Mamdova G M, Zhakhmalova I A, Makashvili L G
Georgian Med News. 2009 Jan(166):17-21.
Preparation for delivery lies in the mother's psychological comfort in the birth process. The mother's mood during pregnancy can impact on the development of the baby both during pregnancy and after birth. Assessing women for psychosocial risk factors and symptoms of distress gives the opportunity to provide appropriate services during regular pregnancy checks. To investigate the effect of psychological suggestion therapy on the birth process, a specially designed, prospective study of psychological suggestion ("insubstantial comfort") was undertaken in 208 pregnant women. In this paper a model of psychological preparation of pregnant women is analyzed. Antenatal psychosocial assessment may increase the clinician's awareness of psychosocial risk. The antenatal care training was very effective in reducing the impact of stress on pregnant women. Introduction of modern methods of an estimation of the psychological status of pregnant women has allowed using the differentiated approach for labour. Our results demonstrate the necessity of psychological help for pregnant women with the purpose of preservation their reproductive health. The investigation showed that the complex of psychological preparation for delivery normalizes psycho emotional status, decreases the quantity of complication of pregnancy and labour. Further studies with better sample size and statistical power are required to further explore this important public health issue.
分娩准备在于母亲在分娩过程中的心理舒适度。母亲孕期的情绪会对胎儿孕期及产后的发育产生影响。评估女性的心理社会风险因素和痛苦症状，能让我们有机会在常规孕期检查时提供适当的服务。为了研究心理暗示疗法对分娩过程的影响，我们对208名孕妇进行了一项专门设计的心理暗示（“虚幻安慰”）前瞻性研究。本文分析了孕妇心理准备的模式。产前心理社会评估可能会提高临床医生对心理社会风险的认识。产前护理培训在减轻压力对孕妇的影响方面非常有效。引入评估孕妇心理状态的现代方法，使得我们能够采用差异化的分娩方法。我们的结果表明，为了维护孕妇的生殖健康，有必要为其提供心理帮助。调查显示，分娩心理准备综合措施能使心理情绪状态正常化，减少孕期和分娩并发症的数量。需要进行样本量更大、统计效力更强的进一步研究，以进一步探索这一重要的公共卫生问题。
