrical complications). Of the women reporting prenatal distress, 25% had a prenatal consultation with a mental health specialist and 11% used psychotropic drugs during pregnancy. Decreased likelihood to consult a mental health specialist was found in young women, with intermediate educational level and born abroad.Limitations:Causal inferences should be made cautiously as the questionnaire did not collect information on the temporal sequence between psychological distress and associated characteristics.Conclusions:Women with social and obstetrical vulnerabilities are at increased risk of poor mental health during pregnancy. Improving mental health care access during pregnancy is a public health priority.
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Karmyshev, Karmyshev A. O., and Ryskeldieva V. T. Ryskeldieva. "Psychological aspects of termination of early-stage non-developing pregnancy: A randomized clinical trial." Akusherstvo i ginekologiia 1_2017 (January 27, 2017): 19–23. http://dx.doi.org/10.18565/aig.2017.1.19-23.
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Derdyay, O. S., and S. V. Khlybova. "Psychological profile, dietary preferences and reproductive history of pregnant women with obesity." Kazan medical journal 94, no. 2 (2013): 216–20. http://dx.doi.org/10.17816/kmj1592.
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Aim. To study the psychological profile and determine dietary preferences of pregnant women with various stages of diet-induced obesity and to evaluate the relationship between the determined features and reproductive function. Methods. 120 women who were at the 1st trimester of normal pregnancy were administered the modified Life Quality Self-Assessment Questionnaire for Overweight Patients. Women were divided into groups according to body mass index (group 1 - women with normal weight, group 2 - overweight women, group 3 - women with class I obesity, group 4 - women with class II obesity). The data from exchange cards of pregnant women were also included in the analysis. Results. Women with class I and class II obesity had higher rates of concomitant diseases, complications during pregnancy and cesarean sections. The main causes of obesity were genetic predisposition, decreased physical activity, increased dietary energy supply. Such traits as hypochondria, frequent mood changes, desire to be at the center of attention were present in obese women. They evaluate their health as poor. Conclusion. The questioning makes it possible to mark out a high risk group for complications of pregnancy and delivery. A questionnaire survey and monitoring by a psychologist and a dietary specialist are recommended for this group of patients.
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Nandi, Eva Rani, Fatema Ashraf, Nilofar Yasmin, and Hasina Begum. "Conservative management of single foetal death in multiple pregnancy at a tertiary care hospital in Bangladesh: Two case reports." Bangladesh Medical Journal 45, no. 3 (2017): 172–74. http://dx.doi.org/10.3329/bmj.v45i3.33142.
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The single fetal death in multiple pregnancy is not rare. Death of one fetus in multiple pregnancy increases the risk of mortality and morbidity of the surviving fetus. This might pose management challenge to the obstetrician. It is a cause of great concern and psychological stress to the parents. Proper diagnosis and intervention in appropriate time can improve the maternal and neonatal outcome. Adequate counseling, psychological support and close follow up are mandatory. There are potential complications to the mother and the surviving twin.Bangladesh Med J. 2016 Sep; 45 (3): 172-174
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Ahuja, Maninder. "Bed Rest in Pregnancy and Its Related Complications: Is It Needed?" Journal of South Asian Federation of Obstetrics and Gynaecology 4, no. 3 (2012): 147–50. http://dx.doi.org/10.5005/jp-journals-10006-1199.
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ABSTRACT For centuries it is common myth to advice bed rest during pregnancy. At the least pretext bed rest is advised by family members and by health care providers also. But review of literature and RCT shows that in reality bed rest does not alter the course of pregnancy in various complications. Role of bed rest has been examined in singleton, twin and triplet pregnancies but was not found useful. Prolonged bed rest is rather harmful as it causes increased calcium excretion, loss of muscle mass, financial loss and increased psychological rest for the pregnant woman and her family. Moderate exercise is advisable throughout pregnancy to maintain tone of muscles and range of movements. So till we have more proof we should be cautious in advising pregnant patients about bed rest. It can be limited activity where we feel it is not advisable to overexert her. How to cite this article Ahuja M. Bed Rest in Pregnancy and Its Related Complications: Is It Needed?. J South Asian Feder Obst Gynae 2012;4(3):147-150.