SYSTEMIC CLINICAL AND PSYCHOLOGICAL RISK FACTORS OF THREATENED MISCARRIAGE IN WOMEN WITH EXTRAGENITAL PATHOLOGY

Uliyanich A.; Agarkova L.; Leshchinskaya S.; Kutsenko I.; Mikheenko G.

doi:10.14529/jpps200205

A. L. Uliyanich National Research Tomsk State University, Tomsk, Russian Federation https://orcid.org/0000-0003-3154-3756 FiALe@yandex.ru
L. A. Agarkova Maternity Home №4, Tomsk, Russian Federation https://orcid.org/0000-0002-4918-7887 roddom4@mail.tomsknet.ru
S. B. Leshchinskaya National Research Tomsk State University, Tomsk, Russian Federation https://orcid.org/0000-0001-9564-085X s_leschins94@mail.ru
I. G. Kutsenko Siberian State Medical University, Tomsk, Russian Federation https://orcid.org/0000-0002-8495-8210 irinakutcenko@mail.ru
G. A. Mikheenko Siberian State Medical University, Tomsk, Russian Federation https://orcid.org/0000-0002-3869-1906 mchnk@mail.ru

DOI: https://doi.org/10.14529/jpps200205

Keywords: psychological factors in maintaining a healthy pregnancy, systemic clinical and psychological risk factors of threatened abortion, somatic high-risk pregnancy, extragenital pathology, threatened miscarriage

Abstract

Background: The present study focuses on the problem of pregnancy maintaining in women with specific somatic conditions (an extragenital pathology). Aim: The paper aims to establish systemic clinical and psychological risk factors for the development of pregnancy termination in women with extragenital pathology, as well as determine the psychological markers of pregnancy termination and the psychological resources for maintaining a healthy pregnancy. Materials and methods: The data were obtained from the medical records of pregnant women, sociodemographic questionnaires and psychodiagnostic tests. The descriptive, comparative, correlational and discriminant methods were used for statistical analysis. 100 women participated in the study, 50 of them had the risk of pregnancy termination. Results: The risk factors of threatened miscarriage in women with extragenital pathology were identified: unconditional faith in God and transfer of the responsibility for pregnancy and childbirth; an unwanted pregnancy; negative attitude to all pregnancy-related restrictions; the dominant motive for pregnancy maintenance characterized by the wish to achieve a new social status; high self-worth; heightened self-esteem and lack of self-value and child significance; rigidity, tendency to behave and think stereotypically. The markers of pregnancy termination development were revealed: women’s desire to satisfy their needs for finding the meaning of life and for new social status achievement. The resources for healthy pregnancy were identified: the acceptance of pregnancy with all its physiological and social changes; value of the child and interest in his/her intrauterine manifestations; responsibility taking and vital activity. Higher activity indicators were associated with more favorable psychoemotional status (lower frustration and anxiety and higher positive emotions) and higher probability of pregnancy maintenance. Conclusion: The study contributes to the development of comprehensive programs of medical and psychological support for pregnant women with somatic pathologies as well as to the practice of pre-pregnancy counseling.

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Author Biographies

A. L. Uliyanich , National Research Tomsk State University, Tomsk, Russian Federation

Candidate of psychological Sciences, associate Professor of the Department of psychotherapy and psychological counseling

L. A. Agarkova , Maternity Home №4, Tomsk, Russian Federation

Doctor of medical Sciences, Professor, methodologist

S. B. Leshchinskaya , National Research Tomsk State University, Tomsk, Russian Federation

Graduate student

I. G. Kutsenko , Siberian State Medical University, Tomsk, Russian Federation

Doctor of medical Sciences, head of the Department of obstetrics and gynecology

G. A. Mikheenko , Siberian State Medical University, Tomsk, Russian Federation

Doctor of medical Sciences, associate Professor, Professor of the Department of obstetrics and gynecology

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