Psychoemotional disorders in pregnant women and women in childbirth. Analytical review and practical aspects of the problem in Ukraine
DOI:
https://doi.org/10.15574/PP.2023.96.100Keywords:
psychoemotional disorders, pregnant women, perinatal complications, obstetric complications, gestational complications, adverse behavioral changes, exacerbation of mental disorders, stress disorderAbstract
Psychoemotional disorders during pregnancy significantly affect the health of the mother and fetus.
Purpose - to provide an analytical review of available sources on the impact of psycho-emotional stress disorders in pregnant women on the health of the mother and fetus to improve the provision of medical care to this population category.
Among the negative consequences, the consequences in the mental and medical spheres should be divided. In the medical field, gestational complications are noted, for example, premature birth, obstetric complications, the most common of which are preeclampsia, eclampsia, anemia, gestational diabetes, placenta previa, vaginal bleeding, and consequences for the fetus, most often low weight and developmental delay in cardiovascular, nervous system, organs of vision.
Among the psycho-emotional effects on the mental sphere, groups are divided: exacerbation of an existing disease, the appearance of new disorders, most often post-traumatic stress disorder, and negative consequences due to changes in behavior, for example, child care and the use of psychoactive substances. It has been proven that negative perinatal consequences occur precisely in the presence of stress disorders, and are less pronounced, for example, in depression.
During the war in Ukraine, Ukrainians were exposed to excessive stress. This is especially noticeable among vulnerable sections of the population, such as pregnant women. This category of persons is in the field of action of obstetrician medical workers, who often lack time to properly assess mental disorders and refer patients to psychiatric specialists. Another problem is stigma - a prejudiced attitude towards specialists in the field of health care.
Currently, there is quite limited data on psychoemotional disorders in pregnant women and women in labor. This literature review provides data from world literature and describes the peculiarities of the organization of assistance in the field of health care in Ukraine during the war.
No conflict of interests was declared by the authors.
References
Bezsheiko V. (2016). Adaptatsiia Shkaly dlia klinichnoi diahnostyky PTSR ta opytuvalnyka "Perelik symptomiv PTSR" dlia ukrainskoi populiatsii. Psykhosomatychna medytsyna ta zahalna praktyka. 1(1): e010108.
Gibson-Helm M et al. (2015). Maternal health and pregnancy outcomes comparing migranі women born in humanitarian and nonhumanitarian source countries: a retrospective, observational study. Birth. 42: 116-124. https://doi.org/10.1111/birt.12159; PMid:25864573
Theodora M, Antsaklis P, Michala L, Lolos M, Kalambalikis A, Koutroumanis P et al. (2019). Perinatal outcomes among immigrants and refugees in comparison with Greek population in a tertiary university hospital in Greece. J Perinat Med. 47: eA126-326.
Liu C, Ahlberg M, Hjern A, Stephansson O. (2019). Perinatal health of refugee and asylum-seeking women in Sweden 2014-17: a register-based cohort study. Eur J Public Health. 19: 1048-1055. https://doi.org/10.1093/eurpub/ckz120; PMid:31274154 PMCid:PMC6896976
Agbemenu K, Auerbach S, Murshid NS, Shelton J, AmutahOnukagha N. (2019). Reproductive health outcomes in African refugee women: a comparative study. J Womens Health. 28: 785-793. https://doi.org/10.1089/jwh.2018.7314; PMid:30767694 PMCid:PMC6909669
Khan S, Yao Z, Shah B. (2017). Gestational diabetes care and outcomes for refugee women: a population-based cohort study. Diabet Med. 34: 1608-1614. https://doi.org/10.1111/dme.13440; PMid:28779484
Coussons-Read ME, Lobel M, Carey JC, Kreither MO, D'Anna K, Argys L et al. (2012). The occurrence of preterm delivery is linked to pregnancy-specific distress and elevated inflammatory markers across gestation. Brain Behav Immun. 26(4): 650-659. https://doi.org/10.1016/j.bbi.2012.02.009; PMid:22426431 PMCid:PMC4462138
Pare-Miron V, Czuzoj-Shulman N, Oddy L et al. (2016). Effect of borderline personality disorder on obstetrical and neonatal outcomes. Womens Health. 26: 190-195. https://doi.org/10.1016/j.whi.2015.11.001; PMid:26718528
Witt WP, Wisk LE, Cheng ER et al. (2012). Preconception mental health predicts pregnancy complications and adverse birth outcomes: a national population-based study. Matern Child Health J. 16: 1525-1541. https://doi.org/10.1007/s10995-011-0916-4; PMid:22124801 PMCid:PMC3605892
Thornton D, Guendelman S, Hosang N. (2010). Obstetric complications in women with diagnosed mental illness: the relative success of California's county mental health system. Health Serv Res. 45: 246-264. https://doi.org/10.1111/j.1475-6773.2009.01058.x; PMid:19878345 PMCid:PMC2813447
Hizkiyahu R, Levy A, Sheiner E. (2010). Pregnancy outcome of patients with schizophrenia. Am J Perinat. 27: 19-23. https://doi.org/10.1055/s-0029-1225529; PMid:19565434
Wangel AM, Molin J, Moghaddassi M et al. (2011). Prior psychiatric inpatient care and risk of cesarean sections: a registry study. J Psychosom Obstet Gynecol. 32: 189-197. https://doi.org/10.3109/0167482X.2011.626940; PMid:22040006
Sydsjö G, Möller L, Lilliecreutz C et al. (2015). Psychiatric illness in women requesting caesarean section. BJOG. 122: 351-358. https://doi.org/10.1111/1471-0528.12714; PMid:24628766 PMCid:PMC4322480
Lassi ZS, Imam AM, Dean SV et al. (2014). Preconception care: screening and management of chronic disease and promoting psychological health. Reprod Health. 11: S5. https://doi.org/10.1186/1742-4755-11-S3-S5; PMid:25415675 PMCid:PMC4196564
Szegda K, Markenson G, Bertone-Johnson ER et al. (2014). Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature. J Matern Fetal Neonatal Med. 27: 960-967. https://doi.org/10.3109/14767058.2013.845157; PMid:24044422 PMCid:PMC4812822
Weobong B, ten Asbroek AH, Soremekun S et al. (2014). Association of antenatal depression with adverse consequences for the mother and newborn in Rural Ghana: fndings from the DON population-based cohort study. PLoS ONE. 9: e116333. https://doi.org/10.1371/journal.pone.0116333; PMid:25549334 PMCid:PMC4280205
Grote NK, Bridge JA, Gavin AR et al. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 67: 1012-1024. https://doi.org/10.1001/archgenpsychiatry.2010.111; PMid:20921117 PMCid:PMC3025772
Gelenberg AJ, Dunner DL, Rothschild AJ et al. (2013). Sexual functioning in patients with recurrent major depressive disorder enrolled in the PREVENT study. J Nerv Ment Dis. 201: 266-273. https://doi.org/10.1097/NMD.0b013e318288d298; PMid:23538970
Sujan AC, Rickert ME, Öberg AS et al. (2017). Associations of maternal antidepressant use during the frst trimester of pregnancy with preterm birth, small for gestational age, autism spectrum disorder, and attention-defcit/hyperactivity disorder in ofspring. JAMA. 317: 1553-1562. https://doi.org/10.1001/jama.2017.3413; PMid:28418479 PMCid:PMC5875187
Prady SL, Hanlon I, Fraser LK et al. (2018). A systematic review of maternal antidepressant use in pregnancy and short-and long-term ofspring's outcomes. Arch Womens Ment Health. 21: 127-140. https://doi.org/10.1007/s00737-017-0780-3; PMid:29027013 PMCid:PMC5856864
MOZ Ukrainy. (2022). Standarty medychnoi dopomohy «Normalna vahitnist». Klinichnyi protokol. Nakaz Ministerstva okhorony zdorov'ia Ukrainy vid 9 serpnia 2022 roku No.1437.
Saigal S, Doyle LW. (2008). An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet. 371(9608): 261-269. https://doi.org/10.1016/S0140-6736(08)60136-1; PMid:18207020
Van Iersel PAM, Algra AM, Bakker SCM, Jonker AJH, Hadders-Algra M. (2016). Limitations in the Activity of Mobility at Age 6 Years After Difficult Birth at Term: Prospective Cohort Study. Phys Ther. 96(8): 1225-1233. https://doi.org/10.2522/ptj.20150201; PMid:26847013
Miller SL, Huppi PS, Mallard C. (2016). The consequences of fetal growth restriction on brain structure and neurodevelopmental outcome. J Physiol. 594(4): 807-823. https://doi.org/10.1113/JP271402; PMid:26607046 PMCid:PMC4753264
Gimbel LA, Blue NR, Allshouse AA, Silver RM, Gimbel B, Grobman WA et al. (2022). Pregnancy outcomes and anxiety in nulliparous women. The Journal of Maternal-Fetal & Neonatal Medicine. 35: 25. https://doi.org/10.1080/14767058.2021.1998441; PMid:34747312 PMCid:PMC9097789
Cook N, Ayers S, Horsch A. (2018). Maternal posttraumatic stress disorder during the perinatal period and child outcomes: A systematic review. Journal of affective disorders. 225: 18-31. https://doi.org/10.1016/j.jad.2017.07.045; PMid:28777972
Haagen JF, Moerbeek M, Olde E, van der Hart O, Kleber RJ. (2015). PTSD after childbirth: A predictive ethological model for symptom development. Journal of affective disorders. 185: 135-143. https://doi.org/10.1016/j.jad.2015.06.049; PMid:26172985
Stramrood CA, Paarlberg KM, Huis In't Veld EM, Berger LW, Vingerhoets AJ, Schultz WC, van Pampus MG. (2011). Posttraumatic stress following childbirth in homelike and hospital settings. Journal of psychosomatic obstetrics and gynaecology. 32(2): 88-97. https://doi.org/10.3109/0167482X.2011.569801; PMid:21557681
Ayers S, Bond R, Bertullies S, Wijma K. (2016). The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework. Psychological medicine. 46(6): 1121-1134. https://doi.org/10.1017/S0033291715002706; PMid:26878223
Grekin R, O'Hara MW. (2014). Prevalence and risk factors of postpartum posttraumatic stress disorder: a meta-analysis. Clinical psychology review. 34(5): 389-401. https://doi.org/10.1016/j.cpr.2014.05.003; PMid:24952134
Yildiz PD, Ayers S, Phillips L. (2017). The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis. Journal of affective disorders. 208: 634-645. https://doi.org/10.1016/j.jad.2016.10.009; PMid:27865585
Fuglenes D, Aas E, Botten G, Qian P, Kristiansen IS. (2011). Why do some pregnant women prefer cesarean? The influence of parity, delivery experiences, and fear. American journal of obstetrics and gynecology. 205(1): 45.e1-45.e459. https://doi.org/10.1016/j.ajog.2011.03.043; PMid:21620366
Graham AM, Rasmussen JM, Entringer S, Ben Ward E, Rudolph MD, Gilmore JH et al. (2019). Maternal Cortisol Concentrations During Pregnancy and Sex-Specific Associations With Neonatal Amygdala Connectivity and Emerging Internalizing Behaviors. Biological psychiatry. 85(2): 172-181. https://doi.org/10.1016/j.biopsych.2018.06.023; PMid:30122286 PMCid:PMC6632079
Forgash C, Leeds A, Stramrood C, Robbins A. (2013). Case Consultation: Traumatized Pregnant Woman. Journal of EMDR Practice and Research. 7: 45-49. https://doi.org/10.1891/1933-3196.7.1.45
Baas MAM, van Pampus MG, Braam L, Stramrood CAI, de Jongh A. (2020). The effects of PTSD treatment during pregnancy: Systematic review and case study. European Journal of Psychotraumatology. 11(1): Article 1762310. https://doi.org/10.1080/20008198.2020.1762310; PMid:33029304 PMCid:PMC7473051
Megnin-Viggars O, Mavranezouli I, Greenberg N, Hajioff S, Leach J. (2019). Post-traumatic stress disorder: what does NICE guidance mean for primary care? Br J Gen Pract. 69(684): 328-329. https://doi.org/10.3399/bjgp19X704189; PMid:31249072 PMCid:PMC6592320
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