Psychological Aspects Of Pregnancy Research Articles

Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery.

Chronic diseases are potential risk factors for pregnancy duration and neonatal outcomes. This narrative review aimed to summarize the research results on the specifics of pregnancy in women with obesity and after bariatric surgery. PubMed and Google Scholar databases were searched. Systematic reviews, meta-analyses, clinical trials, and references to identified articles from the last ten years (2013-2023) were included. Ultimately, 107 literature items were qualified. It has been shown that women with obesity planning pregnancy should reduce their body weight because obesity is a risk factor for adverse obstetric and neonatal outcomes. Bariatric surgery effectively reduces excessive body weight and the health risks in women with obesity during pregnancy and their offspring. However, at least a year interval between surgery and conception is recommended. An interdisciplinary medical team should provide patient care during pregnancy with knowledge and skills related to people after bariatric surgery. Due to the increased risk of mental disorders, especially depression, it is necessary to constantly monitor the mental state of women and provide psychological support and education on a healthy lifestyle during pregnancy and the postpartum period.

Special Needs of Women’s Psychological Problems during Unwanted Pregnancy with Hypnotherapy

Unwanted pregnancy status can have an impact on the psychological aspects of pregnancy. Hypnotherapy is one of the special needs that need to be given to overcome psychological problems in unwanted pregnancies. This research has not been done much in Indonesia. The purpose of the study was to find out the effect of hypnotherapy on women's psychological problems in unwanted pregnancies. Methods of using systematic review. Research from as many as 454 articles later analyzed PRISMA into 9 articles came from databases such as Pubmed, Science Direct, google scholar. The results showed that the pooled odds ratio obtained by 0.07 (95% CI 0.04 – 0.15) so that it can be concluded that hypnotherapy can reduce the risk of 0.07 mothers experiencing psychological problems and unwanted pregnancies are greater. There is a significant relationship between hypnotherapy and the incidence of psychological problems in pregnant women that are not desirable evidenced by p < 0.05 which is p = 0.00001.

Clinical and psychological aspects of pregnancy and features of the course of labor in women with different types of psychological component of gestational dominant

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.

“I am pregnant. Am I different?“: Psychopathology, psychological stress and hair cortisol levels among pregnant and non-pregnant women

Pregnancy is a life process that brings about a series of associated changes, both physical and psychological, in women. The psychopathological changes occurring in pregnant women due to the simple fact of this new vital stage are unknown. Therefore, the objective of this study was to compare the psychopathological symptoms present during pregnancy with those present in non-pregnant women, as well as the perceived stress and hair cortisol levels. For this, a group of non-pregnant women (n = 171) were compared with pregnant women who were in the first trimester (n = 124), second trimester (n = 200) and third trimester (n = 190). Moreover, 77 women were followed up to verify their psychopathological course of pregnancy. Differences were found between pregnant and non-pregnant women relating to a wide range of psychopathological symptoms, perceived stress and hair cortisol levels. The symptoms were greater in the group of pregnant women. By studying different types of psychopathological symptoms associated with pregnancy, it is possible to assign psychological interventions to given characteristics of pregnant women. In addition, we can broaden our knowledge about the psychological aspects of pregnancy and the changes associated with it.

Psychological Aspects of Pregnancy and Lactation in Patients with Breast Cancer.

Young breast cancer patients face numerous challenges during the cancer trajectory. As in the last decade, women tend to delay pregnancies to a later time in life, and clinicians are often faced with young breast cancer patients who want to start a family or complete it. Becoming a mother is a delicate developmental process in which the woman redefines and restructures her identity as she getsprepared for her new role and responsibilities. When there is a history of cancer or cancer diagnosis is communicated during the pregnancy, fears, worries, and concerns emerge and specific support may be necessary. Follow-ups during the post-partum period are also recommended as lactation issues should not be overlooked. In this chapter, we analyze the psychological aspects of cancer survivors and women with pregnancy-associated breast cancer, and the management of these issues.

Communication patterns in antenatal diabetes care: an explorative and descriptive study of midwife‐led consultations

To explore and describe the verbal communication patterns in antenatal consultations between pregnant women with diabetes and their midwives. Few studies have focused on the efficacy of communication during consultations between midwives and their clients, especially in a high-risk context. An explorative and descriptive study of antenatal consultations between midwives and their clients at four antenatal diabetes clinics in Norway. Thematic analysis was used to study verbal communication in ten woman-midwife consultations that were audio recorded and transcribed. The analysis was based on the following questions: (1) who talks and to what degree? (2) What are the topics discussed and who is the initiator? and (3) What characterises the dialogue in the consultations? The results suggest that there was a predominantly medical focus in the consultations, with the communication style characterised by a combination of informal and formal talk. The consultations were structured into three phases, each with its own conversation style. The communication patterns adopted appeared to limit the opportunities of mothers-to-be to express freely any concerns. It is suggested that a larger degree of openness to the emotional and psychological aspects of pregnancy should be incorporated into the consultations. To take advantage of the different competencies in this multidisciplinary diabetes team, the contribution of the midwife to this specialised antenatal care should be both recognised and defined. Awareness of each midwife's own communication style, as well as their attentiveness to a woman's implicit concerns, is required for the satisfactory support and understanding of the individual pregnant woman. It is necessary to support midwives in the continuous development of their communication skills, a task that should be included as part of midwifery education and undertaken by practitioners in the clinical environment.

Psychological Aspects of Pregnancy in the Military: A Review

In the past 20 years, more women have joined the armed forces than ever before. Consequently, the management of pregnant service members has raised important medical and administrative issues. Recent studies comparing service-women with their civilian counterparts have shown a significantly increased rate of pregnancy complications. This paper explores the psychosocial milieu in which active duty pregnancies occur and attempts to elucidate the psychological stressors that may contribute to the increased complication rate. The literature on pregnancy in the military and the existing regulations governing its medical and administrative management are reviewed. Case material is presented and analyzed. Three types of psychological stressors are identified and discussed: lack of social supports, the pressures of minority status, and the institutional reactions to gender roles. The author proposes mandatory education for military leaders regarding sensitivity to women's reproductive issues as well as specialized briefings for women inductees on the realities and risks of pregnancy in the military.

Counselling working mothers: a new challenge for employers

Considers the continuing discrimination against pregnant women in company attitudes. Discusses maternity leave and the Employment Protection Act, problems working mothers encounter, the need for organisational forward planning, employer attitudes, and the needs of pregnant women. Summarises that while there is growing recognition of the need for practical help for working mothers, there is still a need for employers to understand the psychological aspects of pregnancy.

Psychological aspects of pregnancy: Some thoughts for the eighties

Some psychological aspects of pregnancy and childbirth are reviewed. Normal psychological changes during pregnancy as well as some changes of possible significance in the aetiology of pregnancy complications are discussed. Childbirth preparation as a technique of alleviating psychological difficulties during pregnancy and labour is examined and reviewed in the light of cultural variations in obstetric practices. Finally, a model of research into psychological aspects of pregnancy is examined with reference to existing and future research into this subject.

An investigation into the psychological aspects of pregnancy and the puerperium using the technique of group analysis

In this study nonpregnant women were compared with pregnant women. A set of feelings and attitudes along with questions relevant to the anatomy and physiology of parturition were the measures of comparison. The pregnant women and the nonpregnant women had almost identical feelings and attitudes. There were, however, three exceptions to this general concordance. They were: (1) the nonpregnant women's regard of pregnancy as a depressive and withdrawing experience, (2) a greater fear for the fetus among the nonpregnant women, and (3) higher scores on a pregnancy information inventory among the pregnant women.

Active participation in childbirth: A psychosomatic approach to pregnancy and parturition

1.1. The importance of considering the emotional and psychological aspects of pregnancy and parturition is presented.2.2. A psychosomatic approach to pregnancy and childbirth is outline and the results of its application to 531 patients are presented and discussed.3.3. It is concluded that a complete approach to pregnancy and parturition should include the psychosomatic aspects.