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1
Clare, Anthony W., and Janette Tyrrell. "Psychiatric aspects of abortion." Irish Journal of Psychological Medicine 11, no. 2 (June 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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Szkodziak, Filip, Jarosław Krzyżanowski, and Piotr Szkodziak. "Psychological aspects of infertility. A systematic review." Journal of International Medical Research 48, no. 6 (June 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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Mahendra Wijaya, Sri Hilmi Pujihartati, and Argyo Demartoto. "The Support From Husbands, Parents and Midwives in Pregnancy Care in the Cases of Normal Pregnancy and Unwanted Pregnancy in Maternity Waiting Homes, Wonogiri, Indonesia." Bulletin of Science and Practice 7, no. 9 (September 15, 2021): 486–94. http://dx.doi.org/10.33619/2414-2948/70/46.
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Mortality and morbidity of pregnant and maternity women is a big problem in developing countries like Indonesia. The support of husbands, parents, and midwives in taking care of pregnant women is important for the health of mother and baby fetus. One of a problem in taking care of pregnant women, is maintaining the emotional stability and behavior of pregnant women. The strategy to optimize support for pregnant women is to provide Maternity Waiting Homes. The purpose of this study was to analyze the support of husbands, parents and midwives in optimizing the function of Maternity Waiting Homes. This research is qualitative descriptive research. Data collection techniques with in-depth interviews, observation, documentation and Focus Group Discussion. The core informants consist of midwives who managed the Maternity Waiting Homes and doctors, main informants consist of pregnant women, husbands, parents, and midwives, supporting informants consist of public health center nurses and sub-district stakeholders. This research located in Wonogiri Regency (kabupaten), Central Java Province in Indonesia. Based on the results of the study, husband’s, parents and midwives support in the normal pregnancy has a positive impact on the physical and psychological aspects of pregnant women until delivery. While husbands, parents and midwives support in unwanted pregnancies did not have positive impact on pregnant women. The existence of Maternity Waiting Homes has not functioned optimally in supporting the amenities of mothers and babies. Thus, social support (husband, parents and midwife) is a determinant factor of emotional stability and the behavior of pregnant women.
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Pozza, Andrea, Donatella Marazziti, Federico Mucci, and Davide Dèttore. "Propensity to Sexual Response among Adults with Obsessive-Compulsive Disorder." Clinical Practice & Epidemiology in Mental Health 15, no. 1 (September 30, 2019): 126–33. http://dx.doi.org/10.2174/1745017901915010126.
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Background: Propensity to sexual excitation and inhibition is one of the key dimensions of sexuality. Clinicians working with Obsessive-Compulsive Disorder (OCD) patients rarely assess this and other aspects of sexuality, since treatment targets generally symptom reduction. Literature on sexual functioning in OCD patients is scarce and no study has focused on symptom subtypes, nor investigated the psychological processes related to sexual response. Objective: In the present short report, we describe an exploratory study investigating the association between symptom subtypes and propensity towards sexual excitation/inhibition in OCD patients, controlling for gender, age and antidepressant treatment. Methods: Seventy-two OCD patients (mean age = 34.50 years, 37.50% women) completed the Obsessive-Compulsive Inventory-Revised and the Sexual Inhibition/Sexual Excitation Scales. Results: Patients with more severe compulsive washing habit had a lower propensity towards excitation and a higher one towards inhibition due to threat of performance consequences (i.e., contamination with sexually transmitted diseases/having an unwanted pregnancy). Patients with more severe symptoms of checking showed a higher propensity towards inhibition due to the threat of performance consequences. Gender, age and antidepressant treatment were not related to sexual functioning. Conclusion: Specific OCD symptom subtypes may be associated with some psychological processes involved in sexual response. Sexual well-being should be carefully evaluated by practitioners and should be regarded as a treatment target. Future studies should investigate more comprehensively the processes involved in sexuality.
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Drwal, Małgorzata, Katarzyna Głaszcz, Anna Taracha, Adrianna Krupa, Olga Padała, and Ryszard Maciejewski. "Prevention of STI and teenage pregnancies through sex education." Polish Journal of Public Health 126, no. 1 (March 1, 2016): 46–49. http://dx.doi.org/10.1515/pjph-2016-0010.
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Abstract Different names are used when referring to sex education, as well as there are different ways to teach the subject. Yet, it remains an essential part of the school curriculum. Using different curricula may yield various results. The content of sex education classes is dependent on various cultural and social aspects, specific to the certain country. In Poland, sex education-related topics are brought up during classes of Introduction to Family Planning, as it is called in Polish. The Ministry of Education is responsible for shaping sex education policies. The curriculum mostly focuses on STI-related diseases (including HIV/AIDS), contraceptive methods and teen pregnancy issues. Unfortunately, psychological aspects of sex or sexual assault subjects are rarely discussed upon. As a result, sexual initiation often results in unwanted pregnancies or infections. Shame is a huge obstacle to effective communication on these topics between teens ant their parents. This shows the need for organizing educational meetings for parents or carers to help them start a conversation on this delicate subject with their kids. Sex education should be focused on presenting upright knowledge with medical accuracy, which will be an addition to the content provided by parents. Well-prepared teachers can have impact over lowering the rate of sexually transmitted infections and teenage pregnancies. Sex education has also a significant influence over promoting responsible sex and increasing teens’ awareness.
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Zenouzi, Azade, Elham Rezaei, Zahra Behboodi Moghadam, Ali Montazeri, Sakineh maani, and Seyedeh Fatemeh Vasegh Rahimparvar. "Reproductive Health Concerns of Women With High Risk Sexual Behaviors." SAGE Open Nursing 7 (January 2021): 237796082110177. http://dx.doi.org/10.1177/23779608211017779.
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Introduction Expansion of reproductive health services and addressing its different aspects in national and international levels is an important step towards ensuring family and public health. Female sex workers are a vulnerable population that are exposed to high risk sexual behaviors and increased incidence of co-morbid health problems. This study aims to identify the concerns of women with high risk sexual behaviors. Clarifying different aspects of reproductive health and its problems in female sex workers can assist relevant authorities to plan and intervene on reproductive health and to provide more effective solutions on this issue. Methods A qualitative study was conducted using a conventional content analysis approach. Snowball sampling was performed in 20 volunteer women with high risk sexual behaviors through in-depth semi-structured interviews conducted in drop-in centers, triangle centers, etc. The data were analyzed through conventional content analysis using the MAXQDA software. Results Five main categories and 13 subcategories emerged during the interviews. The main categories included violence, fear, and lack of knowledge, stigma, and psychological problems. Women with high risk sexual behaviors have several reproductive health concerns, including unwanted pregnancy, abortion, STIs (Sexually transmitted infections ), HIV, etc. In addition, different types of violence and threats against women, intimidation, objectification, stigma, unresponsiveness of counselling centers, patriarchal culture, gender inequality, etc. were observed in these women. Conclusion The study revealed that women in this study experienced deep problems of reproductive health and little attention is paid to them by authorities. Proper planning and appropriate solutions should be provided to solve the problems of these women and the society.
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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 (August 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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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 (October 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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Romia, Fatma, and Amina Gonied. "Comparison between Wanted and Unwanted Pregnancy in Relation to some Aspects of Pregnancy and Labour." Journal of High Institute of Public Health 33, no. 4 (October 1, 2003): 763–74. http://dx.doi.org/10.21608/jhiph.2003.192348.
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Gomez, A. M. "Abortion and subsequent depressive symptoms: an analysis of the National Longitudinal Study of Adolescent Health." Psychological Medicine 48, no. 2 (June 19, 2017): 294–304. http://dx.doi.org/10.1017/s0033291717001684.
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BackgroundTwenty states currently require that women seeking abortion be counseled on possible psychological responses, with six states stressing negative responses. The majority of research finds that women whose unwanted pregnancies end in abortion do not subsequently have adverse mental health outcomes; scant research examines this relationship for young women.MethodsFour waves of data from the National Longitudinal Study of Adolescent Health were analyzed. Population-averaged lagged logistic and linear regression models were employed to test the relationship between pregnancy resolution outcome and subsequent depressive symptoms, adjusting for prior depressive symptoms, history of traumatic experiences, and sociodemographic covariates. Depressive symptoms were measured using a nine-item version of the Center for Epidemiologic Studies Depression scale. Analyses were conducted among two subsamples of women whose unwanted first pregnancies were resolved in either abortion or live birth: (1) 856 women with an unwanted first pregnancy between Waves 2 and 3; and (2) 438 women with an unwanted first pregnancy between Waves 3 and 4 (unweighted n’s).ResultsIn unadjusted and adjusted linear and logistic regression analyses for both subsamples, there was no association between having an abortion after an unwanted first pregnancy and subsequent depressive symptoms. In fully adjusted models, the most recent measure of prior depressive symptoms was consistently associated with subsequent depressive symptoms.ConclusionsIn a nationally representative, longitudinal dataset, there was no evidence that young women who had abortions were at increased risk of subsequent depressive symptoms compared with those who give birth after an unwanted first pregnancy.
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Szelényi, Zoltán, Ottó Szenci, Levente Kovács, and Irina Garcia-Ispierto. "Practical Aspects of Twin Pregnancy Diagnosis in Cattle." Animals 11, no. 4 (April 8, 2021): 1061. http://dx.doi.org/10.3390/ani11041061.
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Twin pregnancies are an economically unwanted phenomenon in dairy cattle, not only because they increase pregnancy losses, but also because antibiotics usage and culling rate of the dam are also dramatically increased due to them, furthermore animal welfare issues are also affected through them. In cattle, under field conditions using an early pregnancy determination tool, the first accurate diagnosis from the pregnancy status is available from around day 28, although further confirmations of pregnancy are required. Twin pregnancy diagnosis is available either by rectal palpation or ultrasonography. The measurement of pregnancy specific proteins are also available to determine gestation, but there is still a long way to go to properly identify twin pregnancies. In this commentary, we compared our own results with the literature data in this field with a special emphasis on the clinical practices.
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Romans-Clarkson, Sarah E. "Psychological Sequelae of Induced Abortion." Australian & New Zealand Journal of Psychiatry 23, no. 4 (December 1989): 555–65. http://dx.doi.org/10.3109/00048678909062625.
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This article reviews the scientific literature on the psychological sequelae of induced abortion. The methodology and results of studies carried out over the last twenty-two years are examined critically. The unanimous consensus is that abortion does not cause deleterious psychological effects. Women most likely to show subsequent problems are those who were pressured into the operation against their own wishes, either by relatives or because their pregnancy had medical or foetal contraindications. Legislation which restricts abortion causes problems for women with unwanted pregnancies and their doctors. It is also unjust, as it adversely most affects lower socio-economic class women.
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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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Suryani, Lia, and Amrina Rosyada. "The Effect of Unintended Pregnancy Among Married Women on the Length of Breastfeeding in Indonesia." Jurnal Ilmu Kesehatan Masyarakat 11, no. 2 (July 31, 2020): 136–49. http://dx.doi.org/10.26553/jikm.2020.11.2.136-149.
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The coverage of exclusive breastfeeding in Indonesia in 2017 is 35%, far below the recommendations of WHO (World Health Organization) of 50%. This rate is getting lower in unwanted pregnancies. Every year there is13.3% incidence of unwanted pregnancy in women aged 15-44 years. It has an impact on the mental, psychological condition of the mother in the process of child care and nutrition from birth. This study aims to determine the prevalence and relationship of unwanted pregnancy among married women on the duration of breastfeeding in Indonesia. This research wa a quantitative study using cross -sectional study design, a sample of 5,163 married women, and aged 15-49 years. Data were analyzed using univariate descriptive statistics on complex sample analysis, bivariate analysis using Chi-Square, and multivariate using logistic regression tests of risk factor models. This study showed that 1,267 mothers who breastfed <6 months and there was a relationship between the unwanted pregnancy with the duration of breastfeeding (p-value: 0.007 with PR: 1.349; 95% CI: 1.085-1.676) after been controlled by the use of contraception. The support of husband and health workers during pregnancy, childbirth until child care is needed to support breastfeeding
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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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Nikolic, Gordana, Ljiljana Samardzic, and Miroslav Krstic. "Women’s demand for late-term abortion: A social or psychiatric issue?" Vojnosanitetski pregled 71, no. 7 (2014): 660–66. http://dx.doi.org/10.2298/vsp1407660n.
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Introduction/Aim. Induced termination of unwanted pregnancy after 12th gestational week (late-term abortion) is legally restricted in Serbia as well as in many other countries. On the other hand, unwanted pregnancy very often brings women into the state of personal crisis. Psychiatric indications for legally approved late-term abortion on women?s demand include only severe psychiatric disorders. The aim of this paper was to compare sociodemographic, psychological characteristics and claimed reasons for abortion in the two groups of women with late-term demand for abortion - the group of women satisfying legally prescribed mental health indications, and the group of women not satisfying these indications. The aim of the study was also to determine predictive validity of the abovementioned parameters for late-term abortion as the outcome of unwanted pregnancy. Methods. A total of 62 pregnant women with demand for late-term abortion were divided into two groups according to the criteria of satisfying or not satisfying legally proposed psychiatric indications for late-term abortion after psychiatric evaluation. For the assessment of sociodemographic and psychological parameters sociodemographic questionnaire and symptom checklist - 90 revised (SCL-90?) scale were used, respectively. The outcome of unwanted pregnancy was followed 6 months after the initial assessment. Results. The obtained results showed a statistically significant difference between the groups in educational level, satisfaction with financial situation, elevated anxiety and distress reactions. Unfavorable social circumstances were the main reason for an abortion in both groups and were predictive for an abortion. A 6-month follow-up showed that women had abortion despite legal restrictions. Conclusion. Pregnant women with psychiatric indication for late-term abortion belong to lower socioeconomic and educational level group compared to women without this indication who have more frequently elevated anxiety and distress reactions to unwanted pregnancy. It is necessary to have more accurate guidelines for mental health indications for legally approved late-term abortion, respecting social circumstances. Preventive measures are of great importance in order to lower the risk of illegally performed late-term abortions.
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Tam, Leslie W. "Psychological aspects of pregnancy in the military: A review." Women's Health Issues 5, no. 4 (December 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 (June 1, 1998): 408–12. http://dx.doi.org/10.1093/milmed/163.6.408.
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Greene, Edith. "Teaching about Psychological Perspectives on Abortion." Teaching of Psychology 22, no. 3 (October 1995): 202–4. http://dx.doi.org/10.1207/s15328023top2203_13.
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This article describes an undergraduate course on abortion, one of the most contentious social issues of our time. The course focuses on the psychological aspects of abortion for adolescents and women who choose legal abortions, the consequences of denied abortions on unwanted children, and psychological ramifications of alternatives to abortion. Three phases of the course are described. In the introductory phase, I lectured on how scientific evidence about abortion is derived and should be scrutinized. In the second phase, students read and discussed historical and legal writings on abortion. In the third phase, students wrote analytical papers and gave group presentations. Evaluations of the course are included.
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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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Akbarzadeh, Marzieh, Zahra Yazdanpanahi, Ladan Zarshenas, and Farkhondeh Sharif. "The Women’S Perceptions About Unwanted Pregnancy: A Qualitative Study in Iran." Global Journal of Health Science 8, no. 5 (September 28, 2015): 189. http://dx.doi.org/10.5539/gjhs.v8n5p189.
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<p><strong>BACKGROUND:</strong> Unwanted pregnancy has affected different aspects of our life. Researchers point out if a child’s birth is unwanted, an increase in maternal issues can be observed. The aim of this study was to describe the women’s viewpoints regarding unwanted pregnancy. <strong> </strong></p> <p><strong>METHOD: </strong>This qualitative study using content analysis was employed in Shiraz University in 2013-2014. 20 women with unwanted pregnancy were chosen using purposeful sampling. Data were gathered through semi-structured interviews and trustworthiness of them was evaluated.</p> <p><strong>RESULTS:</strong> Findings of this study, according to the participants’ experience, revealed maternal emotions like embarrassment for getting pregnant, mother’s own negative affection, concerns about missing family and other children, and terminating the pregnancy through illegal abortion, the husband’s disagreement about the termination, blaming themselves for thinking about abortion or illegal abortion, and concern about their guilt feeling. Another finding was family problems like husband’s behavior and his negative outlook towards his child and fetus. The next category belonged to anxiety about the future of their child, including economic, social and relational problems, and suppression of the children’s logical expectations. The last finding was the lack of maternal emotional support.</p> <p><strong>CONCLUSIONS: </strong>Unwanted pregnancy’s effects on the mothers and infants’ health are considerable. A closer observation by family and health care providers for unwanted pregnancies and its results is recommended; therefore, they should be taken care of as high risk pregnancies, requiring family support.</p><p> </p><p> </p>
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Sullins, Donald Paul. "Affective and Substance Abuse Disorders Following Abortion by Pregnancy Intention in the United States: A Longitudinal Cohort Study." Medicina 55, no. 11 (November 15, 2019): 741. http://dx.doi.org/10.3390/medicina55110741.
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Background and Objectives: Psychological outcomes following termination of wanted pregnancies have not previously been studied. Does excluding such abortions affect estimates of psychological distress following abortion? To address this question this study examines long-term psychological outcomes by pregnancy intention (wanted or unwanted) following induced abortion relative to childbirth in the United States. Materials and Methods: Panel data on a nationally-representative cohort of 3935 ever-pregnant women assessed at mean age of 15, 22, and 28 years were examined from the National Longitudinal Survey of Adolescent to Adult Health (Add Health). Relative risk (RR) and incident rate ratios (IRR) for time-dynamic mental health outcomes, conditioned by pregnancy intention and abortion exposure, were estimated from population-averaged longitudinal logistic and Poisson regression models, with extensive adjustment for sociodemographic differences, pregnancy and mental health history, and other confounding factors. Outcomes were assessed using the Diagnostic and Statistical Manual, Version 4, American Psychiatric Association (DSM-IV) diagnostic criteria or another validated index for suicidal ideation, depression, and anxiety (affective problems); drug abuse, opioid abuse, alcohol abuse, and cannabis abuse (substance abuse problems); and summary total disorders. Results: Women who terminated one or more wanted pregnancies experienced a 43% higher risk of affective problems (RR 1.69, 95% CI 1.3–2.2) relative to childbirth, compared to women terminating only unwanted pregnancies (RR 1.18, 95% CI 1.0–1.4). Risks of depression (RR 2.22, 95% CI 1.3–3.8) and suicidality (RR 3.44 95% CI 1.5–7.7) were especially elevated with wanted pregnancy abortion. Relative risk of substance abuse disorders with any abortion was high, at about 2.0, but unaffected by pregnancy intention. Excluding wanted pregnancies artifactually reduced estimates of affective disorders by 72% from unity, substance abuse disorders by 11% from unity, and total disorders by 21% from unity. Conclusions: Excluding wanted pregnancies moderately understates overall risk and strongly understates affective risk of mental health difficulties for women following abortion. Compared to corresponding births, abortions of wanted pregnancies are associated with a greater risk of negative psychological affect, particularly depression and suicide ideation, but not greater risk of substance abuse, than are abortions of unwanted pregnancies. Clinical, research, and policy implications are discussed briefly.
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Bales, M., E. Pambrun, M. Melchior, N. M. C. Glangeaud-Freudenthal, M. A. Charles, H. Verdoux, and A. L. Sutter-Dallay. "Prenatal Psychological Distress and Access to Mental Health Care in the ELFE Cohort." European Psychiatry 30, no. 2 (February 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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Sharma, J., and Rinchen Zangmo. "Psychosocial aspects of diabetes in pregnancy." Journal of Social Health and Diabetes 05, no. 01 (June 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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Kitamura, Toshinori, Masumi Sugawara, Kensuke Sugawara, Mari Aoki Toda, and Satoru Shima. "Psychosocial Study of Depression in Early Pregnancy." British Journal of Psychiatry 168, no. 6 (June 1996): 732–38. http://dx.doi.org/10.1192/bjp.168.6.732.
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BackgroundThe psychosocial correlates of depression during pregnancy were explored.MethodPregnant women attending the antenatal clinic of a general hospital (n=1329) received a set of questionnaires including Zung's Self-Rating Depression Score (SDS). SDS high scorers (>49) (the cases: n=179) were compared with low scorers (<38) (the controls; n=343).ResultsThe cases were characterised by: first delivery; more nausea, vomiting, and anorexia; more menstrual pains and premenstrual irritability; early paternal loss; lower maternal care and higher paternal overprotection; higher public self-consciousness score; more smoking and use of medication in pregnancy; unwanted pregnancy; negative psychological response to the pregnancy by the woman and husband; poor intimacy by the husband; and having remarried.ConclusionsDepression in early pregnancy is determined mainly by psychosocial factors.
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Zolese, G., and C. V. R. Blacker. "The Psychological Complications of Therapeutic Abortion." British Journal of Psychiatry 160, no. 6 (June 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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Alfiyatussaidah, Alfiyatussaidah, Sudirman Nasir, Wahiduddin Wahiduddin, Suriah Suriah, Amran Razak, and Agus Bintara. "Coping Behavior among Mothers Age 35 Years and Over with Unwanted Pregnancy in the Working Area of Kassi-Kassi Health Center Makassar City, Indonesia." Interdisciplinary Journal Papier Human Review 1, no. 2 (November 16, 2020): 13–21. http://dx.doi.org/10.47667/ijphr.v1i2.42.
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An unwanted pregnancy is a high-risk pregnancy that has psychological stress and impacts on nursing behavior during pregnancy. This requires coping efforts in order to handle stress. This study aims to analyze the coping behavior of mothers aged 35 years and over who experience unwanted pregnancies. This research is a qualitative research with a phenomenological approach. Data were obtained by means of in-depth interviews, focus group discussions and participatory observation on 21 informants consisting of pregnant women, families, health workers, and Posbunda cadres. Content analysis is used to identify topics or categories in data. The results showed that to overcome the problem two coping behaviors were carried out, namely coping focusing on emotions and coping focusing on problems. Coping behavior focuses on emotions, including praying, sleeping, sitting quietly outside the house, drinking coffee excessively, and getting fresh air. The coping behavior that focuses on the problem is telling the problem to find a solution and the consumption of herbs, soda, and drugs to abort the pregnancy. To support coping efforts, pregnant women get support from family, neighbors, friends, health workers, and Posbunda cadres. It is suggested to the Kassi-Kassi Health Center Makassar City to hold an intensive counseling program and health education regarding the correct use of contraceptive tools and methods to prevent unwanted pregnancies.
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Makarova, M. A., Yu G. Tikhonova, T. I. Avdeeva, I. V. Ignatko, and M. A. Kinkulkina. "Postpartum depression — risk factors, clinical and treatment aspects." Neurology, Neuropsychiatry, Psychosomatics 13, no. 4 (August 14, 2021): 75–80. http://dx.doi.org/10.14412/2074-2711-2021-4-75-80.
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Objective: to analyze the psychopathological structure, risk factors and tretment of depressive disorders in women in the postpartum period.Patients and methods. A prospective cohort study included 150 women in the postpartum period (0-3 days after birth), aged 18 to 41 years, with follow-up every two weeks for six months. The evaluation included clinical interviews, Montgomery-Asberg Depression Rating Scale, and the 17-item Hamilton Anxiety Rating Scale.Results and discussion. 11.3% of women developed depression within six weeks after childbirth. Among them, 94.2% presented with mild depression, and 5.8% - moderate. Risk factors associated with postpartum depression included: periods of low mood and anxiety before and during the current pregnancy, traumatic situations during pregnancy, unwanted pregnancy, pathology of pregnancy and childbirth, cesarean section, perinatal status, lack of breastfeeding. All women with postpartum depression were treated with rational-emotive and cognitive-behavioral therapy. A short course of pharmacotherapy was prescribed to 17.6% of them to correct insomnia and anxiety symptoms. Psychotherapy was highly efficient in the treatment of postpartum affective disorders.Conclusion. The postpartum depression prevalence was 11.3%. The severity of postpartum depression was predominantly mild, and the symptoms regressed during treatment within five months in all women.
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Narzary, Pralip Kumar, Battala Madhusudana, and A. Sathiya Susuman. "Unfolding the Mystery of Reliance on Traditional Methods of Birth Control in Assam, India." Journal of Asian and African Studies 52, no. 6 (November 3, 2015): 780–93. http://dx.doi.org/10.1177/0021909615611926.
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Reliance on traditional methods of birth control causes psychological tension in couples because the fear of unwanted pregnancy bars them from experiencing a healthy sexual life. However, in Assam, half of all contraceptive users depend on traditional methods of birth control. The current study used National Family Health Survey 2005–2006 data. Out of 3840 sample women in the age group 15–49 years, 1286 women are filtered for the present study. Most of the demographic and socioeconomic characteristics of traditional method users fall between those of modern spacing method users and terminal method users. Thus, the burden of unwanted fertility is highest among the traditional method users.
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Soundararajan, Pradeeba, and Muthuramu Poovathi. "Study of psychosocial aspects of unmarried pregnancy in a tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 2 (January 31, 2017): 512. http://dx.doi.org/10.18203/2320-1770.ijrcog20170372.
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Background: Unmarried pregnancy is a major health and social problem in many developed as well as developing countries with unique medical and psychosocial consequences for the patient and society. The objective of this study was study the psychosocial aspects of unmarried pregnancy.Methods: Study was done over a period of one year. Data collected from 31 unmarried abortion seekers in a tertiary care Medical College hospital of Tamilnadu.Results: showed a strong association between unmarried adolescent pregnancy and lack of parental supervision and control , poor intra-family relationship , family problem , lack of knowledge on sexual and reproductive health ), and nonengagement of adolescent in any productive activity.Conclusions: Ignorance regarding sexuality and reproduction along with adventurous nature and poor negotiation skills predisposes unmarried girls for early sexual activity that may lead to various problems like unwanted pregnancy and STIs that may cause psycho-social-economic problems for the unmarried girl.
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Qibtiyah, Alimatul. "Kehamilan Tidak Diinginkan (KTD) Sebuah tinjauan Psikologi." Musãwa Jurnal Studi Gender dan Islam 2, no. 2 (September 30, 2003): 187. http://dx.doi.org/10.14421/musawa.2003.22.187-199.
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The problem of unwanted pregnancy, better known as abortion, is not easy to solve. This article discusses the differing opinions toward the issue of abortion. Abortion is a multidimensional and controversial issue, particularly when it is carried out for social reasons. This article claims that abortion may cause a psychological burden for clients undergoing the procedure, both before and after the event. The doctors, nurses and people who assist them may also feel this psychological burden. As such, before performing an abortion, for whatever reason, clients should have access to counselling as an effort to safeguard their reproductive health.
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Swanson, Kara W. "The Doctor's Dilemma: Paternalisms in the Medicolegal History of Assisted Reproduction and Abortion." Journal of Law, Medicine & Ethics 43, no. 2 (2015): 312–25. http://dx.doi.org/10.1111/jlme.12247.
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In 1954, American women experienced an unwanted pregnancy as presenting a difficult choice between bearing an unwanted child and risking an illegal abortion. Yet obstetrician/gynecologist Alan Guttmacher described abortion as “the doctor’s dilemma.” Guttmacher and his medical colleagues experienced a dilemma when their professional judgment that pregnancy termination was warranted clashed with the laws criminalizing most abortions. In that situation, the law constrained their ability to make a decision they felt to be in the best interest of a patient. To doctors, such paternalist decision-making was a bedrock principle of 20th-century medicine. Doctors had an obligation to provide, or deny, treatment to patients for their own good. This duty arose from medical expertise and separated the medical profession from lesser medical practitioners.
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Iustitiani, Nilla S. D., and Clara R. P. Ajisuksmo. "Supporting Factors and Consequences of Child Marriage." ANIMA Indonesian Psychological Journal 33, no. 2 (January 25, 2018): 100–111. http://dx.doi.org/10.24123/aipj.v33i2.1581.
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This study aims to give an overview of the causes and consequences of child marriage by qualitative research using in-depth interview techniques. Participants were eight girls who married during their childhood and live in Java, Indonesia. Interviews were analyzed by using content analysis techniques. The results show that underlying factors causing child marriage, include the following: (1) unwanted pregnancy; (2) the influence of parents and the surrounding environment for fear of slander and unwanted things; (3) education; and (4) economy. The consequences of child marriage include: (1) dicontinuation of education; (2) economic instability; (3) violation of law, age falsification, unregistered marriage, difficulties in obtaining birth certificates; (4) deprivation of children's liberty and autonomy; (5) psychological problems; (6) violence; and (7) health problems especially in girls.
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Coleman, Priscilla K. "Resolution of Unwanted Pregnancy During Adolescence Through Abortion Versus Childbirth: Individual and Family Predictors and Psychological Consequences." Journal of Youth and Adolescence 35, no. 6 (July 21, 2006): 903–11. http://dx.doi.org/10.1007/s10964-006-9094-x.
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Uliyanich, Anna Leonidovna, Lyubov Aglyamovna Agarkova, Svetlana Borisovna Leshchinskaya, Irina Georgievna Kutsenko, and Galina Aleksandrovna Mikheenko. "SYSTEMIC CLINICAL AND PSYCHOLOGICAL RISK FACTORS OF THREATENED MISCARRIAGE IN WOMEN WITH EXTRAGENITAL PATHOLOGY." Психология. Психофизиология 13, no. 2 (July 20, 2020): 46–61. http://dx.doi.org/10.14529/jpps200205.
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Background: The present study focuses on the problem of pregnancy maintaining in women with specific somatic conditions (an extragenital pathology). Aim: The paper aims to establish systemic clinical and psychological risk factors for the development of pregnancy termination in women with extragenital pathology, as well as determine the psychological markers of pregnancy termination and the psychological resources for maintaining a healthy pregnancy. Materials and methods: The data were obtained from the medical records of pregnant women, sociodemographic questionnaires and psychodiagnostic tests. The descriptive, comparative, correlational and discriminant methods were used for statistical analysis. 100 women participated in the study, 50 of them had the risk of pregnancy termination. Results: The risk factors of threatened miscarriage in women with extragenital pathology were identified: unconditional faith in God and transfer of the responsibility for pregnancy and childbirth; an unwanted pregnancy; negative attitude to all pregnancy-related restrictions; the dominant motive for pregnancy maintenance characterized by the wish to achieve a new social status; high self-worth; heightened self-esteem and lack of self-value and child significance; rigidity, tendency to behave and think stereotypically. The markers of pregnancy termination development were revealed: women’s desire to satisfy their needs for finding the meaning of life and for new social status achievement. The resources for healthy pregnancy were identified: the acceptance of pregnancy with all its physiological and social changes; value of the child and interest in his/her intrauterine manifestations; responsibility taking and vital activity. Higher activity indicators were associated with more favorable psychoemotional status (lower frustration and anxiety and higher positive emotions) and higher probability of pregnancy maintenance. Conclusion: The study contributes to the development of comprehensive programs of medical and psychological support for pregnant women with somatic pathologies as well as to the practice of pre-pregnancy counseling.
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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 (July 11, 2016): 293–300. http://dx.doi.org/10.1055/s-0036-1585072.
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Kandel, Isack, and Joav Merrick. "Late Termination of Pregnancy. Professional Dilemmas." Scientific World JOURNAL 3 (2003): 903–12. http://dx.doi.org/10.1100/tsw.2003.81.
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Abortion is an issue as long as history and hotly debated in all societies and communities. In some societies and countries it is legal, while other countries have no legal basis, and some countries have made it a crime. Today up to 90% of abortions take place in the first trimester, about 9% in the second trimester, and the rest in the third trimester.This paper deals with the issue of late termination of pregnancy, the practical medical aspects, legal issues, international aspects, and the dilemma for the professional.In early history, abortion was accepted by clergy and societies, but in recent history it is more restricted and in some countries prohibited. It does not seem that restriction leads to a lower abortion rate, but rather an active contraceptive policy, campaign, and availability to prevent pregnancies that are unwanted. In countries where abortion is restricted, the trend has been an increase in illegal abortion that leads to unsafe abortion with complications, permanent injuries, and maternal mortality.Unsafe and illegal abortion is a public health concern that governments should try to prevent and instead find ways to strengthen their commitments toward better and safer health and family planning services for women.Late termination of pregnancies is an issue of grave concern with many practical medical aspects, ethical questions, and professional dilemmas. This is especially of concern because of the viability of the fetus and should only take place in order to prevent harm to the physical and mental health of the mother or due to an anomaly or disability of the fetus.
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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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Liputo, Salahuddin, Levana Sondakh, and Fatmawati A. Tangke. "Overview of the Impact of Unwanted Pregnancy on Adolescent Psychological in the Working Area of Telaga Biru Community Health Center." Journal of Asian Multicultural Research for Medical and Health Science Study 2, no. 1 (January 29, 2021): 27–34. http://dx.doi.org/10.47616/jamrmhss.v2i1.80.
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This study aims to investigate how unwanted pregnancy affects adolescent psychology. The research approach utilized within the planning of this study is qualitative. Data collection was carried out concurring to a foreordained plan. Qualitative data collection uses different strategies such as interviews, perception, documentation, and so on. The information investigation handle is carried out by receiving and creating intuitively designs that incorporate data reduction, data introduction, verification or conclusion drawing. The result of the study shows that the frequency of undesirable pregnancy will unquestionably have an effect on the brain research of everybody who encounters it. This happens since of a few components counting; the calculation of fear of family responses, the figure of fear of future harm and fear of social sanctions that are gotten. 3 out of 5 youths have a positive acknowledgment demeanor towards undesirable pregnancy, whereas the other two have a negative acknowledgment state of mind. Typically, it is due to contrasts within the number of sources of bolster from the environment.
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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 (October 1, 2021): 144–54. http://dx.doi.org/10.21608/scumj.2021.192859.
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Kowsari, Mst Mosfika, Most Merina Akhter, Mst Shaheen Nawrozy, Shahela Jesmin, Md Zalal Uddin, and Hasan Md Abdur Rahim. "Socio-Demographic Aspects of Complicated Induced Abortions." TAJ: Journal of Teachers Association 31, no. 2 (May 29, 2019): 63–67. http://dx.doi.org/10.3329/taj.v31i2.41604.
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Worldwide millions of women seek induced abortion. When successful and complete, it remains secret and if complicated gets highlighted. Hospital data represents a tip of the ice berg. It is an important cause of maternal morbidity and mortality but is preventable. This study was done to have a view to some socio-demographic aspects of induced abortion. This study was conducted from January 2012 to July 2012. Patients admitted with illegal induced abortion (N=50) were included in this study. Patients with spontaneous abortions were excluded. Data was collected using pre-designed data collection sheet and were expressed as actual number and percentage. Age range was 15-45 years with maximum incidence in 25-35 years. Peri-urban & rural area were the maximum habitat. Majority patients and their husbands were illiterate or only had primary level education. Most of them were housewives and majority of their husbands were day laborers or small-business holders. Most of their knowledge about different contraceptives was poor and knowledge of MR services was uncertain or none. 96% of their pregnancies were unwanted. Abortions were induced at local clinic, at own residences or at inducers’ residence. Methods of abortion induction were MR, drugs or herbal agents. Abortions were induced by nurse, respondents herself, ‘dai’ or by midwives; none by physician or well trained personnel. One (2%) patient died due to haemorrhage and sepsis. Rural, illiterate persons of our community with little or poor knowledge of family planning services are at risk of having unwanted pregnancy. And, poor knowledge regarding MR or related facilities, as well as legal restriction provokes them to induce abortions by poorly trained personnel and thereby endangering their lives.
TAJ 2018; 31(2): 63-67
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Fatemeh, Ghodrati. "Importance and Necessity of Training the Medical Team Regarding Religious-moral Doctrines Related to Abortion, A Narrative Review." Current Women s Health Reviews 16, no. 4 (September 9, 2020): 277–84. http://dx.doi.org/10.2174/1573404816666200210122049.
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Background: Treatment team’s lack of knowledge about legal-religious doctrines of abortion can put mothers’ health at great risk. Objective: Importance and necessity of training the medical team regarding religious-moral doctrines related to abortion. Data Sources: The moral abortion studies conducted by Iranian authors between 2000 and 2018 can be found at SID, Iran Medex, PubMed, Google Scholar, and CINAHL search engines. In this review study, 20 out of 146 studies on legal and jurisprudence issues of various aspects of abortion were reviewed. Methods: The present study is a review of published evidence about knowledge and the attitudes of gynecologists, midwives, medical and midwifery students, and the views of senior planners on legal and abortion laws and pertinent issues of legal and religious education. Results: The study population had moderate knowledge about the laws and regulations of moral abortion (15.4-53.3%) and negative attitude towards criminal abortions (78.3%). Besides, 64.7% of the participants agreed about abortion in unwanted pregnancies. Moreover, the majority of executive managers considered abortion to be legal in case if mother or fetus’s life was in danger. However, a small number of participants agreed about abortion due to sexual harassment, unwanted pregnancy, pregnancy without proper interval between babies, unmarried pregnancies, and pregnancy out of temporary marriage. Conclusion: Medical team’s lack of spiritual awareness and positive attitude towards criminal abortion can increase the risk of hidden abortions. Thus, an increase in medical team’s knowledge about legal, moral, and religious aspects of abortion and penalties for criminal abortion should be considered as a health-treatment priority.
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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 (February 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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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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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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Akre, Christina, Jeanne-Marie Chabloz, Richard E. Belanger, Pierre-André Michaud, and Joan-Carles Suris. "Unwanted sexual experiences among adolescents: shedding light on the gray zone between consensual and non-consensual sex." International Journal of Adolescent Medicine and Health 25, no. 1 (March 1, 2013): 69–74. http://dx.doi.org/10.1515/ijamh-2013-0009.
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Abstract This study aimed at exploring adolescents’ perceptions of unwanted sexual experiences (USE) in order to set up definitions, categories, and boundaries on the continuum between consensual and non-consensual sex. Methods: We conducted a qualitative thematic analysis of four focus group discussions gathering a total of 29 male and female adolescents aged 16–20 years. Results: Analysis of participants’ discourse revealed three main characteristics that define USE, namely, regret, as most situations discussed were said to be acceptable or not in terms of whether there were regrets after the fact; misperception of sexual intent; and lack of communication between partners. Conclusions: Our findings revealed that health professionals should be aware of the subtle aspects identifying USE when screening for situations that can have adverse psychological consequences. Where prevention is concerned, it appears important to address these aspects of USE in sex education classes.
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Tiyas, Ajeng Hayuning, Mochammad Anwar, and Umu Hani Edi Nawangsih. "Psychosocial Barriers of Unmet Need Among Woman of Reproductive Age." SEAJOM: The Southeast Asia Journal of Midwifery 4, no. 2 (October 20, 2018): 45–58. http://dx.doi.org/10.36749/seajom.v4i2.29.
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Women with unmet need are those who are fecund and sexually active but are not using any method of contraception but do not want to conceive either to prohibiting or limiting pregnancy. The unmet need increases the risk of maternal mortality from unwanted pregnancy and unsafe abortion. The percentage of unmet need in Yogyakarta exceeds the national average percentage and Kraton District is the highest region of unmet need in Yogyakarta.
Objective: Exploring in-depth information on the barriers of women of reproductive age to use contraception leads to unmet need behavior in terms of psychosocial aspects
Method: This research was qualitative research with a phenomenological approach. The informants were taken by purposive sampling technique with criterion sampling strategy. The main informants were 7 women with unmet need and supporting informants as many as 11 people. Data collection techniques used in-depth interview and document study. Data analysis using thematic analysis.
Results : Various themes were found to address psychosocial barriers, personal barriers were the main barriers behind women to behave unmet need, including lack of understanding of appropriate contraceptives and unwanted pregnancy risk, weak motivation in using contraception, negative perceptions of contraception, low perceptions of fertility, high self-efficacy against pregnancy prevention strategies and positive coping mechanisms against the risk of pregnancy are undesirable.
Conclusion: Personal barriers are the main obstacles for women of reproductive age to behave unmet need. It needs effective counseling optimization, emphasis on impact and risk of unmet need and strengthening of motivation to use modern contraception in order to increase the sustainability of contraception use and prevent drop out and unmet need for contraception.
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Афонина, E. Afonina, Смекалкина, and L. Smekalkina. "Current State of the Treatment Problem of Patients With Chronic Hepatitis C (Literature Review)." Journal of New Medical Technologies 22, no. 2 (February 25, 2015): 116–21. http://dx.doi.org/10.12737/11856.
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Contemporary views of experts on integrated healthcare and psychological approach to diagnosis and treatment of patients with chronic hepatitis С are presented in review. Combined mental disorders were found to have a maladaptive effect on patients to determine the severity of clinical status when standard treatment was used in patients. The use of interferons, common in this disease, provokes more than half of the patients the psychiatric symptoms, especially depressive. Psychosomatic and somatopsychic maladaptive interactions have an impact on patients, cause some problems and lead often to disability of people of working age. In practice, the doctor of the infectious department pays little attention to psychological aspects of care management of such patients. The researchers are now actively seeking the optimal combination of standard antiviral therapy and modern methods of psychological correction taking into account comorbid mental maladjustment. Long-term pharmacotherapy with the use of traditional psychotropic drugs is an additional unwanted burden on the liver. Timely diagnosis and correction of concomitant mental disorders in the patients with hepatitis С in somatic hospitals by complementary non-pharmacological methods, is a very urgent task.
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Delemarre-van de Waal, Henriette A., and Peggy T. Cohen-Kettenis. "Clinical management of gender identity disorder in adolescents: a protocol on psychological and paediatric endocrinology aspects." European Journal of Endocrinology 155, suppl_1 (November 2006): S131—S137. http://dx.doi.org/10.1530/eje.1.02231.
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Treatment outcome in transsexuals is expected to be more favourable when puberty is suppressed than when treatment is started after Tanner stage 4 or 5. In the Dutch protocol for the treatment of transsexual adolescents, candidates are considered eligible for the suppression of endogenous puberty when they fulfil the Diagnostic and Statistic Manual of Mental Disorders-IV-RT criteria for gender disorder, have suffered from lifelong extreme gender dysphoria, are psychologically stable and live in a supportive environment. Suppression of puberty should be considered as supporting the diagnostic procedure, but not as the ultimate treatment. If the patient, after extensive exploring of his/her sex reassignment (SR) wish, no longer pursues SR, pubertal suppression can be discontinued. Otherwise, cross-sex hormone treatment can be given at 16 years, if there are no contraindications. Treatment consists of a GnRH analogue (GnRHa) to suppress endogenous gonadal stimulation from B2-3 and G3-4, and prevents development of irreversible sex characteristics of the unwanted sex. From the age of 16 years, cross-sex steroid hormones are added to the GnRHa medication. Preliminary findings suggest that a decrease in height velocity and bone maturation occurs. Body proportions, as measured by sitting height and sitting-height/height ratio, remains in the normal range. Total bone density remains in the same range during the years of puberty suppression, whereas it significantly increases on cross-sex steroid hormone treatment. GnRHa treatment appears to be an important contribution to the clinical management of gender identity disorder in transsexual adolescents.