Associations of pregnancy loss and psychological state
Sveikata |
| Date |
|---|
2015 |
Šiandien apie poabortinį sindromą yra nemažai kalbama, tačiau patikimų, kliniškai pagrįstų tyrimų apie šio sindromo egzitavimą yra nedaug. Autoriai, teigiantys, kad poabortinis sindromas egzistuoja, daugiausia remiasi teoriniais teiginiais, moterų laiškais ir nuomonėmis. Remiantis moterų įvardintais išgyvenimais yra išskiriami poabortinio sindromo simptomai, kuriuos būtų galima suskirstyti į tris stambias dalis: psichologiniai, socialiniai ir fiziologiniai poabortinio sindromo simptomai. Tyrimą sudarė 20 moterų, patyrusių abortą, ir 20 moterų, turėjusių savaiminį persileidimą, apklausa. Atlikta moterų apklausa parodo, kad po nėštumo nutraukimo moterys jaučia ryškesnius psichologinius, socialinius ir fiziologinius sutrikimus nei moterys, patyrusios persileidimą. Remiantis šio tyrimo rezultatais ir teoriniais teiginiais galima daryti išvadą, kad būtina moteris informuoti apie aborto neigiamą įtaką moters psichikai.
Miscarriage and induced abortion are life events that can potentially cause mental distress. The objective of this study was literature review and to perform case study to determine whether there are any differences in the patterns of psychological symptoms after these two events and to point the importance of informed consent. In our study 20 women who experienced miscarriages and 20 women who underwent induced abortions were interviewed in Vilnius out patients clinics. We found that women who had pregnancy termination had more mental distress than women who experienced a miscarriage (guilty, anxiety, anger, episodes of crying etc). Women undergoing abortion had significantly more conflicts in their partnerships. Separation occurred in about one-quarter of all couples. In conclusion women who had undergone an abortion exhibited higher frequency of psychological symptoms than after miscarriage. Although an answer to the causal question is not readily discerned based on the data available, as more prospective studies with numerous controls are being published, indirect evidence for a causal connection is beginning to emerge. So we may consider that it is necessary still before induced abortion procedure to inform the couples about an increasing possibility of mental distress.