Psychoemotional aspects of pregnant women with a threatenedpreterm birth

Shevchenko, A.A.; Krut, Yu. Ya.

doi:10.15574/hw.2018.136.51

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“…Disturbances in the psycho-emotional sphere are observed in most women with TPB. They are manifested in a change in the relations between stress and relaxation indicators, energy accumulation and its expenditure, a decrease in well-being and activity, an increase in the influence of demobilization factors and level of anxiety, which is arising as a subjective reflection of a disturbed psychological and vegetative balance, serves as the most objective manifestation of psycho-emotional tension [19].…”

Section: н а д о п о м о г у л і к а р ю -п р а к т и к уmentioning

confidence: 99%

“…It will allow appropriate timely preventive measures to be carried out and contribute to the reduction of TPB rate and, accordingly, frequency of perinatal pathology [8]. The use of test methods, as one of the components of a comprehensive examination of pregnant women, will allow to develop a forecasting algorithm, carry out early diagnosis of deviations in the psychological state of pregnant women and their timely correction in order to reduce the risk of miscarriage and perinatal pathology [19].…”

Section: н а д о п о м о г у л і к а р ю -п р а к т и к уmentioning

confidence: 99%

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Clinical and psychological ground of principles of prognostication of premature delivery risk

Syusyuka

Потапов²,

Shevchenko

et al. 2022

RHW

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The objective: to assess the diagnostic significance of anamnestic and clinical-psychological factors and develop the prediction criteria for the threat of premature birth (PB). Materials and methods. An analysis of the data of pregnant women who were tested in the II and early III trimesters (screening is the I stage of the study) was carried out. The pregnant women were conditionally divided into two groups. The main group included 30 women whose further course of pregnancy was complicated by the threat of PB. The comparison group included 222 women without clinical manifestations of threat of PB during the current pregnancy. During the II stage of the study, the systematization of existing anamnestic and clinical-psychological factors among the examined women was performed. At the III stage, a comparative analysis of the frequency of the symptoms identified at the I stage was carried out in pregnant women in groups with the calculation of diagnostic coefficients (DC) of measures of informativeness (MI) according to formulas. Diagnostic (prognostic) tables were created for each factor, DC and MI were calculated based on the ratio of frequencies. According to the methodology for calculating the accuracy of the diagnostic decision to achieve a probability level of 95 % (p=0.05), the limit ∑DC is a constant = ±13, to achieve a probability of 99 % = ±20, to achieve a probability of 99.9% = ±30. If there is a factor in the column of the scale that is not included in the spectrum of exclusions, put a check mark in the “yes” column of the corresponding row. In the absence of such a check mark is placed in the “no” column of the corresponding row. Regarding the filling of each row, the sum of DC is calculated by adding up the indicated DCs, in the case of reaching the value of ∑DC, a preliminary diagnostic conclusion is made about the probability for threat of PB (at ∑DC = -13), which has a confidence level of 95 % (p=0.05). If the value of ∑DK = -20 is reached, a final diagnostic conclusion is made about the probability of 99 % for threat of PB (p=0.01). If the limit of the range is -13 < ∑DC < +13, the conclusion is significant because in such case its “p” is > 0.05.Results. Based on the values of DC and MI of Kullbak (valid signs), a clinical scale to predict threat of PB with a confidence level of 95 % (p=0.05) or 99 % (p=0.01) was developed. Among the informative signs (factors) for predicting of threat of PB the following factors were established: spontaneous miscarriage in the anamnesis, high personal and situational anxiety (45 points and above), IV and more pregnancies and artificial abortion in the anamnesis, as well as the level of neuroticism (16 points and above). Conclusions. It has been established that anamnestic and clinical-psychological factors, namely, miscarriage in the anamnesis, artificial abortion in the anamnesis, IV and more pregnancies, high levels of personal and situational anxiety and neuroticism, are important and effective criteria for predicting the threat of premature birth.

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Section: н а д о п о м о г у л і к а р ю -п р а к т и к уmentioning

confidence: 99%

Section: н а д о п о м о г у л і к а р ю -п р а к т и к уmentioning

confidence: 99%