scholarly journals MATERNAL PSYCHOSOCIAL STRESS AND LABOR DYSTOCIA

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.

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Mega Redha Putri ◽  
Joserizal Serudji ◽  
Efrida Efrida

AbstrakPersalinan disfungsional (distosia akibat kelainan tenaga) merupakan masalah persalinan dunia dan merupakan salah satu indikasi dilakukannya intervensi selama persalinan dengan tingkat kekerapan kejadian sebesar 4-40%. Persalinan disfungsional dapat disebabkan oleh anemia dalam kehamilan. Kekuatan kontraksi uterus atau his ibu hamil dengan anemia kurang dari normal, lemah dan dalam durasi yang pendek sehingga tidak cukup kuat untuk melahirkan janin dan ibu hamil akan cepat lelah, akibatnya persalinan dapat mengalami perlambatan atau terhenti. Semakin berat anemia, semakin berat manifestasi klinis yang muncul. Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian persalinan disfungsional pada pasien anemia dalam kehamilan berdasarkan derajat anemia di RSUP Dr. M. Djamil Padang. Ini merupakan penelitian deskriptif menggunakan data retrospektif bagian rekam medik RSUP. Dr. M. Djamil Padang periode 2010-2012. Data yang digunakan sebanyak 61 sampel. Hasil penelitian menunjukkan distribusi kejadian persalinan disfungsional paling tinggi pada anemia derajat ringan yaitu sebanyak 4 orang (8,7%), anemia derajat sedang sebanyak 1 orang (8,3%) dan anemia derajat berat 0%. Hasil penelitian menunjukkan bahwa derajat anemia dalam kehamilan tidak mempengaruhi angka kejadian persalinan disfungsional.Kata kunci: anemia dalam kehamilan, persalinan disfungsional, distosia, ibu hamil AbstractDysfunctional labor (dystocia due to abnormal labor) is a worldwide labor problem and one of the indications for intervention during labor with prevalence rate 4-40%. Dysfunctional labor can be caused by anemia in pregnancy. The strength of uterine contractions or his in pregnant women with anemia is less than normal, weak and short in duration so it is not strong enough to bear the fetus and the pregnant women will get tired, causing a slow or stopped. The more severe anemia, the more severe clinical manifestations appear. The objective of this study was to know the incidence of dysfunctional labor in patients with anemia on pregnancy based on the degree of anemia in Dr. M. Djamil Hospital Padang. This research was a descriptive study using retrospective data from medical record of Dr M. Djamil Hospital Padang on period 2010-2012. The samples used were 61 samples. The results showed the distribution of the high incidence of dysfunctional labor is mild anemia as many as 4 people (8.7%), on moderate anemia is 1 person (8.3%) and there is none on the severe degree (0%). The study shows that the degree of anemia in preganacy doesn’t affect the incidence of dysfunctional labor.Keywords: anemia in pregnancy, dysfunctional labor, dystocia, pregnant woman


2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Elizabet Catherine Jusuf

The Pregnancy period begins from conception until birth. It is hard to figure out if the pregnancy will get any problem. The process will involve emotional, physical and social alteration in the family. Until now,the maternal emotional condition, psychosocial stress are rarely to watch over by medical practisioners meanwhile at some study said that maternal psychosocial stress influence the outcome of baby. The aim of this study to analyze some factors that is associated to psychosocial stress in pregnancy women. This was a cross-sectional study of collected by using questionaires, were comprised of 11 questions using likert-scales, then using bivariat analysis by t-test and chi square to evaluate the sample characteristic at teaching hospital Hasanuddin University in 2015. There are 158 pregnant woman,  shows who are in the age of 26,25 ± 6,319, suffer from stress, who are in their gestasional age of 30,63 ± 9,164 weeks will be going through the high level of stress. The age of pregnant women and their gestasional age in this study do not influence significantly toward psychosocial stress. Social economic factors such as level of education, occupation, and parity influence the pregnant women psychosocial stress level.


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.


Author(s):  
I. P. Danilov ◽  
N. I. Vlakh ◽  
V. I. Gugushvili ◽  
N. Ya. Paneva ◽  
T. D. Logunova

Introduction. A healthy lifestyle is one of the most eff ective methods of preserving health and preventing non-infectious diseases. The mechanisms and factors that infl uence the formation of motivation for health and a healthy lifestyle in employees engaged in harmful working conditions have not been suffi ciently studied. The study of these mechanisms will allow us to more eff ectively shape health-saving behavior.The aim of the study is to study negative aff ectivity, social suppression and anxiety in the formation of motivation to maintain health and a healthy lifestyle in coal industry workers.Materials and methods. A survey was conducted of 75 employees of mines and sections in the South of Kuzbass with an established diagnosis of occupational diseases, as well as 54 people who do not work in harmful working conditions (engineering and technical workers). Surveys were conducted using the method “Index of motivation to health and a healthy lifestyle”, the presence of personality type D was conducted using the DS14 questionnaire, the level of personal and situational anxiety was assessed using the Spielberger — Hanin questionnaire.Results. Th e level of motivation for health and a healthy lifestyle among patients with occupational diseases is signifi cantly lower than the level of motivation for the health of engineering and technical workers. Th e infl uence of negative reaction and social suppression on the level of motivation for health and a healthy lifestyle was not found. Th e level of situational anxiety also has no eff ect on health motivation. A higher level of personal anxiety among people with a high level of motivation for a healthy lifestyle was determined.Conclusions. Personal anxiety aff ects the level of motivation for health and a healthy lifestyle in people with occupational diseases. 


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Guy A. Prochilo ◽  
Ricardo J.S. Costa ◽  
Craig Hassed ◽  
Richard Chambers ◽  
Pascal Molenberghs

Abstract Objectives Researchers have begun delivering mindfulness and aerobic exercise training concurrently on the premise that a combination intervention will yield salutary outcomes over and above each intervention alone. An estimate of the effect of combination training on chronic psychosocial stress in a nonclinical population has not been established. The objective of this study was to establish protocol feasibility in preparation of a definitive RCT targeting healthy individuals, and to explore the preliminary effect of combination training on reducing chronic psychosocial stress in this population. Methods Twenty-four participants were allocated to a single-arm pre-post study and subjected to 16 weeks of concurrent mindfulness psychoeducation and aerobic exercise training. Feasibility criteria were collected and evaluated. Within-group changes in chronic psychosocial stress, mindfulness, emotion regulation, and cardiorespiratory fitness were also assessed. Primary analyses were based on 17 participants. Results Retention rate, response rate, recruitment rate, and sample size analyses indicate a definitive trial is feasible for detecting most effects with precision. There was also a decline in our primary dependent measure of chronic psychosocial stress (dpretest = −0.56, 95% CI [ −1.14,−0.06]). With regard to secondary measures, there was an increase in the use of cognitive reappraisal, and a reduction in use of maladaptive emotion regulation strategies. We are insufficiently confident to comment on changes in mindfulness and aerobic capacity $\left (\dot {V}O_{2max}\right)$ V ̇ O 2 max . However, there were subgroup improvements in aerobic economy at submaximal exercise intensities. Conclusions We recommend a definitive trial is feasible and should proceed. Trial registration ANZCTR (ID: ACTRN12619001726145). Retrospectively registered December 9, 2019.


2016 ◽  
Vol 32 (5) ◽  
pp. 235-240
Author(s):  
Ana Starcevic ◽  
Sasa Petricevic ◽  
Zoran Radojicic ◽  
Vuk Djulejic ◽  
Andrej Ilankovic ◽  
...  

Author(s):  
Elena Aleksandrovna Potapova ◽  
Elena Viktorovna Scherba ◽  
Dmitriy Alekseevich Zemlyanoy ◽  
Viktoriya Valerievna Danilova ◽  
Viktor Gennadievich Puzyrev ◽  
...  

Sport activity are associated with significant physical and psychological stress and determine the relevance of monitoring the conditions for sports, studying the health of athletes and their regime. The purpose of the study: to study the sanitary and hygienic conditions in sports schools, the features of the daily routine and lifestyle of young athletes and their psycho-emotional state. Materials and methods. The analysis includes data from a study of 70 girls aged 13–15 who are engaged in rhythmic gymnastics. We used methods of sanitary and hygienic research, questionnaires, methods for identifying the level of situational and personal anxiety (Spielberger C. D.) and competitive anxiety (R. Martens), a questionnaire for studying one’s own reaction to stressful events (Greenberg). Results. The number of violations of sanitary and hygienic requirements for the conditions of sports activities have been identified. The most common violations of the day-lack of sleep and stay in the fresh air, a high amount of training load. Moderate personal anxiety was detected in 76 % of athletes, 7 % of respondents — low anxiety, 17 % — high personal anxiety. A high level of reactive anxiety was detected in 24 % of female athletes, and high-level sports anxiety was observed in 25 % of those surveyed. The relationship between the severity of violations of hygiene standards and the level of manifestation of personal and reactive anxiety was Revealed. The age dynamics for all diagnosed types of anxiety was revealed: higher rates of anxiety were observed in the age group of 13 years compared to 14 and 15-year-old athletes. Conclusion. The results of the study showed the need for dynamic monitoring of the state of health, including psycho-emotional state of athletes, allocation of athletes with pronounced errors in the regime to observation groups, carrying out preventive measures to explain the importance of compliance with hygiene rules and monitoring and assistance in their implementation in the lifestyle of young athletes.


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.


2021 ◽  
Author(s):  
Jimmy Armas ◽  
Aarón Israel Flores La Chira ◽  
Ricardo Enrique Malqui Torres ◽  
Paola A. Gonzalez

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