Abstract
Our aim was to assess the level of state and trait anxiety, and the level of tolerated stress in pregnant women with fetus malformations. A controlled non-randomized clinical study with sequential inclusion of participants was carried out. Psychoemotional status of pregnant women was assessed by Spielberger anxiety scale, with identification of state and trait anxiety, as well as on the basis of medical history data. Pregnant women were divided into 2 groups. Control group--20 women with physiological gestation course without any fetus malformations and absence of stress situations in medical history. Main group--40 women with fetus malformations, presence of long stressful situations in medical history, starting from early gestation period. 60 women aged 20-37 years old, at the pregnancy age of 20-38 weeks were examined by ultrasound with assessment anatomy of thefetus. Comparative analysis of the psychological and emotional status of pregnant women from both groups indicated significant increase of the state and trait anxiety level in the main group of women compared to the control in the average grew from 30.80 ± 1.47 to 48.13 ± 3.84 (p < 0.001) and from 32.35 ± 1.45 to 50.25 ± 3.40 (p < 0.001) respectively. The identified high level of state and trait anxiety in pregnant women with fetus malformations allows concluding that maternal stress is a potential risk factorfor generation of intrauterine malformations of the fetus. This serves as a basis to recommend corresponding prophylactic, anti-stress measures should be taken during such pregnancy, especially at early stages, when fetus tissues formation process is taking place.
Highlights
Our aim was to assess the level of state and trait anxiety, and the level of tolerated stress in pregnant women with fetus malformations
The identified high level of state and trait anxiety in pregnant women with fetus malformations allows concluding that maternal stress is a potential risk factor for generation of intrauterine malformations of the fetus
This serves as a basis to recommend corresponding prophylactic, anti-stress measures should be taken during such pregnancy, especially at early stages, when fetus tissues formation process is taking place
Summary
Цель исследования: оценить уровень реактивной и личностной тревоги, а, соответственно, и степень переносимого стресса у беременных с пороками развития плода. Основная группа — 40 женщин с пороками развития плода, наличием в анамнезе длительных стрессовых ситуаций, начиная с ранних сроков развития беременности. Сравнительный анализ состояния психоэмоционального статуса беременных обеих групп позволил установить значительное повышение процентных и абсолютных показателей уровня реактивной и личностной тревоги в основной группе женщин по сравнению с контрольной. По результатам статистической обработки данных уровни реактивной и личностной тревоги в основной группе женщин по сравнению с контрольной возросли с 30,80±1,47 до 48,13±3,84 (p
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