Experience in the use of cognitive psychocorrection of the emotional state of women with complicated pregnancy in the third trimester

2021 ◽  
Vol 50 (4) ◽  
pp. 74-76
Author(s):  
V. V. Nesenchuk ◽  
R. O. Serebryakova ◽  
O. N. Arzhanova

In the article the data of experimentalpsychological investigation of pregnant women with complicated course of gestation are drawn to determine the peculiarities of their psychological status. One hundred pregnant women in the third trimesterwere examined, 64 of them demonstrated symptoms of late gestosis. The investigation revealed high level of both reactive and personal anxiety in women with complicated course of pregnancy. All the women of this group were subjected to supporting psychotherapy, which was directed to the decreasing psychological troubles. The basic aim of cognitive psychocorrection was to overcome different systemic presuppositions, to help the pregnant women to elaborate an alternative behavioral pattern and to change their attitude to themselves, to form the sense of self-confidence. The results received testify to the expediency of including psychotherapy (supporting and cognitive psychocorrection) into the complex of treatment.

2018 ◽  
pp. 118-121
Author(s):  
L.M. Vygivska ◽  
◽  
I.A. Usevych ◽  
I.V. Maidannyk ◽  
V.F. Oleshko ◽  
...  

The article represents the results of a prospective clinical and paraclinical examination of women with a history of infertility, pregnancy in which occurred as a result of the assisted reproductive technologies application. The objective: was to study the dynamics of pregnancy features of the psycho - emotional state and the concentration of stress-associated hormones in the serum of pregnant women after the application of assisted reproductive technologies in order to improve the tactics of antenatal care and prevention of obstetric and perinatal complications. Materials and methods. The main group consisted of 80 pregnant women with endocrine infertility, in which pregnancy occurred as a result of therapeutic cycles of ART, control – 50 first-pregnant women with spontaneous fertilization, taken in an arbitrary order of clinical, statistical and laboratory and instrumental studies. In pregnant women of the study groups, in order to determine the psycho emotional state in the screening mode, a clinical interview was conducted by filling out questionnaires that contained the Spilberger test questions in modification of Y.L. Hanina and «Test of relationof pregnant» by the method of I.V. Dobryakova. In the dynamics of pregnancy, the concentration of prolactin (PRL) and cortisol (K) was determined by the enzyme immunoassay on the Reader-MSR-1000 apparatus using test systems manufactured by Hema-Medicament (Russia). Results. Pregnant women with infertility in past history were characterized by a state of chronic stress. According to the results of the Spielberger test in modification Y .L. Hanina every second pregnant of main group had a high level of reactive and every fourth personal anxiety. Almost 90.0% of pregnant women after art are characterized by the presence of pathological PKGD, among which an alarming and depressive type was registered in every sixth and twelfth pregnant woman, respectively. The obtained data are confirmed by the results of the study of the level of K and PRL. For women with a history of infertility and pregnancy, which is the result of therapeutic cycles of ART, inherent in increasing concentrations of stress-associated hormones – cortisol and prolactin, which is one of the reasons for the complicated course of pregnancy and requires reasonable pathogenetic correction. Conclusion. For women who are pregnant as a result of the use of therapeutic cycles of art characterized by a high level of personal and reactive anxiety and PKGD, which confirm the presence of neuropsychiatric and afferent disorders. Increasing the concentration of stress-associated hormones is one of the causes of complicated pregnancy and requires a reasonable pathogenetic correction. Key words: pregnancy, infertility, assisted reproductive technologies, psychological status, cortisol, prolactin.


Author(s):  
Marta Makara-Studzińska ◽  
Kornelia Zaręba ◽  
Natalia Kawa ◽  
Dorota Matuszyk

SARS-CoV-2 coronavirus emerged in the world at the end of 2019. The introduction of a number of restrictions had a significant effect on numerous aspects of human life with particular influence being exerted on pregnant women and their sense of security. The study aimed to assess the level of anxiety and its main determinants in women in the third trimester of pregnancy during the coronavirus pandemic. The study technique included the present purposely designed questionnaire, Labor Anxiety Questionnaire (KLPII), and the State-Trait Anxiety Inventory (STAI). The study was conducted in a group of 315 women in the third trimester of pregnancy. A total of 258 women (81.9%) completed the questionnaire in May 2020, and 57 of them (18.1%) completed it in October 2020. The overall analysis of the Labor Anxiety Questionnaire and the STAI inventory revealed a high level of anxiety, particularly situational anxiety, in pregnant women during the SARS-CoV-2 pandemic. The age and financial status of the women were the factors which contributed to the intensification of tokophobia. Women interviewed in October 2020 were characterized by higher tokophobia levels compared to the respondents included in May 2020. It seems justified to in-crease the vigilance in the diagnostics of possible mental disorders in the perinatal period during pandemic.


2020 ◽  
Vol 21 (3) ◽  
pp. 17-20
Author(s):  
O. V. Prokhorova ◽  

Aim. To study of the influence of complex psycho-preventive preparation for childbirth in primiparous patients on some features of their psycho-emotional status. Materials and methods. A cross-sectional prospective study of 286 nulliparous women in full-term pregnancy, aged 21 to 35 years, was carried out, among them 142 pregnant women (the main group) attended courses of complex psycho-preventive preparation for childbirth in the third trimester of pregnancy. The control group consisted of 144 primiparas who did not attend antenatal training courses. To assess the psychological status of pregnant women, the method for assessing the psychological component of the gestational dominant (PCGD) was used according to I. V. Dobryakov. Anxiety was assessed according to the scale of situational and personal anxiety Ch.D. Spielberger and Yu.L. Khanina. Results. It was revealed that attending birth-giving women 4.8 times more often leads to the formation of the optimal type of psychological component of the gestational dominant. The effects of attending antenatal training classes on the level of situational anxiety in pregnant women are manifested in the form of a significant decrease in its level – OR 0.28 (95% CI 0.15-0.54). Conclusion. Comprehensive antenatal preparation for childbirth in primiparous leads to an improvement in some emotional characteristics of pregnant women, including the formation of the optimal type of psychological component of the gestational dominant and a decrease in situational anxiety.


MedAlliance ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 80-89

Objective: to develop algorithms for treating patients with intolerance to dental construction materials (IDCM) and evaluate the clinical effectiveness of using an insula­ting coating of tantalum pentoxide (Ta2O5) on the surface of prosthetic constructions. Materials and methods. 552 patients (507 women and 45 men) with IDCM were examined. Basic and additional research methods were used, including exposure and provocative tests, epicutaneous and intraoral epimucous allergological tests, mea­surement of impedance and galvanic current, and assessment of the psychological status of patients. Results. The average number of comorbidities per person in patients with an allergy and a combination of several types of IDCM is significantly higher than in patients with galvanosis and toxic-chemical stomatitis (p<0.001). In patients with IDCM of an allergic nature and a combination of several types of IDCM, a direct correlation was found between the number of concomitant diseases per person and the probability of IDCM (r=0.614 and r=0.683, respectively, p<0.01). Concomitant pathology of organs and tissues of the oral cavity was detected in 39.49% of patients with IDCM. In 57.6% of cases, patients with IDCM showed a high level of personal anxiety (Spielberger–Khanin personal anxiety scale). 23.1% of patients had a high level of alexithymia (more than 74 points on the Toronto Alexithymia Scale). The method of determining stress resistance and social adap­tation of Holmes–Rahe showed low resistance to stress in 23.1% of patients with IDCM. Treatment algorithms for patients with IDCM take into account the need to correct comorbidities and are based on the principles of comple­xity, consistency, individuality, systematicity and continuity of treatment. Conclusion. The proposed algorithms for treating patients with IDCM have shown their clinical effectiveness. The use of Ta2O5 as an insulating coating for metal and acrylic prosthetic constructions is an effective method of prevention and treatment of IDCM.


2021 ◽  
Vol 6 (4) ◽  
pp. 376-381
Author(s):  
Fitriani Ningsih ◽  
Rizki Muji Lestari ◽  
Siti Santy Sianipar

In breastfeeding, not all mothers can breastfeed exclusively. One of the main obstacles is the physical and psychological conditions of the postpartum mother. The low self-confidence of the mother about the success of breastfeeding can reduce the production of mother's milk. This condition greatly inhibits the release of breast milk, so that it impacts the risk of failure to achieve exclusive breastfeeding. The purpose of this activity is carried out as an effort to prepare pregnant women in the third trimester of exclusive breastfeeding. The methods used in this activity are lectures, demonstrations, and practices. The results of this activity were attended by 30 pregnant women in the third trimester. During the activity, the mothers were very enthusiastic; this was evident in the increase in their knowledge before and after being given information. In addition, during the hypnobreastfeeding and massage oxytocin training, the mother seemed comfortable and relaxed when participating in this activity


2016 ◽  
Vol 1 (61) ◽  
pp. 84-89
Author(s):  
Ягупова ◽  
Anastasiya Yagupova ◽  
Супрун ◽  
Stefaniya Suprun ◽  
Соловьева ◽  
...  

The aim of the research was to study some indices of morphofunctional state of lymphocytes in the peripheral blood under a complicated course of pregnancy in women of Khabarovsk. 96 women were examined in different trimesters of gestation. Two main groups depending on the type of complications were formed: the first group consisted of pregnant women with vaginitis, the second group had women whose pregnancy was complicated with clinical manifestations in the form of edemas, proteinuria and hypertensive disorders. The group of comparison included the women without complications. In the peripheral blood of the women under study with the method of high tech automated digital system of blood smear test VISION HEMA there was done a morphometric assessment of lymphocytes and with histochemical methods there was found a level of fermentation activity of succinate dehydrogenase (SDH), α-glycerophosphate dehydrogenase (α-GPDH) and lactate dehydrogenase (LDH). By morphometric studies of lymphocytes of the peripheral blood in pregnant women of the first group in the III trimester of gestation the indices of the square of the cell, of cytoplasm, cytoplasm brightness, the square of the nucleus and the brightness of the nucleus were 102.33±9.83 mсm², 36.84±4.88 mсm², 181.39±6.94 units of optical density, 65.69±6.87 mсm², 97.44±6.88 units of optical density, respectively (in the group of the comparison these data were 121.31±4.44 mсm²; 46.14±2.52 mсm²; 167.74±3.44 units of optical density; 75.33±2.66 mkm², 88.00±3.36 units of optical density, respectively). In the second group of women the same data in the same period of pregnancy corresponded to the following values: 128.44±4.89 mсm², 57.15±3.87 mсm², 173.53±4.65 units of optical density, 70.95±3.39 mсm² and 91.13±4.93 units of optical density (in the group of comparison there were the following data: 109.92±3.57 mсm², 39.63±1.53 mсm², 158.96±2.63 units of optical density, 75.37±3.23 mсm², 82.16±2.58 units of optical density, respectively). By the results of histochemical studies the level of activity of enzymes SDH, α-GPDH, LDH in the first group of pregnancy was 15.38±2.10, 10.72±0.58 and 20.53±2.36 pellet/cell, respectively. And just the other way round in pregnant women of the second group there was revealed a statistically reliable suppression of fermentation activity of these enzymes: 9.11±0.75 (p&#60;0.05); 9.61±1.06 (p&#62;0.05); 8.31±1.20 (p&#60;0.05) pellet/cell in regard to the data in the group of comparison (12.84±1.21; 12.18±1.13 and 13.09±0.78 pellet/cell, respectively). Thus the changes of morphometric indices characterizing parameters of the cell, the nucleus and lymphocytes cytoplasm in a complex study with their fermentation activity can be extra diagnostic criteria of the formation of different complications during pregnancy. The obtained data allow to justify in-time application of medications for the correction of metabolic disorders of immune competent cells with the aim to decrease unfavorable perinatal outcomes.


2020 ◽  
Vol 73 (7) ◽  
pp. 1334-1338
Author(s):  
Svitlana I. Zhuk ◽  
Oksana D. Shchurevska

The aim: to study the possible role of psychosocial stressors in the emergence of anomalies of childbirth, as well as to examine their nature using the example of pregnant women who have been forcefully displaced from Donetsk and Luhansk regions of Ukraine. Materials and methods: 115 internally displaced pregnant women from Donetsk and Luhansk regions, were surveyed. All women underwent a comprehensive neuropsychological examination of their psycho-emotional status via interviews, questioning, and psychological testing (Spielberg-Haning’s Situational and Personal Anxiety Scale). The following analysis of the childbirth process’ nature was conducted. Results: The prevalence of high level of situational and personal anxiety by the Spielberg-Haning’s test were determined in the internally displaced women. This indicates a high level of social anxiety (stress) in these pregnant women. Labours in women in this group can be characterized by 3 main features: rapid (precipitated) labour with high levels of obstetric traumatism (tear of perineum) and labour medicalization (EDA). The characteristics described above are due to such labour activity anomalies as hypertensive uterine dysfunction – the cases when the speed and strength of uterine contractions significantly exceed the normative parameters. The reasons for the high level of pain in labour in displaced women could be objective and subjective factors: excessive nociceptor irritation due to cervical-uterine dysfunction and impaired individual perception of pain. Conclusions: Chronic psychosocial stress has an impact on labour activity in displaced women. A mandatory standard for managing such pregnancy is psychological counselling and correction of the identified disorders.


2021 ◽  
pp. 31-37
Author(s):  
Yu.Yu. Chebotareva ◽  
G.I. Podgorny ◽  
I.V. Podgorny ◽  
G.M. Letifov

In the Russian Federation, the frequency of hypertensive disorders during gestation is 7-29%, while 80% of cases are chronic arterial hypertension. The mechanism of the complicated course of pregnancy in hypertensive disorders is not clear and is debatable. The article presents the features of the monoamine status in pre-pregnant women with chronic arterial hypertension.


2021 ◽  
Vol 9 (1) ◽  
pp. 24
Author(s):  
Kamal Yusuf ◽  
Perisya Hilmun

Joining student organizational activities is positively impacts both extrinsically and intrinsically, such as developing leadership or good speaking skills. Several studies have been conducted to examine the role of student organizations in increasing their confidence when speaking. However, many of these studies rely only on general self-confidence but not in the context of classroom learning. The purpose of this study was to analyze students' speaking confidence in class and the correlation between students' organizational experience and their speaking confidence. This type of research is quantitative research. The population in this study found 35 students. The instrument used in this research is a questionnaire. The technique used to analyze the data is the Pearson Product Moment Correlation to determine the relationship between the independent variable (organizational experience) and the determinant variable (self-confidence). The results of this study indicate that the significance level (0.001) and Pearson correlation = 0.569 (sig = 0.01). This shows a significant relationship between the organization and a high level of self-confidence in class. It can be said that the organizational experience of students can increase their sense of self-confidence.


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