Porozhanova V, Boiadzhieva M
Akush Ginekol (Sofiia). 1995;34(3):9-12.
Extramarital pregnancies among adolescent girl is not only an obstetrical, but also a socio-psychological problem. By use of special methods (questionnaires, a scala for gravity of psycho-social stress. Eysenck's [correction of Isenk's] test and self score diagnostic test), 63 adolescent pregnant girls were studied aged 13-16, of which 33 delivered and 30 terminated their pregnancies at will. Almost half of the girls were gypsies with little or no education and relatively healthy live style. In 70% of the cases family climate was saturated with conflicts. 48% of the pregnant girls accepted their pregnancy calmly, in 79% of the cases it was decided, 87% of the girls expected to marry the father of their children, and in 30% the children were left for adoption. 33% of the patient were victims of rape and had negative relationship towards their pregnancy. In 41% the pregnant women exhibited introversion and in 38%--extroversion and in those who delivered the ratio was almost the same In this same group moderate to intense stress was almost the rule, while among those who terminate their pregnancies light stress was observed. Neurotic tendencies among those who delivered was also observed, likely due to the reaction towards the process of difficult adaptation to the fact of the extramarital delivery. In the studied group we didn't observe extreme cases of social disadaptation reached crises of the pregnancy, abortion or delivery
青春期少女的婚外怀孕不仅是一个产科问题,也是一个社会心理问题。通过使用特殊方法(问卷调查、心理社会压力严重程度量表、艾森克测试和自我评分诊断测试),对63名年龄在13至16岁的青春期怀孕女孩进行了研究,其中33人分娩,30人自行终止妊娠。几乎一半的女孩是吉普赛人,受教育程度很低或没有受过教育,生活方式相对健康。在70%的案例中,家庭氛围充满冲突。48%的怀孕女孩平静地接受了自己的怀孕,79%的案例做出了决定,87%的女孩期望与孩子的父亲结婚,30%的孩子被送去领养。33%的患者是强奸受害者,对自己的怀孕持消极态度。41%的孕妇表现出内向,38%表现出外向,分娩者中的比例几乎相同。在同一组中,中度至重度压力几乎是常态,而在终止妊娠的人中观察到轻度压力。分娩者中也观察到神经质倾向,这可能是由于对婚外分娩这一事实难以适应的过程的反应。在研究组中,我们没有观察到社会适应不良达到怀孕、堕胎或分娩危机的极端案例。