Preview

Health and Ecology Issues

Advanced search

Role of Psychoemotional Disorders in Pregnant Women in the Development of a Prolonged Second Period of Labor

https://doi.org/10.51523/2708-6011.2020-17-1-10

Abstract

Objective: to assess the value of the psychoemotional state of pregnant women in the development of a prolonged second period of labor.

Material and methods. 76 pregnant women were examined. In 26 women, childbirth was complicated by a prolonged second period of labor, and they constituted the main group. The control group included 50 women who had physiologic birth. The psychoemotional state was analyzed using the Spielberg test and the test of a pregnant woman's attitudes.

Results. There were some differences between the groups in terms of the tendency in the levels of personal anxiety and occurrence of high situational anxiety. The Spielberg test has revealed more «positive» affirmative answers than «negative» ones. 46.1 % women in the main group do not «feel a sense of inner satisfaction», which is statistically significantly higher than in the control group - 24.0 % (p = 0.04). In the main group, in contrast to the control group, the women are more often not «worried about possible failures». During the study of the types of the psychological component of the gestational dominant, mixed types were mainly observed, and the distribution in the groups did not have statistically significant differences. The women with a prolonged second period of labor had a tendency to form the predominantly euphoric type of the psychological component of the gestational dominant.

Conclusion. During pregnancy, the patients with a prolonged second period formed a coping strategy in the form of a predominantly euphoric attitude to pregnancy associated with elevated situational anxiety.

About the Authors

V. N. Kalachev
Gomel State Medical University
Belarus

Kalachev V.N., Assistant lecturer of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the EI «Gomel State Medical University»



T. N. Zakharenkova
Gomel State Medical University
Belarus

Zakharenkova T.N., Candidate of Medical Sciences, Associate Professor, Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the EI «Gomel State Medical University»



References

1. Zhu B, Grigorescu V, Le T. Labor dystocia and its association with interpregnancy interval. Am J Obstet Gynecol. 2006;195(1):121-8.

2. Пирогова Н. Оперативное акушерство. Здоровье Украины. 2011;5:18-20.

3. Ness A, Goldberg J. Abnormalities of the First and Second Stages of Labor. Obstet Gynecol Clin Nam. 2005;32:201-20.

4. Вербитская М. Особенности течения беременности, родов и послеродового периода у женщин с разным психосоматическим статусом. Медицинский Журнал. 2008;4:11-4.

5. Дементий Л, Василевская Я. Особенности стратегий выживания беременных с разными типами психологических компонентов психолгического доминирования. Вестник Омского Университета. 2012;4:251-55.

6. Woods S, Melville J, Yuqing G, Fan M. A Psychosocial Stress during Pregnancy. Am J Obstet Gynecol. 2010;202(1).

7. Field T, Diegoa M, Hernandez-Reifc M, Figueiredod B, Deedsa O, Ascencioa A, Schanberge S, Kuhne C. Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behavior & Development. 2010;33:23-9.

8. Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W. Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med. 2007;20(3):189-209.

9. Cardwell M. Stress. Obstetrical & Gynecological Survey.2013;68(2):119-29.

10. Andersson L, Sundstrom-Poromaa I, Bixo M, Wulff M, Bondestam K, Astrom M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. Am J Obstet Gynecol. 2003;189:148-54.

11. Добряков И. Перинатальная психология. Санкт-Петербург, РФ; 2010. 272 с.

12. Лохина Я. Особенности психоэмоционального со-стояния беременных и формирования психологического компонента гестационной доминанты в третьем триместре беременности. [Электронный ресурс]. Современные Проблемы Науки и Образования. 2013;(2). [дата обращения: 2019 Февр 11]. Available from: http://science-education.ru/ru/article/view?id=9058

13. Larsson C, Sydsjo G, Josefsson A. Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol. 2004;104:459-66.

14. ACOG Committee Opinion No. 343: psychosocial risk factors: perinatal screening and intervention. Obstet Gynecol. 2006;108:469-77.

15. González-Ochoa R, Sánchez-Rodríguez E, Chavarría A, Gutiérrez-Ospina G, Romo-González T. Evaluating Stress during Pregnancy: Do We Have the Right Conceptions and the Correct Tools to Assess It? J Pregnancy. 2018;1:4857065.

16. Hobel C, Goldstein A, Barrett E. Psychosocial Stress and Pregnancy Outcome. Clinical Obstetrics and Gynecology. 2008;51(2):333-48.

17. Добряков И. Клинико-психологические методы определения типа гестационного доминантного психологического компонента. Перинатальная психология и психологическое развитие детей: материалы конференции. 2001. с. 39-48.


Review

For citations:


Kalachev V.N., Zakharenkova T.N. Role of Psychoemotional Disorders in Pregnant Women in the Development of a Prolonged Second Period of Labor. Health and Ecology Issues. 2020;(1):58-65. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-1-10

Views: 346


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)