Influence of the micronutrient status on the course of pregnancy in women–displaced persons

Zhabchenko, I.A.; Korniets, N.G.; Tertychna-Telyuk, S.V.

doi:10.15574/hw.2018.136.56

Cited by 2 publications

(3 citation statements)

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“…Отримані дані підтверджують відтермінований вплив порушень сну на перинатальні наслідки, що узгоджується з незначною кількістю публікацій за цією тематикою [26]. Зростає інтерес щодо застосування КПТ для лікування безсоння серед населення у цілому.…”

Section: результати дослідження та їх обговоренняunclassified

“…Причинно-наслідковий зв'язок між підвищенням рівня мелатоніну після сеансів КПТ та покращенням якості сну вимагає подальшого дослідження з метою потенційного комбінування нефармакологічних (КПТ, музикотерапія, ароматерапія, масаж) та фармакологічних (мелатонін) методів для комплексної про-філактики та лікування усього спектра порушень сну у вагітних [26].…”

Section: результати дослідження та їх обговоренняunclassified

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The effect of cognitive-behavioral therapy on sleep disturbances and melatonin levels in a cohort of pregnant women

Golyanovskiy,

Frolov,

Voloshyn

et al. 2024

RHW

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The objective: to conduct a prospective analysis of the impact of cognitive behavioral therapy (CBT) and the level of endogenous melatonin in pregnant women with sleep disorders according to the Pittsburgh Sleep Quality Index (PSQI).Materials and methods. A randomized controlled trial was conducted in a group of 110 pregnant women with diagnosed sleep disorders. Sleep disorders were determined in the II and III trimesters of pregnancy using the PSQI questionnaire with additional questions for pregnant women.Study participants were randomly assigned to a main group (n=49) and a comparison group (n=61). To improve sleep in the main group 10 sessions of CBT were conducted over 10 weeks, and in the comparison group sleep hygiene psychoeducation was performed as generally recommended measures. In all study participant, the level of endogenous melatonin was determined indirectly by its metabolite – 6-sulfatoxymelatonin (6-SOM) in the urine.The condition of pregnant women in both groups was assessed for the effect of CBT at the beginning and after the end of treatment (week 10) using the PSQI questionnaire with additional questions for pregnant women and the level of 6-COM in urine. The impact of sleep disorders and CBT on the frequency of perinatal outcomes was also evaluated.Results. Pregnant women with sleep disorders had a reduced level of 6-SOM in urine. After the CBT sessions in the main group the PSQI indicators significantly decreased, and the level of 6-COM in the urine increased dynamically compared to the comparison group (p<0.05), in which the results were not statistically different from the data before the start of therapy (p>0.05).Conclusions. Conducting CBT sessions reliably improves the quality of sleep in pregnant women, which is consistent with the normalization of the level of 6-SOM in urine, and reliably reduces the number of perinatal complications. The PSQI questionnaire and determination of the level of 6-COM in urine can be recommended as subjective and objective tools for assessing the quality of sleep in pregnant women.

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Section: результати дослідження та їх обговоренняunclassified

The effect of cognitive-behavioral therapy on sleep disturbances and melatonin levels in a cohort of pregnant women

Golyanovskiy,

Frolov,

Voloshyn

et al. 2024

RHW

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“…Objective proof of this is the establishment of an association of stressinduced elevated cortisol levels with the risk of spontaneous abortions at the term of three weeks of pregnancy which is firmly established [25]. Psycho-social stress (in the first place) and other types of stress create a high risk of early pregnancy loss due to the insufficiency of the luteal body and, therefore, the deficiency of progesterone, which is the key hormone necessary for preservation of pregnancy [10,26,27].…”

Section: Preconception and Gestational Stressmentioning

confidence: 99%

Stress-induced disorders of reproductive functions

Reznikov

2023

Fiziol Zh

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The review provides a pathophysiological analysis of what is currently known about the impact of acute and chronic stress on the functional state of the male and female reproductive systems. The relevance of research on the negative effects of stress on the reproductive system has increased significantly in recent years due to the COVID-19 pandemic and even more so after Russia’s aggression against Ukraine. Stress disrupts gamete maturation, libido, sexual behavior, mating, fertilization, pregnancy and delivery. In the structure of the etiology of these disorders, psycho-social stress prevails. The characteristics of stress-induced disorders of the reproductive system have features depending on the lifestyle of future parents, as well as on the period of life, starting from the embryonic to the end of the reproductive age. The hypothalamicpituitary-adrenocortical and hypothalamic-pituitary-gonadal systems, as well as oxidative-nitrosative stress, play a leading role in the pathogenesis of stress-induced disorders of the reproductive system. Modern data on the pathogenesis of stress-induced reproductive disorders should be the basis of preventive and therapeutic strategies.

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Influence of the micronutrient status on the course of pregnancy in women–displaced persons

Cited by 2 publications

References 0 publications

The effect of cognitive-behavioral therapy on sleep disturbances and melatonin levels in a cohort of pregnant women

The effect of cognitive-behavioral therapy on sleep disturbances and melatonin levels in a cohort of pregnant women

Stress-induced disorders of reproductive functions

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