Abstract
Objective:The aim of the present study was to evaluate psychological problems in women with recurrent spontaneous abortion (RSA).Materials and Methods:In this case-control study, 115 women with RSA were assigned to the case group and 240 non-pregnant women comprised the control group. The revised version of the Symptom Checklist-90 (SCL-90-R) and the Intolerance of Uncertainty scale (IUS) were used for assessing mental health problems.Results:The results showed that the mean Global Severity Index (GSI) of the SCL-90-R and the IUS scores in the case and control groups were 109.10±59.85 and 68.91±22.17, and 82.98±52.99 and 59.19±23.01, respectively. GSI was the strongest predictor of RSA [odds ratio (OR)=6.43; 95% confidence interval (CI): 3.52-11.72]. The chance estimate of RSA was approximately 2.1 times higher in women in rural areas (OR=2.07; 95% CI: 1.16-3.69), and 2 times higher at 12 months after the last pregnancy (OR=1.99; 95% CI: 1.42-2.78).Conclusion:Psychological problems are greater after RSA. Therefore, it is suggested that the treatment of RSA emphasizes psychological counseling and psychological management.
Highlights
Infertility and recurrent spontaneous abortion (RSA) are two challenging issues in the field of obstetrics and gynecology[1,2]
The odds ratio (OR) of the Global Severity Index (GSI) was good for RSA before the adjustment [OR=3.48; 95% confidence interval (CI)=(2.10-5.77), p
We excluded the variable of having age over 30 years in the second stage, jobs in the third stage, and satisfaction with income in the fourth stage, and only GSI [OR=6.43; 95% CI=(3.52-11.72)], time passed since last pregnancy (OR=1.99; 95% CI=1.42-2.78), education (OR=0.49; 95% CI=0.501.84), and residence (OR=2.07; 95% CI=1.16-3.69) remained in the model
Summary
Infertility and recurrent spontaneous abortion (RSA) are two challenging issues in the field of obstetrics and gynecology[1,2]. The perception of infertility has received great attention as a psychological problem[3,4]. It is considered as one of the numerous difficulties that patients should receive the best services in the diagnosis, treatment, and psychological support[5]. RSA is one of the most important problems related to infertility. It is defined as two or more consecutive pregnancy losses[6]. According to the American Society for Reproductive Medicine Practice Committee, RSA includes clinical abortion that is ascertained by PRECIS: The loss of a desired pregnancy is a considerable negative life occurrence, and this problem may cause important physical and psychological distress
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