Study of the level of personal and situational anxiety in patients with full-term pregnancy on the eve of delivery
Relevance: Pregnancy and childbirth is an important stage in the life of not only the expectant mother and her family, but also the child being born. Well-known facts demonstrate a high dependence of the fetal state on the emotional mood of the mother and the level of her anxiety. A large number of factors, such as emotional experiences, hormonal disorders, deviations from the normal functions of organs and systems, cause a pregnant woman to experience fears and doubts, which has a direct or indirect impact on the health and life of the unborn child. According to numerous literature data, some pregnant women have a high level of anxiety that affects the condition of the fetus. Objective: Study the level of personal and situational anxiety in pregnant women with a gestation period of 37 weeks or more due to the influence of various disorders of somatic, reproductive and social health. Tasks: 1. Analyze the data of obstetric, gynecological, somatic and social anamnesis of the examined pregnant women; 2. Assess the level of situational anxiety in pregnant women with a gestation period of 37 weeks or higher; 3. Assess the level of personal anxiety of pregnant women in the study group; 4. Assess the influence of the number of factors aggravating the history on the level of personal anxiety. Methods: We used a questionnaire for self-assessment of the level of anxiety by CH. D. Spielberger modified by Yu. L. Khanin, as well as data from the medical history and exchange card of 40 pregnant women with a gestation period of 37 weeks or more. Based on the analysis of the survey results, the level of personal and situational anxiety of the subjects was determined. The influence of obstetric, gynecological, somatic and social anamnesis on the indicator of personal anxiety was studied. Data processing was performed using descriptive statistics methods. Results: According to the results of the study, it was found that high indicators of personal anxiety of pregnant women before childbirth are more common than similar indicators of situational anxiety. In the study sample, there were no women with a low level of personal anxiety. When analyzing the effect of the number of factors burdening the anamnesis, on indicators of trait anxiety found no direct relationship between the number of complicating medical history factors and increasing the level of personal anxiety. Conclusion: Anxiety is an inherent character trait of pregnant women, which in reasonable manifestations is a way of adaptation and protection. One of the most important roles of an obstetrician-gynecologist is to provide psychological training for women before the planned pregnancy, during its duration and in the postpartum period.