Changes in the psychological state of pregnant women with an allogenic fetus due to communication with a perinatal psychologist
DOI:
https://doi.org/10.15574/PP.2024.4(100).4250Keywords:
assisted reproductive technologies, allogeneic fetus, surrogacy, psychological state, state anxiety, trait anxiety, postnatal depressionAbstract
Aim - to determine psychological state changes of pregnant women with an allogeneic fetus after preventive and treatment measures performed by perinatal psychologist.
Materials and methods. The psychological state of 80 women participating in assisted reproductive technologies (ART) programs using donor oocytes with formation of allogeneic fetus was evaluated. They were divided into two groups: I - 40 women receiving pregravid and pregnancy management according to newly developed improved algorithm, II - 40 women whose management was carried out according to generally accepted algorithm. The improved algorithm included weekly meetings with perinatal psychologist working with cognitive-behavioral, body-oriented therapy techniques. The following questionnaires for psychological state assessment were offered: the Spielberger-Hanin questionnaire, a questionnaire for operative assessment of well-being, activity and mood, the Edinburgh Postnatal Depression Scale (EPDS).
Results. In the first group the proportion of women with high state anxiety level decreases significantly. The number of patients with high state and trait anxiety level in the third trimester, the EPDS score more than 9 points at 28 weeks of pregnancy and in postpartum period are lower in the first group compared to the second. Well-being and activity scores in second, third trimesters, mood scores in third trimester were significantly higher in patients of the first group compared to the second.
Conclusions. The implementation of psycho-corrective measures improves psychological state of pregnant women with an allogeneic fetus. Further research and implementation of effective methods are necessary.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the author.
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