PSYCHOLOGICAL FACTORS OF HEALTHY PREGNANCY MAINTENANCE IN WOMEN WITH HIV INFECTION
DOI: 10.23951/2307-6127-2020-5-157-163
The study is devoted to the urgent problem of identifying psychological factors for pregnancy maintenance in women who are pregnant having special somatic conditions (HIV infection). During the research a comparative analysis of indicators of the psycho-emotional state, the motives for maintaining pregnancy, women’s attitude towards themselves and their perceived health status between groups of women with physiologically normal pregnancy and with the threatened miscarriage was conducted. The psychological factors of maintaining a healthy pregnancy in women with HIV infection were established. At the level of clinical indicators, these were the absence of abortions and missed pregnancies in medical history. At the level of social indicators, the factor was a registered marriage as a marital status. At the level of psychological indicators – the absence of depressive mood, of high aggressiveness and frustration; acceptance of the pregnancy; rejection of the motive for pregnancy maintenance characterized by the desire to achieve a new social status and satisfy the need for love, support, attention and care; high value of oneself and high value of the child himself/herself; high assessment of the health status and the bodily resources for healing. The results can be used to develop a differentiated program to prevent the development of the threated miscarriage in women with HIV infection for antenatal clinics of maternity hospitals and center for AIDS prevention and control.
Keywords: psycho-emotional and personal characteristics of pregnant women, psychological factors of pregnancy maintenance, HIV infection, threatened miscarriage
References:
1. Alekhina A. G., Blesmanovich A. E., Petrov Yu. A. Beremennost’, rody, sostoyaniye ploda i novorozhdennogo u materei s VICh-infektsiey [Pregnancy, childbirth, fetal and newborn status of mothers with HIV infection]. Sovremennye problem nauki i obrazovaniya – Modern Problems of Science and Education, 2018, no. 3, p. 2 (in Russian).
2. Mel’nikov A. S., Rukoyatkina E. A., Fonden R. A., Latyshevа I. B. Zhenshhina i VICh-infektsiya, sovremennoye sostoyaniye problemy [Women and HIV infection, current state of the problem]. Pediatr – Pediatrician, 2015, no. 6 (1), pр. 5–10 (in Russian).
3. Belokoneva T. S., Tezikov Yu. V., Lipatov I. S., Agafonova O. V. Retrospektivnyy analiz techeniya beremennosti i eyo iskhodov u zhenshchin s VICh-infektsiey [Retrospective analysis of pregnancy and its outcomes in women with HIV infection]. Tavricheskiy mediko-biologicheskiy vestnik, 2018, no. 21 (2-2), pр. 14–19 (in Russian).
4. Belotserkovtseva L. D., Kovalenko L. V., Tefnants N. A., Kasparova A. E. Osobennosti kompleksnogo podkhoda k vedeniyu beremennykh s VICh. Metody profilaktiki vertikal’noy peredachi infektsii [Features of a comprehensive approach to the management of pregnant women with HIV. Methods for preventing vertical transmission of infection]. Vestnik Ural’skoy meditsinskoy akademicheskoy nauki – Journal of Ural Medical Academic Science, 2016, no. 2 (57), pp. 75–83 (in Russian).
5. Kozyrina N. V., Ladnaya N. N., Narsiya R. S. Puti eliminatsii vertikal’noy peredachi VICh-infektsii [Ways to eliminate vertical transmission of HIV infection]. Zhurnal mikrobiologii, epidemiologii i immunobiologii – Journal of Microbiology, Epidemiology and Immunobiology, 2018, no. 6, pp. 18–25 (in Russian).
6. Zavalko A. F., Kotel’nikov V. V. Puti profilaktiki vertikal’noy peredachi VICh-infektsii ot materi k plodu (obzor literatury) [Ways to prevent vertical transmission of HIV infection from mother to fetus (literature review)]. Vestnik novykh meditsinskikh tekhnologiy – Journal of new Medical Technologies, 2016, no. 23 (4), pр. 287–293 (in Russian).
7. Kadyrova A. F., Lunchenkov N. Yu., Bardovskiy S. P. Vliyaniye polozhitel’nogo VICh-statusa zhenshchiny na resheniye o sokhranenii ili preryvanii beremennosti [The impact of a woman’s positive HIV status on the decision to continue or terminate a pregnancy]. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta – Bulletin of Russian State Medical University, 2015, no. 2, pp. 40–41 (in Russian).
8. Kuftyak E. V. Vzaimosvyaz’ depressivnoy simptomatiki i koping-povedeniya u zhenshchin s oslozhnennym techeniyem i iskhodom beremennosti [Relationship between depressive symptoms and coping behavior in women with complicated pregnancy course and outcome]. Meditsinskiy vestnik Severnogo Kavkaza – Medical News of the North Caucasus, 2017, vol. 12, no. 1, pp. 60–62 (in Russian).
9. Novikova O. N., Shvets E. M. Sotsial’nyy portret VICh-infitsirovannoy beremennoy zhenshchiny [Social portrait of an HIV-infected pregnant woman]. Voprosy ginekologii, akusherstva i perinatologii – Gynecology, Obstetrics and Perinatology, 2018, vol. 17, no. 2, pp. 16–22 (in Russian).
10. Niauri D. A., Petrova N. N., Sultanbekova L. N. Psikhicheskaya adaptatsiya VICh-infitsirovannoy zhenshchiny pri beremennosti [Significance of social and reproductive factors in mother-to child transmission of HIV]. Vestnik Sankt-Peterburgskogo universiteta. Seriya 11: Meditsina – Vestnik SPbSU. Medicine, 2006, no. 1, pp. 38–46 (in Russian).
11. Magdenko O. V., Stoyanova I. Ya. Teoretiko-metodologicheskiye podkhody k issledovaniy u materinskoy rolevoy identichnosti u zhenshchin v period beremennosti [Theoretical and methodological approaches to the study of maternal role identity in women during pregnancy]. Vestnik Novosibirskogo gosudarstvennogo universiteta. Seriya: Psikhologiya, 2014, vol. 8, no. 2, pp. 139–144 (in Russian).
Issue: 5, 2020
Series of issue: Issue 5
Rubric: PSYCHOLOGY
Pages: 157 — 163
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