Role of psychoprophylactic preparation of pregnant women for childbirth

Манухин, И. Б.; Silaev, K. A.

doi:10.17116/rosakush20161669-13

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Зниження перинатальної захворюваності і материнської смертності пов'язано з раціо нальною підготовкою вагітних до пологів, раціональним веденням пологів і правильним вибором методу розродження. Застосування технологій допологової підготовки, спрямова них на демедикалізацію вагітності, дає змогу відновити фізіологічний перебіг пологів за обмеженням фармакологічних впливів на породіллю, плід і новонародженого [1,4,13].…”

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Assessment of the state of personal and situational anxiety and indicators of stress-implementing and stress-limiting systems of the organism as marker efficiency the antenatal preparation

Skripchenko¹,

Nevyshna²

2021

UJPP

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As a result of research conducted on the basis of the State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova NAMS of Ukraine», the issue of the transcranial electrostimulation introduction in preparation for partnership labor was shown. Purpose — to study the features of changes in the state of personal and situational anxiety, stress-implementing and stress-limiting systems of the body in healthy women depending on the method of prenatal training. Materials and methods. 120 somatically healthy women without severe extragenital and obstetric pathology with a physiological course of singleton pregnancy were examined. In the first group — 45 women set up for partner childbirth, the second group also included 45 patients who underwent a course of transcranial electrical stimulation (TES) of mesodiencephalic structures of the brain in comprehensive preparation for partner childbirth. The control group included 30 women who did not receive prenatal training, did not have individual support in childbirth and were tuned to traditional methods of pain relief as needed. Results. Following the results of the determination of pain rate in the dynamic of the TES procedure, a progressive growth of the pain tolerance threshold was recorded with the subsequent stabilization of this value after the 5th procedure of electrical stimulation. Methods of psychophysical preparation for childbirth using transcranial electrostimulation and partner support made it possible to reduce medical induced pain relief during childbirth, which is what the data we obtained indicate. Conclusions. The use of TES in complex prenatal preparation for partner labor allows to achieve and maintain a stable psycho-emotional adaptation of pregnant women and increases the tolerance of the consonant to labor pain without additional medication load, which helps to make more physiological course of labor. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: labor, prenatal preparation, transcranial electrostimulation, pain threshold, anesthesia, partnership labor.

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Section: ня скрипченко юв невишнаunclassified

Assessment of the state of personal and situational anxiety and indicators of stress-implementing and stress-limiting systems of the organism as marker efficiency the antenatal preparation

Skripchenko¹,

Nevyshna²

2021

UJPP

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Integrated Preparation of Pregnant Women With a Uterine Scar to Vaginal Parturition

Shevtsova

Miroshnikov

Shatilova

et al. 2019

Arch. of Obs. & Gyn.

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Attempts of vaginal delivery in cases with a scar on the uterus after a previous cesarean section are more successful after appropriate psycho-prophylactic preparation during pregnancy. The purpose of the study is to reduce the frequency of repeated cesarean section operations. A comparison was made of the methods of delivery for pregnant women with a scar on the uterus after comprehensive training on an improved program and unprepared pregnant women. A total of 158 women were included in the study. Among them were those who had a cesarean section in history, but not trained for the current childbirth, only 5% gave birth independently. At the same time, women trained under the improved program had independent deliveries in 45.6% of cases (OR 5.813; 95% CI 0.826-40.885). The results confirm the effectiveness of the proposed improvements in the preparation of pregnant women with a scar on the uterus. The intention of such women to give birth through the natural birth canal, formed as a result of preparation, is an important factor for successfully overcoming the difficulties of the delivery process.

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Current Aspects of Delivery in Healthy Women in Accordance With the Data of Retrospective Analysis

et al. 2021

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The aim: to study the current aspects of the course of labor in healthy women using retrospective indicators. Materials and methods: To study this topic, an analysis of 1,078 births on the basis of the maternity ward for pregnant women with obstetric pathology of the State Institution «IPAG. acad. O.M. Lukyanova National Academy of Medical Sciences of Ukraine». It was found that among all births, the share of first-borns was 602 (55.8 %) women, of whom 451 (41.8 %) were pregnant for the first time, and only 86 (8 %) were healthy pregnant women. Results: It was found that among 86 births the frequency of physiological births was 64%, of which in 47.7% of cases the birth was complicated, and pathological – 36%. The most common complications during childbirth were: premature rupture of membranes (PRPO), episio- and perineotomy, trauma to the birth canal. The main causes of pathological childbirth: abnormalities of labor, fetal distress, defect of the placenta and membranes, clinically narrow pelvis, malposition of the fetus and early postpartum hemorrhage. All children were born alive. It should be noted that all births where the Apgar score was ≤ 6 had no partner support, and the women themselves did not receive any preparation for childbirth. Conclusions: According to our data, in almost healthy women who gave birth for the first time and had no perinatal loss in the anamnesis, did not undergo prenatal training and did not have partner support during childbirth, the number of complications during childbirth is increasing. Therefore, this group of healthy pregnant women needs more detailed study and analysis, development of prenatal training algorithms to improve perinatal indicators.

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Role of psychoprophylactic preparation of pregnant women for childbirth

Cited by 3 publications

References 14 publications

Assessment of the state of personal and situational anxiety and indicators of stress-implementing and stress-limiting systems of the organism as marker efficiency the antenatal preparation

Assessment of the state of personal and situational anxiety and indicators of stress-implementing and stress-limiting systems of the organism as marker efficiency the antenatal preparation

Integrated Preparation of Pregnant Women With a Uterine Scar to Vaginal Parturition

Current Aspects of Delivery in Healthy Women in Accordance With the Data of Retrospective Analysis

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