Zheleznyakov O. Yu., Lazurenko V. V., Kravchenko O. I.

PSYCHO-EMOTIONAL STATE OF PREGNANT WOMEN WITH OBESITY AND GESTATIONAL DIABETES MELLITUS IN THE CONDITIONS OF MILITARY AGGRESSION

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About the author:

Zheleznyakov O. Yu., Lazurenko V. V., Kravchenko O. I.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Military aggression, which has been ongoing in Ukraine for almost three years, is a significant stress factor that negatively affects the condition of pregnant women, fetuses, and newborns. A stressful situation can cause a range of negative consequences during pregnancy and childbirth, increase the number of complications for the mother and the newborn. Therefore, determining the psycho-emotional state of pregnant women in the conditions of military aggression is an important task, especially if the woman has somatic pathology. We conducted a study of 74 women with obesity and gestational diabetes mellitus (main group) and 30 pregnant women without obstetric and somatic pathology (control group). The psycho-emotional state was determined using the GAD-7 questionnaire, and an addition to it in the form of a short form of the questionnaire (7 questions) proposed by us for the assessment of the psycho-emotional state (PES-7). We found that pregnant women with gestational diabetes mellitus and obesity exhibited all the signs of anxiety disorders, among which the most common were irritation (95.9%), worrying (82.4%), inability to relax (79.7%), sleep disturbances (89.1%), rapid fatigue (72.9%), changes in appetite (91.9%). The results of the seminars conducted by the School of Responsible Parenting demonstrated their effectiveness, especially in pregnant women with gestational diabetes mellitus and obesity in conditions of martial law, in which a high level of anxiety and psycho-emotional tension is determined. Thus, in pregnant women with gestational diabetes mellitus and obesity, the assessment of primary anxiety and psycho-emotional disorders using the GAD-7 + PES-7 scales allows for timely detection of violations, referral to specialists for consultation and, if necessary, the implementation of therapeutic and preventive measures.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 3, 174, 133-140 pages, index UDC 618.3-06:616.379-008.64]-056.257:616.891.6

DOI:

10.29254/2077-4214-2024-3-174-133-140