Clinical and psychological aspects of pregnancy and features of the course of labor in women with different types of psychological component of gestational dominant
DOI:
https://doi.org/10.14739/2310-1210.2020.5.214762Keywords:
pregnancy, psycho-emotional stateAbstract
The aim of the work is to study and analyze the clinical and psychological aspects of pregnancy and features of the course of labor in women with different types of psychological component of gestational dominant (PCGD).
Materials and methods. The study involved 126 pregnant women. At the first stage of the study (27–28 weeks’ gestation), a clinical and psychological study was conducted using specially selected psychodiagnostic methods and techniques. At the second stage (postpartum period), a retrospective analysis of the relevant medical documentation was carried out.
Results. It was found that the vast majority of pregnant women with optimal, euphoric and mixed types of PCGD had a moderate level of anxiety, low level of psycho-emotional stress with well-being, increased activity and positive mood (Р ˂ 0.01) in comparison to pregnant women with anxious, depressive and hypogestognostic types of PCGD. Women with anxiety, depressive and hypogestognostic types of PCGD were dominated by destructive motivations towards pregnancy maintenance and the situation of impending motherhood, which can be a major impediment to the process of further formation of adequate maternal dominance.
An analysis of the clinical course of labor showed the most favorable conditions for its course in women with optimal and mixed types PCGD; the greatest number of complications was identified in women with hypogestognostic, depressive and anxious types PCGD that can be regarded as a decrease in the functional capacity of relevant systems and an organism as a whole amid unstable psycho-emotional state. A similar correlation was found when assessing the condition of newborns on the Apgar scale since the highest indicators and the best dynamics occurred in newborns whose mothers were diagnosed with optimal and mixed types of PCGD during pregnancy.
Conclusions. The results obtained indicate the need to organize a comprehensive medical and psychological support for pregnant women, during which a diagnosis of the psycho-emotional state in pregnant women with the detection of PCGD type is binding. This approach would not only help to prevent a number of clinical and psychological problems that may occur in women during pregnancy, but also to allow for the harmonious growth of an intrauterine fetus, effective women’s adaptation to the situation of impending motherhood and the birth of a healthy child.
References
Amvrosova, M. A., Kondratenko, E. A., Ozhigina, S. N., & Teterina, E. V. (2017). Vliyanie beremennosti na psikhoemotsional'noe sostoyanie zhenshchiny [The effect of pregnancy on the psycho-emotional state of a woman]. Nauchno-metodicheskii elektronnyi zhurnal «Kontsept», 2, 257-261. http://e-koncept.ru/2017/570053.htm [in Russian].
Batsileva, O. V. (2011). Reproduktyvne zdorovia zhinky: medyko-psykholohichni ta sotsialni aspekty [Women's reproductive health: medical, psychological and social aspects]. Donbas. [in Ukrainian].
Batsylieva, O. V., & Puz, І. V. (2010). Vahitnist yak etap formuvannia materynskoi sfery zhinky [Pregnancy as a formation stage of a woman's maternal sphere]. Naukovyi visnyk Mykolaivskoho derzhavnoho universytetu imeni V. O. Sukhomlynskoho: zbirnyk naukovykh prats, 2(5), 32-37. [in Ukrainian].
Bozhuk, O., & Bozhuk, B. (2012). Hestatsiina dominanta yak marker u vyznachenni stanovlennia materynskoi sfery [Gestational dominant as a marker in determining maternal formation field]. Ukrainskyi naukovo-medychnyi molodizhnyi zhurnal, (3), 100-102. [in Ukrainian].
Dobryakov, I. V. (2014). Pokazateli trevogi i depressii u beremennykh zhenshchin pri razlichnykh tipakh psikhologicheskogo komponenta gestatsionnoi dominanty [Anxiety and depression in relation to psychological component of gestational dominant]. Vestnik Rossiiskoi voenno-meditsinskoi akademii, (1), 46-50. [in Russian].
Dobryakov, I. V. (2014). Retrospektivnoe opredelenie osobennostei psikhologicheskogo komponenta gestatsionnoi dominanty [Retrospective determination of features of the psychological component of the gestational dominant]. Voprosy psikhicheskogo zdorov'ya detei i podrostkov, 14(2), 71-75. [in Russian].
Zhuk, S. І., & Schurevska, O. D. (2016). Vplyv rivnia tryvozhnosti pid chas vahitnosti na formuvannia materynskoi dominanty u vahitnykh [Impact of anxiety during pregnancy on maternal dominant formation in pregnant women]. Zbirnyk naukovykh prats spivrobitnykiv NMAPO im. P. L. Shupyka, (25), 33-39. [in Ukrainian].
Koreneva, J. (2018). Psykholohichne stavlennia do materynstva y uskladneni psykhostany vahitnoi zhinky: teoretyko-empirychnyi analiz problemy [Psychological Attitude to Maternity and Complicated Mental States of a Pregnant Woman: Theoretical and Empirical Analysis of the Problem]. Psykholohichni perspektyvy, (32), 149-161. https://doi.org/10.29038/2227-1376-2018-32-149-161 [in Ukrainian].
Lantsburg, M. E., Krysanova, T. V., & Solovyeva, E. V. (2016). Psikhologicheskie i psikhosomaticheskie narusheniya v period beremennosti i rodov: obzor sovremennykh zarubezhnykh issledovanii [Psychological and psychosomatic disorders during pregnancy and childbirth: a review of contemporary international researches]. Sovremennaya zarubezhnaya psikhologiya, 5(2), 78-87. https://doi.org/10.17759/jmfp.2016050210 [in Russian].
Mordas, E. S., & Kharisova, R. R. (2018). Beremennost' kak stadiya lichnostnogo razvitiya zhenshchiny [Pregnancy as a stage of personal development of a woman]. Konsul'tativnaya psikhologiya i psikhoterapiya, 26(2), 135-150. https://doi.org/10.17759/cpp.2018260209 [in Russian].
Nykogosyan, L. R. (2014). Vyznachennia psykhosomatychnoho statusu vahitnykh zhinok zalezhno vid typu hestatsiinoi dominanty [The definition of psychosomatic status of w omen depending on dominant gestational]. Visnyk morfolohii, 20(2), 460-462. [in Ukrainian].
Astakhov, V. M., Batsyleva, O. V., & Puz', I. V. (2017). Psikhodiagnostika v reproduktivnoi meditsine [Psychodiagnostics in reproductive medicine]. (2nd ed.). Nilan. [in Russian].
Syusyuka, V. G., Komarova, E. V., Peycheva, E. V., & Averchenko, E. G. (2017). Motyvatsiini aspekty psykhoemotsiinoho stanu zhinok pid chas vahitnosti. Analiz kharakterystyk hestatsiinoi dominanty u konteksti tryvozhnosti [Motivational aspects of psychoemotional state of women during pregnancy. Analysis of characteristics of gestational dominant within the framework of anxiety]. Aktualni pytannia pediatrii, akusherstva ta hinekolohii, (1), 115-119. https://doi.org/10.11603/24116-4944.2017.1.7373 [in Ukrainian].
Ukhtomskii, A. A. (2002). Dominanta [Dominant]. Piter. [in Russian].
Cherednychenko, T. V. (2018). Styl perezhyvannia vahitnosti yak pokaznyk psykholohichnoi hotovnosti do materynstva [The style of pregnancy consciousness as a psychological factor of maternity readiness]. Naukovyi visnyk Khersonskoho derzhavnoho universytetu. Seriia : Psykholohichni nauky, 2(1),108-113. [in Ukrainian].
Ministry of Health of Ukraine. (2011, July 15). Pro orhanizatsiiu ambulatornoi akushersko-hinekolohichnoi dopomohy v Ukraini [About the organization of outpatient obstetric and gynecological care in Ukraine (No. 417)]. https://zakon.rada.gov.ua/rada/show/v0417282-11#Text
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
