Andrius Jurėnas, Virginija Paliulytė
Object of the thesis is to evaluate mental state of women who gave preterm birth and to estimate a need of psychological consultations during postnatal period. Materials and methods. Prospective anonymous questionnaire survey carried out at Vilnius University Hospital Santara clinic’s, Center of Obstetrics and Gynecology during the period from November 2016 until February 2017. The survey encompassed 51 women who gave preterm birth. Questions of the survey were provided in postnatal wards in period of 1-3 days after giving birth. The main object was to evaluate mental state of the woman in regard to demographic data, obstetric histroy and pregnancy course. The main method for evaluation of mental and somatic anxiety was Hamilton anxiety scale (HAM-A) that was modified, discussed and approved by psychiatrist and obstetrician-gynecologist. Received data was processed with SPSS 20 program. Reliability of the data was calculated and evaluated with a help of Chi-Quadrat test (p≤0.05). Results. 68.6 % (s=35) of women stated that they have suffered emotional distress due to preterm birth. According to respondents, the biggest impact for overall metal state during perinatal period was anxiety (60.8 %, (s=31), fear (13.7 %, (s=7), insomnia (13.7 %, (s=7) and tension (11.8 %, (s=6). Average score of questioned women (according to Hamilton anxiety scale) was 10.45 (min – 0; max – 28 scores). Average number of metal anxiety – 6.7 scores, average number of somatic anxiety – 4.14 scores. 76.5 % (s=39) of questioned women have mild anxiety disorder (collected up to 14 scores), 11.8 % (s=6) of women have moderate anxiety disorder (collected from 15 up to 21 scores) and 11.8 % (s=6) of women have severe anxiety disorder (collected more than 21 scores). 17.6 % (s=9) of investigated women claim that during postnatal period they would prefer to have psychological consultation: 55 % (s=5) of women who recently gave preterm birth would like to have consutation once a week and 44.5 % (s=4) would like to consult psychologist every other day. Conclusion. Even 23.6 % of women who have recently gave a preterm birth suffered from moderate or severe anxiety disorder. Separate mental and somatic anxiety symptoms are impacted by particular demographic data, factors of obstetric histroy and consequences of pregnancy course. The results have revealed that even 17.6 % of respondents would prefer to have postnatal psychological consultation.
Keyword(s): preterm birth; mental state; anxiety; HAM-A.
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