Interrelation of vegetative disorders and sleep disorders in women — internally displaced persons with a threatened miscarriage | Український Медичний Часопис

Romanenko I.Yu.

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Публікації
Interrelation of vegetative disorders and sleep disorders in women — internally displaced persons with a threatened miscarriage

Interrelation of vegetative disorders and sleep disorders in women — internally displaced persons with a threatened miscarriage

4 березня 2019

804

Obstetrics and Gynecology

Neurology and Psychiatry

Romanenko I.Yu.

Спеціальності :

Obstetrics and Gynecology

Neurology and Psychiatry

Резюме

Aim — to identify the prevalence and severity of the vegetative disorders and sleep disorders in pregnant women with threatened miscarriage (TM) in the I and II trimesters living in the Luhansk region and having the status of internally displaced persons (IDP) to improve treatment and preventive measures and prevent obstetric and perinatal complications in such women. The object and methods of research. The study included 220 pregnant women in I and II trimesters who were hospitalized regarding TM in hospitals, located in the Luhansk region. IDPs were 48 (1st group), without IDP — 172 women (2nd group). The control (3rd) group consisted of 64 pregnant women with clear obstetric anamnesis and physiological course of pregnancy in I and II trimesters of pregnancy. A questionnaires for evaluating the subjective characteristics of sleep and autonomous nervous system disorders were used. Results. Indicators of autonomous nervous system disorders and sleep disorders in the examined groups were 77.1; 50.6 and 4.7% and 50.0; 20.9 and 0%, respectively. The prevalence of autonomous nervous system disorders in pregnant women with TM who have IDP status was in 16.4 times more often than in healthy pregnant women. Indicators of autonomous nervous system disorders and sleep disorders in this group significantly exceed the same data for women with TM and healthy pregnant women, which can be regarded as a manifestation of a stressful state. Conclusions. Antenatal study of levels of autonomic disorders and sleep disorders in pregnant women with TM and with IDP status allowed to individualize the approach to the management of pregnancy and if needed to develop timely rehabilitating activities, that will contribute to the successful outcome of the pregnancy and affect the health of the mother and the child.

Published: 04.03.2019

References:

Veyn A.M. (red.) (2003) Vegetativnyie rasstroystva. Klinika, diagnostika, lechenie. Meditsinskoe informatsionnoe agentstvo, Moskva, 752 s.
Veyn A.M., Eligulashvili T.S., Poluektov M.G. (2002) Sindrom apnoe vo sne i drugie rasstroystva dyihaniya, svyazannyie so snom: klinika, diagnostika, lechenie. Eydos Media, Moskva, 310.
Ministerstvo okhorony zdorovia Ukrainy (2008) Nakaz MOZ Ukrainy vid 03.11.2008 r. № 624 «Pro vnesennia zmin do nakazu MOZ Ukrainy vid 15 hrudnia 2003 roku № 582 «Pro zatverdzhennia klinichnykh protokoliv z akusherskoi ta hinekolohichnoi dopomohy», nakazu MOZ vid 31.12.2004 r. № 676 «Pro zatverdzhennia klinichnykh protokoliv z akusherskoi ta hinekolohichnoi dopomohy» (https://z-l.com.ua/upload//moz%20docs/624.pdf).
Ministerstvo okhorony zdorovia Ukrainy (2011) Nakaz MOZ Ukrainy vid 15.07.2011 r. № 417 «Pro orhanizatsiiu ambulatornoi akushersko-hinekolohichnoi dopomohy v Ukraini» (https://z-l.com.ua/upload//moz%20docs/417.pdf).
Poluektov M.G. (2015) Sindrom vegetativnoy distonii i rasstroystva sna. Effektivnaya farmakoterapiya. Nevrol. psihiatr., 53: 36–43.
Ryibalka A.N. (2011) Psihologicheskaya adaptatsiya zhenschin vo vremya beremennosti i posle rodov. Zdorove Ukrainyi, 3(42): 44–49.
Alihosseini E., Najar Sh., Haghighizadeh M.H. (2017) The relationship between sleep disorders during pregnancy and miscarriage. Jundishapur. J. Chronic Dis. Care, 6(2): e41340.
Basishvili T., Eliozishvili M., Maisuradze L. et al. (2012) Insomnia in a displaced population is related to war-associated remembered stress. Stress Health, 28(3): 186–192.
Hashmi A.M., Bhatia S.K., Bhatia S.K., Khawaja I.S. (2016) Insomnia during pregnancy: diagnosis and rational interventions. Pak. J. Med. Sci., 32(4): 1030–1037.
LeMaster J.W., Broadbridge C.L., Lumley M.A. et al. (2018) Acculturation and post-migration psychological symptoms among Iraqi refugees: a path analysis. Am. J. Orthopsychiatry, 88(1): 38–47.
Mindell J.A., Cook R.A., Nikolovski J. (2015) Sleep patterns and sleep disturbances across pregnancy. Sleep Med., 16(4): 483–488.
Nodine P.M., Matthews E.E. (2013) Common sleep disorders: management strategies and pregnancy outcomes. J. Midwifery Womens Health, 58(4): 368–377.
Palagini L., Gemignani A., Banti S. et al. (2014) Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med., 15(8): 853–859.
Sharma S.K., Nehra A., Sinha S. et al. (2016) Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study. Sleep Breath, 20(1): 87–93.