Effect of individualized psychological interventions on the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion.

OBJECTIVE

To investigate the effects of individualized psychological interventions on the psychological state and pregnancy outcomes of patients experiencing recurrent spontaneous abortion (RSA).

METHODS

This was a retrospective study. Eighty-eight patients with RSA treated at Langfang TCM Hospital from December 2022 to December 2023 were selected as study subjects. They were randomly divided into a control group, which received standard nursing care, and an intervention group, which underwent individualized psychological interventions. The psychological states and pregnancy outcomes of patients in both groups were compared through assessments of anxiety and depression scores, quality of life, recurrence rate of miscarriage, newborn Apgar scores, and patient satisfaction.

RESULTS

Before the intervention, no significant difference was observed in the baseline characteristics between the two groups(P>0.05). After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores in the intervention group were significantly lower than those in the control group, respectively. The quality of life scores were all higher in the intervention group than in the control group. The recurrence rate of miscarriage in the intervention group (4.55%) was significantly lower than that in the control group (18.18%). The Apgar scores of newborns at birth, one minute after birth, and five minutes after birth were all higher in the intervention group. The satisfaction rate of the intervention group was significantly higher than that of the control group, with all differences being statistically significant(<0.05).

CONCLUSION

Individualized psychological interventions can effectively improve the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion.