Recurrent miscarriage is one of the main problems of obstetrics, gynecology and reproductive medicine. The incidence of recurrent misscarriage is fairly high, with most cases of abortion occurring at I trimester, and the true cause is difficult to establish. The aim of the work is to find out the predictors of early reproductive losses in women with a history of habitual miscarriage. The study included 88 women with a habitual miscarriage (the main group) and 50 women with a physiological course of I trimester of gestation (control group). The study was carried out on the basis of the Vinnitsa maternity hospital No. 2. The following research methods were used: clinical, instrumental, mathematical-statistical. Methods of research: clinical, laboratory, biochemical, instrumental, fluorescence spectroscopy, mathematical and statistical methods. According to the results of the retrospective analysis of women with the usual miscarriage during the period from 2009 to 2016 it was found that their number is approximately the same every year. Although in 2015, the proportion of non-pregnancy cases was the smallest (10.68%) compared with 2013 (18.29%) (p=0.008), the share of women with this pathology continued to increase. During the ultrasound assessment of the blood flow in the uterine vessels, it was found that the index of resistance and pulsation index in women of the main group was lower than that of control group women. It was also found that there was a strong direct correlation between certain blood flow parameters in uterine arteries and spiral arteries. So, conducting an ultrasound study for all women with a history of unexplained pregnancy and detecting changes in the blood flow in the uterine vessels will enable us to predict the pathology of placenta in the early stages, and to timely correct the findings.
Ïîñòàíîâêà ñóñï³ëüíî¿ ïðîáëåìè. Ñòàíîâëåííÿ ëþäèíè ÿê îñîáèñòîñò³ ´ðóíòóºòüñÿ íàâêîëî ðîçâèòêîâîãî ðîçãîðòàííÿ é óòâåðäaeåííÿ ¿¿ ïîçèòèâíî¿ ß-êîíöåïö³¿. Àäaeå îñòàííÿ âèçíà÷ຠíå ëèøå àñïåêòè ïðèéíÿòíîãî ñàìîñòàâëåííÿ, ñàìîï³äòðèìêè, âëàñíî¿ ñàìîïîâàãè, à é åôåêòèâíó ïðîäóêòèâí³ñòü ä³ÿëüíîñò³, çäàòí³ñòü äî ãóìàííî¿ ñîö³àëüíî¿ âçàºìî䳿 ç ³íøèìè, ñóñï³ëüíó ïîçèö³þ òà ñîö³àëüí³ ðîë³, âïëèâຠíà äîëåíîñí³ âèáîðè ëþäèíè çà ãàëîì. Âîäíî÷àñ ïîçèòèâíî ðîçâèíåíà ß-êîíöåïö³ÿ äຠçìîãó "ö³ë³ñí³øå çáàãíóòè âåðøèííèé îáðàç ëþäèíè â ëþäèí³" (À.Â. Ôóðìàí), "´ðóí-òîâí³øå ï³çíàòè "êîíòèíåíòè" ³ "ìàòåðèêè" ¿¿ ³íäèâ³äóàëüíîãî ñâ³òó ß" [47, ñ. 46].
The article examines the problems of the phenomena of communication and influence in the system of socio-psychological work (SPW), where it is an important tool for regulating rights protection, finance-material, socio-medical, predictive, rehabilitation, correctional, advisory, etc. requests and needs of the Ukraine’s population; it has been proven that the success and productivity of SPW depend on the ethics and effectiveness of communication and the influence of a specialist in the socio-psychological sphere, his professional actions and deeds, especially during the large-scale war of the Ukrainian people; SPW is substantiated as a multi-role type of activity, essentially aimed at socially and psychologically vulnerable sections of the country’s population; the attributive signs of SPW are described, namely, cognition, understanding, and implementation into the life activity system “human human” the dynamic structure of communication (communicative, interactive, perceptive, spontaneous-intuitive) as types of exchange (informational, business, meaning-actional, self-meaning); the communicative component of contact in the “social worker client” interaction is characterized as an information-meaningful aspect of interaction, interactive as active, perceptive as a cycle of cognition and perceiving others, spontaneous-intuitive as a self-reflective, self-comprehensive course of one’s own processes; at the same time, it has been proven that the varieties of exchange ensure the mutual coordination of role expectations, enable the consent as a condition for the productive interaction deployment, and also coordinate positions, intentions, values, ensure trust as a condition for the stability of relationships or, on the contrary, their competitiveness, struggle, organize the cycles of relations, connections, intentions, carry out goal-setting of activity, cultural development, self-identify the Self with the products of creativity, cause the emergence of the person’s Ego-integration as a process of uniting all their Selves (past, present, future, eternal) into a system-functional integrity; it is underlined that the four aspects of communication as types of exchange are one of the five basic parameters of the innovation-psychological climate theory (according to O.Ye. Furman); it has been filled with the content the strategies (imperative, manipulative, developmental, modular-developmental) and paradigms of psychological influence (reactive or object, actional or subjective, dialogic or subject-subjective, vitacultural), which make it possible to single out principles and regularities of productive organization in the relationship between social workers and clients and to determine the effectiveness of psychosocial attitudes and guidelines in the practice of socio-psychological work.
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