Saratov JOURNAL of Medical and Scientific Research

Kipchatova T.Yu.

Saratov City Hospital № 8, Obstetrician-gynecologist

Features of psychoemotional status of pregnant women with fetoplacental insuffciency

Year: 2012, volume 8 Issue: №2 Pages: 541-547
Heading: Neurology Article type: Original article
Authors: Chekhonatskaya M.L., Chernyshkova E.V., Chekhonatsky A.A., Kipchatova T.Yu.
Organization: Saratov State Medical University
Summary:

Research Goal was to study features of psychoemotional status of pregnant women with chronic fetoplacental insuffciency. Materials. 112 pregnant women with chronic fetoplacental insuffciency; 73 women with physiological course of pregnancy and delivery. Research of personal psychological characteristics was carried out by Minnesota multidimensional personal index (MMPI), adapted by F. B. Berezina and V. P Miroshnikova (1989). Personal and reactive anxiety was defned by method of self-appraisal according to D. Spilberger and Yu. L. Khalin. Results. Psychoveg-etative changes lead to unequal mobilization of various visceral systems, which can promote development of different complications of pregnancy course along with other factors, including fetoplacental insuffciency. Pregnant women with increased level of reactive anxiety more often have isolated decrease of uteroplacental blood fow; at hyperdepression combined disturbance of uteroplacental and fetoplacental blood fow was revealed; at hypochondria disturbance of uteroplacental and fetoplacental blood fow was also marked. Conclusion. Pregnant women with fetoplacental insuf-fciency demonstrated increase of anxiety and psychasthenia. As gestation period extended, patients with fetoplacental insuffciency marked high level of lability and reactivity of vegetative nervous system in combination with increased anxiety and presence of depression. Taking into consideration psychovegetative basis of occurrence of functional disturbances in the system mother-placenta-fetus, determination of personal psychoemotional features and state of vegetative nervous system, with future correction of reveled disturbances, should be obligatory.

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CORRELATION OF PROGRESSION RISK OF FETOPLACENTAL INSUFFICIENCY WITH VEGETATIVE STATUS DISTURBANCE IN PREGNANT WOMEN

Year: 2012, volume 8 Issue: №2 Pages: 455-459
Heading: Neurology Article type: Original article
Authors: Kipchatova T.Yu., Chekhonatskaya M.L., Chernyshkova E.V., Chekhonatsky A.A.
Organization: Saratov State Medical University
Summary:

Research Goal was to compare probability of risk progression of chronic fetoplacental insuffciency with various disturbances of vegetative nervous system (VNS) in pregnant women. Materials. Basic group consisted of 112 pregnant women with chronic fetoplacental insuffciency; control group included 73 women with physiological course of pregnancy and delivery. Status of VNS was determined with the purpose to estimate initial vegetative tone in various functional systems and forming concept of general vegetative status in the sample. Results. Presence of fetoplacental insuffciency in pregnant women was extensively associated with increase of sympathetic section tone and VNS lability. Occurrence frequency of critical indices of hemodynamics disturbances in the system mother- placenta-fetus revealed reliable correlation dependence on VNS lability and index of vegetative supply of activity. Conclusion. Pregnant women with fetoplacental insuffciency had 25 – 30 % increased tone and lability indices of VNS sympathetic section in contrast to physiological course of pregnancy. Progression of fetoplacental insuffciency was more often revealed in pregnant women in case of replacement of sympathicotonia by vagotonia, and against a background of high VNS lability and reactivity.

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Peculiarities of psychovegetative status of preg¬nant women with fetoplacental insufficiency in condition of delivery preparation by means of biologically feedback method

Year: 2010, volume 6 Issue: №2 Pages: 295-300
Heading: Obstetrics and Gynecology Article type: Original article
Authors: T.Yu. Kipchatova, N.Yu. Arenina, M.L. Chekhonatskaya, I.I. Sholomov
Organization: Saratov State Medical University, Saratov Clinical Hospital №3, Saratov Clinical Hospital N 8
Summary:

Research goal. To study peculiarities of psychovegetative status of pregnant women with fetoplacental insufficiency in condition of delivery preparation by means of biologically feedback method.
Materials and methods. 56 pregnant women with chronic fetoplacental insufficiency took drug therapy along with biologically feedback method (BFM), 24 patients didn't undergo seances of bioregulation. Therapeutic results were evaluated after 2-4 weeks of BFM.
Results. Probability of chronic fetoplacental insufficiency progress in the absence of BFM-therapy was 32,8%; after seances of bioregulation - 11,3%. Use of BFM-therapy for women with chronic fetoplacental insufficiency promotes normalization of psychovegetative status and decreases probability of this pathology progress by 21,5%.
Conclusion. BFM-therapy had maximum efficacy in its day-time conduct. After day-time seances 71,2% of positive results was revealed; in evening - 44,6%; in morning - 56,3%. In day-time BFM-therapy seances 11,6% of unsatisfactory results was marked; while morning and evening seances recognized 18,9% and 23,4% accordingly

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