Psychological aspects of obstetric and perinatal pathology

DOI

https://dx.doi.org/10.18565/aig.2024.163

Keshchyan L.V., Lyalichkina N.A., Shuginin I.O.
Naro-Fominsk Perinatal Center, Naro-Fominsk, Russia

Pregnancy, childbirth and the appearance a newborn are associated with significant psychoemotional stress for women. A number of researchers have demonstrated a correlation between depression during pregnancy and adverse perinatal outcomes.
The article presents an analysis of the studies conducted by the Russian and foreign scientists in the field of research into the psychological state of pregnant women. There is evidence for the association of depression during pregnancy with various obstetric and perinatal complications (preterm labor, hypertensive disorders, developmental delay and risk of autism in early childhood, etc.). Additionally, the relationship between exposure to maternal prenatal stress and subsequent physical, psychological and psychiatric outcomes in later life has been identified, including emotional instability, behavioral abnormalities, cognitive impairment, chronic metabolic disease and congenital heart disease. The present study considers the interrelation of psychological state with neuroendocrine regulatory mechanisms and the state of the autonomic nervous system. Psychoprophylactic preparation for childbirth is demonstrated to be important.
Conclusion: The literature review proves the necessity to continue research aimed at diagnosing and correcting the psychoemotional state of pregnant women. When a pregnant women experiences anxiety, the obstetrician-gynecologist should refer the patient to a psychologist. Targeted screening for psychiatric disorders as possible clinical markers of risk of obstetric and perinatal complications can help to correct and monitor the development of psychoemotional disorders on time and reduce the risk of complicated pregnancy and childbirth.

Authors’ contributions: Keshchyan L.V. – developing the design of the study, analysis of the obtained data; Lyalichkina N.A. – review of publications on the subject of the article, obtaining data for analysis; Shuginin I.O. – writing the text of the manuscript.
Conflicts of interest: Authors declare lack of the possible conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Keshchyan L.V., Lyalichkina N.A., Shuginin I.O.
Psychological aspects of obstetric and perinatal pathology.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (10): 5-10 (in Russian)
https://dx.doi.org/10.18565/aig.2024.163

pregnancy

depression

psychoemotional disorders

anxiety during pregnancy

heart rate variability

obstetric and perinatal complications

psychoprophylactic preparation

Full text (in Russian)

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Received 10.07.2024

Accepted 15.10.2024

Lyudmila V. Keshchyan, PhD, Chief Physician, Naro-Fominsk Perinatal Center, 30 Kalinina str., Naro-Fominsk, 143200, Russia, +7(499)405-00-03,
mz_nfpc_info@mosreg.ru, https://orcid.org/00000000-0002-8799-4540
Natalia A. Lyalichkina, Dr. Med. Sci., Head of the Simulation and Training Center, Naro-Fominsk Perinatal Center, 30 Kalinina str., Naro-Fominsk,
143200, Russia, +7(960)332-14-98, Cord-an@yandex.ru, https://orcid.org/0009-0005-5176-0979
Igor O. Shuginin, Dr. Med. Sci., Naro-Fominsk Perinatal Center, 30 Kalinina str., Naro-Fominsk, 143200, Russia, +7(960)332-14-98, igor.shuginin@yandex.ru,
https://orcid.org/0000-0002-9456-8275

Psychological aspects of obstetric and perinatal pathology

Keshchyan L.V., Lyalichkina N.A., Shuginin I.O.

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