Condition of State and Trait Anxiety in Pregnant Women with Fetal Malformations

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Abstract


Objective: Our aim was to assess the level of state and trait anxiety, and the level of tolerated stress in pregnant women with fetus malformations.


Methods: A controllled non-randomized clinical study with sequential inclusion of participants was carried out. Psychoemotional status of pregnant women was assessed by Spielberger anxiety scale, with identification of state and trait anxiety, as well as on the basis of medical history data. Pregnant women were divided into 2 groups. Control group — 20 women with physiological gestation course without any fetus malformations and absence of stress situations in medical history. Main group — 40 women with fetus malformations, presence of long stressful situations in medical history, starting from early gestation period.

Results: 60 women aged 20–37 years old, at the pregnancy age of 20–38 weeks were examined by ultrasound with assessment anatomy of the fetus. Comparative analysis of the psychological and emotional status of pregnant women from both groups indicated significant increase of the state and trait anxiety level in the main group of women compared to the control in the average grew from 30.80±1.47 to 48.13±3.84 (p <0.001) and from 32.35±1.45 to 50.25±3.40 (p <0.001) respectively.

Conclusion: The identified high level of state and trait anxiety in pregnant women with fetus malformations allows concluding that maternal stress is a potential risk factor for generation of intrauterine malformations of the fetus. This serves as a basis to recommend corresponding prophylactic, anti-stress measures should be taken during such pregnancy, especially at early stages, when fetus tissues formation process is taking place.


A. D. Khudaverdyan

Yerevan State Medical University n.a. M. Heratsi, Yerevan, Armenia

Author for correspondence.
Email: anna.khudaverdyan2@mail.ru

Russian Federation

кандидат медицинских наук, доцент кафедры акушерства и гинекологии № 2 Ереванского государственного медицинского университета им. М. Гераци Адрес: 0025, Ереван, Армения, ул. Корюна, д. 2, тел.: +374 (60) 62-12-21

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