Ayubova T.K.¹, Shamaro T.A.²
¹ All-Russian Research Institute of Railway Hygiene, Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia
² City Clinical Hospital named after A.K. Eramishantsev, Moscow Healthcare Department, Moscow, Russia

Abstract. Background. Female reproductive health should be analyzed only in the context of medical and demographic situation. Health status of pregnant women, delivery outcomes and neonatal health are greatly determined by age/sex population structure, migration, vital statistics, socio-hygienic conditions, influence of occupational factors as well as social policy and healthcare organization.

Study purpose. To suggest and evaluate therapy and psychophysiology activities for pregnant women in a health resort.

Results. The main objective of sanatorium therapy is treatment of gynecological pathology of pregnant women and decrease in the number of women with pregnancy complications.

Complex of therapy activities in a health resort includes special diet, physiotherapy procedures, balneo and mud therapy, necessary drug therapy and regimen compliance. It was suggested to organize a department of psychological and physiological childbirth education for pregnant women. The authors analyzed psycho-emotional status of healthy pregnant women and women from risk group of habitual miscarriage.

The study showed that anxiety level varied even in healthy pregnant women. Anxiety level varied during gestation as well. In the first trimester the anxiety level was highest according to SAN methodology (well-being, activity, mood), and equaled to 30.9±4.7, followed by the decrease in the second trimester down to 12.75±8.8 and then increased again up to 29.0±5.7 conditional units in the third trimester.

Conclusions. Drug therapy combined with sanatorium procedures covered 85.7% pregnant women. Medical and social efficiency of therapy for pregnant women with obstetric and gynecological pathology who completed psychological and physiological childbirth education training courses contributed the fact that 87.7% of those who stayed at the health resort successfully delivered; 66.4% had uncomplicated deliveries; 37.8% after discharge from the maternity hospital were ready to plan giving birth another baby.

Keywords: pregnant woman; treatment; psychological and physiological childbirth education; delivery; health resort.

References

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