Assessment of the psycho-emotional state of pregnant women and features of anesthesia in an obstetric hospital

Abstract

Aim to determine the indicators of anxiety and depression in pregnant women who are going to have an operative delivery and, depending on this, to provide the optimal type of anesthesia and psychological support during the operation.
 Material and methods. We examined 215 pregnant women aged 18 to 45 years (M=29,84,79) who were to undergo operative delivery. We also tested 188 women from the KG with the physiological course of pregnancy, with the same age and gestation period, whose delivery was carried out through the natural birth canal.
 Results. In MG patients, the optimal type of PCGD was significantly lower than in CG patients (p0.05). Euphoric, hypogestognosic and anxious types of PCGD in pregnant CG were also significantly higher than in MG patients (p0.05). When analyzing the data on personal and situational anxiety, it was found that a high degree of severity according to the Spielberg-Khanin scale was observed in patients with anxious and depressive types of PCGD Endogenous depression in pregnant women of the main and control groups is absent when using the questionnaire for the presence and severity of depressive states I.G. Bespalko.
 Conclusion. In pregnant women who were to have an operative delivery, the optimal type of PCGD was significantly lower than in women who were to have a natural birth. Anxious and depressive type of PCGD in patients with planned operative delivery was significantly higher than in patients with planned natural childbirth. Psychocorrective work and additional psychological support by an anesthesiologist-resuscitator during a caesarean section reduced the severity of anxiety and depressive disorders.