SUBSTANTIATION OF PSYCHOTHERAPEUTIC CORRECTION OF CONSEQUENCES OF SEVERE OBSTETRIC COMPLICATIONS IN THE PATIENTS, WHO NEARLY DIED (“NEAR MISS”)

Abstract

Purpose: To substantiate the necessity of personality-centered psychocorrective program of rehabilitation for the patients, who underwent critical obstetric conditions that nearly ended in fatal outcome (“near miss”).Materials and methods: 85 women, who underwent critical obstetric conditions and had psychotraumatic experience of the first labor (PTEL) with different variants of reproductive losses, were examined. Determination of socio-psychological profile, monitoring of gestation course.Results. The course and outcome of pregnancy in the group of patients with the loss of fetus, but with the preservation of a reproductive function, showed high clinical efficiency of the performed psychocorrective program of rehabilitation together with obstetric monitoring based on the strategy of perinatal risk.Summary. The determination of socio-psychological profile of the patients, who underwent critical obstetric conditions, specifies the orientation of the personality-centered psychotherapeutic program, which reduces negative consequences of psychotraumatic experience of the first labor. Optimization of the relation of psychogestational dominant types in the group of patients, who preserved the reproductive function, forms favourable attitude to realize it and assists in successful termination of wanted pregnancy.

Keywords

• critical obstetric conditions
• psychotraumatic experience of the first labor
• reproductive losses
• medical and psychological aid