Клинический разбор в общей медицине (Aug 2024)
Psychotherapeutic diagnosis and psychocorrection as a method for diagnosis and treatment of threatened miscarriage
Abstract
The global prevalence of preterm labor (PL) is 6-12%. Despite the large number of studies focused on exploring the options for diagnosis and prevention of PL, there are currently no methods of absolute diagnostic or prognostic value. Methods. The authors of the paper have developed a psychotherapeutic diagnosis and psychocorrection method (PDPM) for the diagnosis of obstetric and neonatal complications, including threatened miscarriage (TM), PL based on psychotherapeutic criteria and for psychocorrection of women’s disorders, which have been used since 2003 and was amended in 2010, at the Perinatal Center in Saratov. Results and discussion. PDPM makes it possible to recognize the disorders in individuals having abnormalities associated with pregnancy and labor, especially at the early stage of the disorder development, when the emerging disorder cannot be detected by standard assessment methods, helps to find the cause of pathological changes, especially in cases when the use of standard therapy has no significant therapeutic effect, perform psychotherapeutic correction of the disorder in the way most positive for mother, fetus, and the newborn, including reducing the consequences in cases of preterm labor. The advantages of PDPM are rapidity, the lack of various equipment, the fact that the diagnosis engages a pregnant woman, puerpera in adjustment of her condition, the fact that PDPM can be used in emergency, stationary, and extreme situations, before and after surgery, in cases of hemorrhage, acute intrauterine hypoxia, and in other cases. PDPM is based on the woman’s subjective assessment of her condition. Conclusion. PDPM can be the main method for diagnosis and treatment of TM, obstetric, neonatal complications; the method can also be combined with conventional treatment and diagnosis measures in pregnancy. The lack of the earlier reported psychotherapeutic criteria during repeated application of PDPM suggests the effectiveness of TM treatment and the lack of obstetric and neonatal complications in the future.
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