Types of interaction in the triad mother–child–father at the threat of preterm birth at the last trimester of pregnancy and after the birth as a criterion of differentiation of the measures of their medical-psychological support

Abstract

The study involved 150 women at 23–37 weeks of pregnancy: 120 women with the threat of premature birth (main group, MG), 30 women with the physiological course of pregnancy (comparison group, CG) and their husbands. The types of interaction in the mother–child–father triad with the threat of premature birth and after childbirth have been studied. A psychodiagnostic study revealed a reliably high level of the average value of reactive and personal anxiety in women with MG. The average indicator of the level of depression is higher in the MG, where there are cases of subdepressive state and severe depression, in the CG the latter was not revealed. According to the Cranley scale, at the first stage of the study, the level of attachment to the fetus in women from MG was (71,0±1,0) points (attachment disorder), in women from CG was (51,0±2,0) points (sufficient level of attachment), p<0,05. With the help of the «Pregnant Attitude Test», the prevailing type of woman’s attitude to her unborn child was determined in terms of the course of pregnancy. It was found that in 20,8 % of women, the euphoric type predominates, 9,17 % had the optimal type, 9,17 % had hyponosognosic type, 2,5 % had anxious type, 3,33 % had depressive type. In 26,7 % of women, CG has the optimal type. There are no other types of attitudes towards pregnancy. In women with MG, disorientation prevails at all stages of the examination (41–46 people), the dependent type (35–36), autonomous (23–29), and avoidance of proximity much less often was (14–16), in women with CG, the autonomous type dominates (10–13), dependent type (8–10), and avoidance of proximity (4–9) little less often were and disorientation (3–4) much less often was. At each stage of the survey, the level of social support in the MG is reduced relative to that in the CG. It is noted that in both groups the level of social support on two scales such as the support of colleagues at work and public organizations is reduced.