Peculiarities of psychoemotional condition of pregnant women-displaced persons

Abstract

One of the most important options of a favorable course of pregnancy, fetal development and physiological delivery is a balanced and preserving psycho-emotional condition of a woman during pregnancy. In order to study peculiarities of psycho-emotional condition of pregnant women-displaced people, dynamic prospective examination of 96 pregnant women in term of gestation more than 22 weeks (the main group) and 34 pregnant women from the local area (the control group) was conducted. According to STAI data, the mean score of the state anxiety in the main group was 1,6 times higher, personal anxiety — 1,4 times. According to results of the testing by I.V. Dobrjakov, the optimal PCGD type was characterized for 36 (37,5%) pregnant women-displaced people, 24 (25,0%) — hypogestognostic, 9 (9, 4%) — an euphoric, 18 (18,7%) — an anxious, 9 (9,4%) — a depressive. However, every second pregnant woman from the control group had optimal PCGD type – 20 (58,8%; p<0, 05), 12 (35,3%) — a hypogestognostic, 2 (5,9%) — an euphoric. The results of the testing by L. M. Rabovaluk confirmed, that almost all pregnant women of the control group had shown a low anxiety rate, at the same time, choosing the statements of the test, every fifth pregnant women of the main group (21–21,9%) obtained high diagnostic points, which give evidence of high anxious, depression presence. The study of indicators of anxiety, depression and violations of the attitude to pregnancy among pregnant women-displaced person will allow to individualize the approaches to antenatal observation, improve the quality indicators of a mother’s and newborn’s health.

The impact of the war in Ukraine on the perinatal period: Perinatal mental health for refugee women (pmh-rw) protocol

“…Pregnant women who have been forced to relocate within their own country display a high amount of both reactive and personal anxiety. In pregnant women who were internally displaced, reactive anxiety was 3.3 times higher, and personal anxiety was 2.6 times higher than in pregnant women who were not internally displaced (Zhabchenko et al, 2018). However, to date, there are no publications on changes in the mental health of pregnant women and mothers of newborn children during the full-scale war in Ukraine.…”

“…The number of women fleeing the country, returning to Ukraine, and remaining in Ukraine even though the ongoing hostilities is difficult to estimate. However, it can be concluded that many Ukrainian women have experienced and will experience stress and/or possible adverse consequences (or trauma) related to the war and forced migration ( Ancheva and Morozova, 2016 ; Zhabchenko et al, 2018 ; Romanenko, 2020 ).…”

Psycho-rehabilitation adaptation of pregnant women and mothers in the postpartum period who experienced traumatic events during the war

“…These women exhibited heightened indications of both responsive and personalized anxiety, as well as depressive symptoms, autonomic dysfunction, and sleeplessness [9]. According to the findings of a number of researchers [18], anxious and neurotic states are distinguished by high levels of both personal and reactive anxiety. The responsive anxiety is found to be 3.3 times more prevalent in pregnant women who've been internally displaced compared to pregnant women that weren't internally displaced, and individual anxiety is found to be 2.6 times more prevalent in pregnant women who were internally displaced compared to pregnant women that weren't forcibly displaced.…”

Good Practices in Perinatal Mental Health for Women during Wars and Migrations: A Narrative Synthesis from the COST Action Riseup-PPD in the Context of the War in Ukraine

“…These women have increased indicators of reactive and personal anxiety, depressive manifestations, the presence of autonomic dysfunction, and insomnia (Romanenko, 2020). According to some authors (Zhabchenko et al, 2018), anxiety and neurotic states characterized by high levels of reactive and personal anxiety. In pregnant internally displaced women, reactive anxiety is 3.3 times higher than in pregnant women who were not internally displaced; personal anxiety in pregnant internally displaced women is 2.6 times higher than in pregnant women who were not internally displaced.…”