NERVOUS AND VASCULAR ADAPTATION OF WOMEN WITH BENIGN TUMORS OF THE OVARIES AND OBSTETRIC AND PERINATAL COMPLICATIONS
DOI:
https://doi.org/10.11603/24116-4944.2021.2.12608Keywords:
vegetative-vascular dysfunction, pregnancy with benign ovarian neoplasmsAbstract
The aim of the study – to analyze the psycho-emotional state of women with benign ovarian tumors on the background of obstetric and perinatal complications.
Materials and Methods. We comprehensively examined 67 pregnant women with benign tumors and ovarian tumors that were detected before pregnancy or in the first trimester of gestation (main group) and 50 pregnant women without ovarian tumors and other severe gynecological or somatic pathology, who formed the control group. Vegetative-vascular characteristics, features of psycho-emotional state, personal and reactive anxiety, presence of signs of depression and quality of life in pregnant women were determined. With the help of the licensed program SPSS v.21 statistical processing of data entered in spreadsheets Excel –2010. In parallel with the search engines Pubmed, Google Scholar, Sciencedirect, Webcardio analysis of literature sources on this topic for the last 5 years.
Results and Discussion. Depressive states often occur as a reaction to illness, constant stress, and on the other hand can themselves be the cause of somatic manifestations and various complications. According to our data, according to the E. Beck scale, manifestations of depression are practically not observed in healthy women with a physiological course of pregnancy (90.0 %). While among patients with benign ovarian neoplasms signs of depression of varying severity are already noted by more than a third of patients (37.3 %, p<0.05), and among patients with gestational complications, the vast majority of 72.1 % vs. 24.5 % in the subgroup 2 (p<0.05). An even higher percentage of women in the main group showed a high level of situational anxiety, which corresponds to the level of stress and response to it at the moment: 40.3 % of patients in the main group against 22.0 % of women in the control group (p<0.05).
Conclusions. We found in pregnant women with benign ovarian tumors and gestational disorders a high frequency of severe manifestations of vegetative-vascular dysfunction syndrome.
References
Blokh, M.E., & Dobriakov, Y.V. (2013). Psikhologicheskaya pomoshch v kompleksnom podkhode k resheniyu problem reproduktivnogo zdorovya [Psychological assistance in an integrated approach to solving reproductive health problems]. Zhurnal akusherstva i zhenskikh bolezney – Journal of Obstetrics and Women's Diseases, 62, 3, 16-19 [in Russian].
Boichuk, O.H., Kolomiichenko, T.V., & Nsan Ekom Nsed, E. (2020). Psykhoemotsiinyi stan zhinok z vnutrishnopechinkovym kholestazom vahitnykh pislia zastosuvannia dopomizhnykh reproduktyvnykh tekhnolohii [Psycho-emotional state of women with intrahepatic cholestasis of pregnant women after the use of assisted reproductive technologies]. Zdorovia zhinky – Women's Health, 4 (150), 31-35. DOI: 10.15574/HW.2020.150.31.
Kamynskyi, V.V., Ventskovskaia, Y.B., Zhdanovych, A.Y., Vorobei, L.Y., & Kolomyichenko, T.V. (2020). Osobennosti psikhoemotsionalnogo sostoyaniya beremennykh s perinatalnymi poteryami v anamneze [Peculiarities of psychoemotional status of pregnant women with perinatal losses in the history]. «Psikhiatriya, psikhoterapiya i klinicheskaya psikhologiya – Psychiatry, Psychotherapy and Clinical Psychology, 11 (1), 66-74. DOI: https://doi.org/10.34883/PI.2020.11.1.006.
Kaminskyi, A.V. (2018). Psykholohichna adaptatsiia ta osoblyvosti syntezu melatoninu u zhinok z bezpdiddiam riznoho henezu [Psychological adaptation and peculiarities of melatonin synthesis in women with infertility of various genesis]. Zaporozhskiy meditsinskiy zhurnal – Zaporozhye Medical Journal, 20, 6 (111), 800-805. DOI: 10.14739/2310-1210.2018.6.146703.
Kaminskyi, V.V., Zhdanovych, O.I., Vorobei, L.I., Kolomiichenko, T.V., & Rohava, I.V. (2019). Perynatalni vtraty v anamnezi yak faktor porushennia adaptatsii ploda [Perinatal losses in anamnesis as a factor of fetus adaptation damage]. Reproduktyvna endokrynolohiia – Reproductive Endocrinology, 3 (47), 48-52. DOI: https://doi.org/10.18370/2309-4117.2019.47.48-52 [in Ukrainian].
Venger, O., Zhulkevych, I., & Mysula, Yu. (2021). Psychological and psychopathological features of patients with skin cancer. Georgian Medical News, 315 (6), 29-33.
Mukharovska, I.R., Markova, M.V., Krivonis, T.G., & Zhulkevych, I.V. (2020). Alhorytm otsinky simeinoho statusu rodyny z onkolohichnym patsiientom [Algorithm for assessment family status of families with cancer patient]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy – Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 1, 18-23. DOI: https://doi.org/10.11603/1681-2786.2020.1.11200 [in Ukrainian].
Solopova, A.G., Idrisova, L.E., Makatsariya, A.D., & Chukanova, Ye.M. (2017). Psikhosomatika i psikhoterapiya kak klyuch k effektivnoy reabilitatsii onkoginekologicheskikh bolnykh [Psychosomatics and psychotherapy as a key to effective rehabilitation of oncogynecological patients]. Akusherstvo, ginekologiya i reproduktsiya – Obstetrics, Gynecology and Reproduction, 11 (1), 65-73. DOI: https://doi.org/10.17749/2313-7347.2017.11.1.065-073.
Sukhanova, A.A., & Egorov, M.Yu. (2018). Rol hepatoprotektornoho ta venotonizuiuchoho likuvannia u profilaktytsi retsydyviv dobroiakisnykh i pohranychnykh pukhlyn yaiechnykiv pislia vykonannia konservatyvnykh orhanozberihalnykh operatsii [The role of hepatoprotective and venotonic treatment in the prevention of recurrence of benign and borderline ovarian tumors after performing conservative organ-sparing operations]. Zdorove zhenshchyny – Women's Health, 7, 89-95. DOI: 10.15574/HW.2018.133.89 [in Ukrainian].
Traylor, C.S., Johnson, J.D., Kimmel, M.C., & Manuck, T.A. (2020). Effects of psychological stress on adverse pregnancy outcomes and nonpharmacologic approaches for reduction: an expert review. Am. J. Obstet. Gynecol. MFM., 2 (4), 100229. DOI: 10.1016/j.ajogmf.2020.100229.
Garg, S., Kaur, A., Mohi, J.K., Sibia, P.K., & Kaur, N. (2017). Evaluation of IOTA simple ultrasound rules to distinguish benign and malignant ovarian tumours. J. Clin. Diagn. Res., 11 (8), TC06-TC09. DOI: 10.7860/JCDR/2017/26790.10353.
Giuntoli, R., Vang, R., & Bristow, R. (2006). Evaluation and management of adnexal masses during pregnancy. Clin. Obstet. Gynecol., 49 (3), 492-505. DOI: 10.1097/00003081-200609000-00009.
Glanc, P., Benacerraf, B., Bourne, T., Brown, D., Coleman, B.G., Crum, C., …, & Goldstein, S.R. (2017). First international consensus report on adnexal masses: management recommendations. J. Ultrasound. Med., 36 (5), 849-863. DOI: 10.1002/jum.14197.
Kelleher, C.M., & Goldstein, A.M. (2015). Adnexal masses in children and adolescents. Clin. Obstet. Gynecol., 58 (1), 76-92. DOI: 10.1097/GRF.0000000000000084.
Le, T., & Giede, C. (2018). No. 230-Initial evaluation and referral guidelines for management of pelvic/ovarian masses. J. Obstet. Gynaecol. Can., 40 (3), e223-e229. DOI: 10.1016/j.jogc.2018.01.016.
Lecompte, V., Richard-Fortier, Z., & Rousseau, C. (2017). Adverse effect of high migration stress on mental health during pregnancy: a case report. Arch. Women’s Ment. Health., 20 (1), 233-235. DOI: 10.1007/s00737-016-0671-z.
Nezhat, F.R., Apostol, R., Nezhat, C., & Pejovic, T. (2015). New insights in the pathophysiology of ovarian cancer and implications for screening and prevention. Am. J. Obstet. Gynecol., 213 (3), 262-267. DOI: 10.1016/j.ajog.2015.03.044.
Nunes, N., Ambler, G., Foo, X., Naftalin, J., Widschwendter, M., & Jurkovic, D. (2014). Use of IOTA simple rules for diagnosis of ovarian cancer: meta-analysis. Ultrasound. Obstet. Gynecol., 44 (5), 503-514. DOI: 10.1002/uog.13437.
Okun, M.L., Buysse, D.J., & Hall, M.H. (2015). Identifying insomnia in early pregnancy: validation of the Insomnia Symptoms Questionnaire (ISQ) in pregnant women. J. Clin. Sleep. Med., 11 (6), 645-654. DOI: 10.5664/jcsm.4776.
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