Reproductive health of woman最新文献

{"title":"Prediction of the healing efficiency of episiotomy wounds using hydrogel dressings with lidocaine","authors":"M. Liashko, D. Govsieiev","doi":"10.30841/2708-8731.1.2024.300855","DOIUrl":"https://doi.org/10.30841/2708-8731.1.2024.300855","url":null,"abstract":"The objective: to study the factors affecting the healing process of an episiotomy wound and the effectiveness of using hydrogel dressings with lidocaine for its healing.Materials and methods. The prospective randomized study includes the analysis of anamnestic data from the medical cards of 123 primiparous women with episiotomy wounds who gave birth in the Kyiv City Maternity Hospital No. 5 during 2021–2022. The women were divided into two groups: a comparison group – 63 patients who received standard treatment, and a research group – 60 patients who additionally used hydrogel dressings with lidocaine on the wound.The healing of episiotomy wounds was evaluated according to the REEDA scale. Factors that may influence episiotomy wound healing were studied in patients of both groups: anthropometric indicators (age, height, body mass index), interventions during childbirth, and indicators of obstetric and gynecological history (term of gestation, volume of blood loss during childbirth, body weight of the newborn, etc.). Statistical analysis was performed using the Fisher, Mann–Whitney, Student and chi-square tests of the statistical package EZR v. 1.54.Results. Age (p=0.689) and body mass index (p=0.974) of patients in both groups did not show statistically significant differences. The duration of the second period of labor on average was 72 min (57.6–86.4) in the comparison group versus 43.2 min (28.8–57.6) in the research group with a statistically significant difference (p<0.001). No statistically significant differences were found between the two groups regarding the term of delivery, the volume of blood loss, the weight of the newborn, the risk of pregnancy loss, the frequency of labor induction, the weakness of labor activity, manual revision of the uterine cavity, and vacuum extraction of the fetus. The frequency of use of different types of anesthesia during childbirth also did not differ (р=0.396).REEDA scale assessment revealed a reduced risk of high sum scores in the research group (odds ratio (OR) = 0.16, 95% confidence interval (CI): 0.07–0.38), that supports the efficacy of hydrogel dressings with lidocaine. Analysis of the duration of the second labor period and gestational term also revealed an association with the risk of a high sum of points on the REEDA scale (OR = 1.22, 95% CI: 1.02–1.45 per 0.01 days; OR = 1.65, 95% CI: 1.16–2.35 per week of pregnancy).A multivariate model which included research group, body mass index, duration of the second labor period, gestational term confirmed a reduced risk according to the REEDA scale in this group (OR = 0.19, 95% CI: 0.08–0.47). The four-factor model had a high accuracy (AUC = 0.81, 95% CI: 0.73–0.88), indicating a strong relationship between the selected factors and the risk of complications after episiotomy.Conclusions. The use of hydrogel dressings with lidocaine and taking into account some aspects of childbirth, namely, the duration of childbirth and gestational period, can contrib","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age fertility rates in Transcarpathian region of Ukraine and analysis of birth rates by women who are not in registered marriage","authors":"G.О. Slabkiy, О.S. Shcherbinska, V.J. Bilak-Lukianchuk, L. Rusyn","doi":"10.30841/2708-8731.7.2023.292597","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292597","url":null,"abstract":"Ukraine is going through difficult times of a prolonged demographic crisis.The objective: to study and analyze the age-related birth rates in the Transcarpathian region of Ukraine and analyze the birth rates among women who are not in a registered marriage.Materials and methods. In the course of the study, official data from sectoral statistical reporting for 2000–2021 were used in the cross-section of the administrative territories of Transcarpathian region. The research was conducted in four stages. Bibliosemantic and medical-statistical methods and the method of structural logical analysis are used.Results. It was established that the total birth rate in Transcarpathian region during the study period decreased by 16.4% and in 2021 it was 1.534. At the same time, a decrease in the birth rate was registered in the age groups of women from 15 to 39 years, and among women in the age category 40–49 years, a tendency to increase the birth rate was revealed.In the age group of 15–19 years the birth rate decreased by 1.31 times and amounted to 39.6; in the age group of 20–24 years, the birth rate decreased by 1.33 times and amounted to 133.3; in the age group of 25–29 years the birth rate decreased by 1.34 times and amounted to 88.9; in the age group of 30–34 years the birth rate decreased by 1.09 times and amounted to 51.3; in the age group of 35–39 years the birth rate decreased by 1.08 times and amounted to 21.0; in the age group of 40–44 years the birth rate increased by 1.13 times and was 5.2; in the age group of 45–49 years, the birth rate increased by 3.0 times and was 0.3.The rate of children who were born in mothers who were not in a registered marriage increased by 1.8 times in 2021 and accounted for 24.3% of the total number of live births. A uniform growth of the specified indicator was registered both in cities and in rural areas.Conclusions. The results of the study provide a basis for ascertaining the negative dynamics of the birth rate in Transcarpathian region, which will further intensify due to the consequences of the war against Russian aggression.","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139306309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is in common between preeclampsia, HPS70 and medieval headwear? Part I. Serum HPS70 in preeclampsia: systematic review and meta-analysis","authors":"O.K. Popel, D. Govsieiev","doi":"10.30841/2708-8731.7.2023.292599","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292599","url":null,"abstract":"The objective: to investigate the relationship between HSP70 concentrations in maternal serum and preeclampsia and assess the prospects of using HSP70 as a preeclampsia predictor.Materials and methods. The original publications, which study HSP70 in maternal serum of preeclamptic women, were searched and analyzed. Papers were identified with Scopus, PubMed Central, Virtual Health Library databases, published before January 2023, the keywords were «HSP70», «preeclampsia», «heat shock protein 70», «pregnant». Statistical analysis was performed via software EZR 1.55.Results. 16 case-control studies were included, making a total of 751 pregnant women with preeclampsia and 719 healthy pregnant women. The analysis found the statistically significant difference between HSP70 concentrations in maternal serum of preeclamptic and healthy pregnant patients. Cochrane Q-test showed high heterogeneity among studies (p<0.01), the value of the І2 statistic was 97%. Dividing the studies into groups made it possible to reduce or remove heterogeneity completely. This high level of heterogeneity for publications together, but low within most groups, suggests that there are certain factors that significantly influence some studies.Conclusions. The conducted systematic review and meta-analysis confidently indicate an increased average serum concentration of HSP70 in pregnant women with preeclampsia compared to healthy pregnant women at the corresponding gestational age.No statistically significant relationship was found between increased HSP70 concentration in preeclampsia and pregnant women’s age, gestational age, systolic and diastolic blood pressure. Quantitative assessment of HSP70 levels is complicated by the lack of a single standard for laboratory diagnostics. The case-control design of the presented studies limits their significance.The use of HSP70 as a predictor of preeclampsia is promising, but requires further study and prospective cohort studies.","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflammatory status of the birth canal of pregnant women with cervical insufficiency treated with progesterone therapy, cervical cerclage and obstetric pessary","authors":"V. V. Bila, V.О. Chernega","doi":"10.30841/2708-8731.7.2023.292601","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292601","url":null,"abstract":"Preterm birth is a major global health problem. Every year about 15 million babies are born prematurely in the world, of which 1 million newborns die. Spontaneous preterm birth (SPB) accounts for 40–45% of all preterm births. Cervical insufficiency (CI) is a significant risk factor for SPB. The studies have established the influence of the vaginal microbiome on cervical length during pregnancy and the importance of the bacterial composition of the vagina as a factor determining the risk of preterm birth.The objective: to study the vaginal microbiome of pregnant women with CI and various treatment methods (progesterone therapy, cervical suture or obstetric pessary).Materials and methods. During 2020–2023, an observational longitudinal study was conducted in the municipal non-profit enterprise “Perinatal Center of Kyiv”, in which 94 pregnant women participated. Among them 64 women were diagnosed CI (progesterone therapy group – n=22, cervical suture group – n=23 and obstetric pessary group – n=19). The control group included 30 pregnant women without CI.Results. Vaginal progesterone therapy and the use of a cervical suture have less effect on the microbiome than the use of a pessary. Conditionally pathogenic and pathogenic microflora was detected in 27.27% of patients in the progesterone group, 47.82% of patients in the cervical suture group, and 57.89% – in the pessary group.Inflammatory smear grade 3–4 was found in 31.81% of patients in the progesterone group, 47.82% – the cervical suture group, and 57.89% – the pessary group; complaints of discomfort and discharge – in 22.72%, 39.13% and 57.89% of patients, respectively. Compared with the control group, the use of a pessary is associated with an increase in the frequency of identification of opportunistic pathogenic microflora (16.67% vs. 52.63%; p<0.05), unsatisfactory results of bacterioscopic examination (20.00% vs. 57.89%; p<0.05), as well as an increase in complaints of discomfort and significant vaginal discharge (16.67% vs. 57.89%; p<0.05).Conclusions. It has been established that regardless of the type of therapy, inflammatory changes (presence of opportunistic pathogenic and pathogenic microflora, inflammatory type of smear, complaints of discharge and discomfort) of the birth canal are observed in pregnant women with CI.There is a connection between different methods of treatment and unsatisfactory results: bacteriological analysis – the presence of opportunistic pathogenic and pathogenic microflora (p<0.05), bacterioscopic analysis – inflammatory type of smear of the 3-4 grade of purity (p<0.05) and anamnestic analysis – the presence of complaints in female patients (p<0.05).","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 infection and hypertension disorders during pregnancy","authors":"A. Pylypenko, V. I. Medved","doi":"10.30841/2708-8731.7.2023.292596","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292596","url":null,"abstract":"The objective: to determine the impact of COVID-19, which occurred before or during pregnancy, on the frequency of development and features of the course of gestational hypertension and preeclampsia.Materials and methods. An observational retrospective study with parallel control one was conducted. The pregnancy course and its outcomes in 178 women during the period of the COVID-19 pandemic – from March 2020 to January 2022 – who were observed in the women’s consultation of a private medical center, were analyzed. It is important to note that the medical documentation was taken one after the other, without being specially selected according to any principle, that is, the analysis carried out had the character of continuous screening.Out of 178 pregnant women, 125 (70.2%) persons were sick with COVID-19, they were included in the main group; 53 (29.8%) women who were part of the comparison group did not get sick. The groups are comparable by age and body mass index. The age of the women was 19–51 years; in the main group – 30.5±4.9 years, in the comparison group – 30.9±5.6 years. Body mass index (kg/m2) at the beginning of pregnancy in women of the main group was 21.6±4.3; comparison group – 22.9±4.8. There were 104 (58.4%) primigravida, 74 (41.6%) – multigravida. 117 (65.7%) women were primipara, 61 (34.3%) – multipara.All pregnant women were performed with a standard examination in accordance with the Order No. 417 of the Ministry of Health of Ukraine dated 15.07.2011. Clinical and anamnestic risk factors for the development of preeclampsia were assessed in all women without exception, on the basis of which 3 women were assigned to the risk group. In addition, 158 (88.8%) pregnant women as part of the first combined screening had an additional examination to determine the risk of developing preeclampsia, as a result of which additional 23 women were included in the risk group. As a result, 26 (14.6%) pregnant women from 12 weeks of gestation were prescribed prophylaxis using acetylsalicylic acid.Results. In women who have had COVID-19, hypertensive disorders of pregnancy develop statistically significantly less often than in those who have not had the disease. After mildly symptomatic COVID-19 the risks of hypertensive disorders in pregnant women are statistically significantly reduced: gestational hypertension – RR=1.15, 95% CI: 1.0–1.3; preeclampsia – RR=1.1, 95% CI: 1.0–1.2, all hypertensive disorders – BP=1.3, 95% CI: 1.1–1.6.The groups did not differ among themselves in the prevalence of generally accepted risk factors. The frequency of hypertensive disorders depending on the vaccination was analyzed. The risk of gestational hypertension in vaccinees who did not suffer from COVID-19 is reduced by 1.4 times (RR=1.4, 95% CI: 1.0–1.9), the risk of all hypertensive disorders in pregnant women in this same group is reduced 2 times (RR=2.0, 95% CI: 1.2–3.5).The development of preeclampsia also probably depends on the vaccination status (χ2=4.0; p","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139308479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of clinical and immunological factors in the outcomes of in vitro fertilization procedure in women","authors":"A.F. Safarova","doi":"10.30841/2708-8731.7.2023.292603","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292603","url":null,"abstract":"The objective: to determine the features of clinical and immunological factors in women undergoing in vitro fertilization (IVF) procedure and to determine a relationship between these parameters and the procedure outcomes.Materials and methods. In the period from 2020 to 2022, 131 patients were examined at the Reproductive Department of the Caspian International Hospital. Of these, 103 (78.6%) are aged 19-35 years, 28 (21.4%) are aged 36-50. Patients were grouped and analyzed based on: IVF success (presence or absence of fertilization), pregnancy (yes, no), and infertility factors. Markers of peripheral blood mononuclear cells (CD16/56 and HLA-DR) were determined in 50 women. The cytokines – interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α) and interferon-ɣ (IFN-ɣ) were studied in blood serum of 84 patients. All samples were taken at the day of oocyte pick-up. Descriptive statistical methods (mean, standard deviation, median, frequency, percentage, and minimum and maximum), Student-t test and Mann–Whitney U test (for comparisons between two groups) were used while evaluating the study data. Statistical significance was accepted as p<0.05.Results. Female infertility occurred in 49 (37.4%) patients, 82 (62.6%) patients were fertile. There was no significant difference in CD16/56 and HLA-DR levels depending on pregnancy status, IVF outcomes and infertility factors (p>0.05). The levels of IL-1β and IFN-ɣ differed in the blood serum of patients with and without pregnancy (p=0.041 and p=0.037, respectively). Analysis of groups based on infertility factors showed that there were not significant differences (p>0.05) in the levels of CD16/56, HLA-DR, IL-1β, TNF-α and IFN-ɣ between groups. Conclusions. Our study showed that there is an association between serum levels of IL‒1β and IFN-y and successful pregnancy in the IVF procedure. We did not reveal the other relationships between clinical and immunological parameters in women with IVF procedure.","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Лазерна корекція у поєднанні з перинеопластикою для підвищення сексуального задоволення","authors":"T.A. Azeez, D.M. Abdulrahman, H.N. Saeed, M.J. Salim, O.I. Al-Mashhadani, B.A.L. Al-Rubaii","doi":"10.30841/2708-8731.7.2023.292600","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292600","url":null,"abstract":"After vaginal delivery and improper episiotomy suturing about 40% of women complaint from wide vagina and defect in pelvic support which will lead to loss of satisfaction in sexual relationship with the partner. In recent years many different methods were used for solve the complaint for many of these ladies of wide vagina and loss of satisfaction in their sexual relationship, which was either surgical or non-surgical ways.The objective: to confirm that the fractional CO2 laser was emergency noninvasive modalities to solve problem with or without simple perineoplasty could be needed to restore pelvic support and improve sexual function of women.Materials and methods: 101 women took part in this prospective study. All women were old from 22 to 45 years. The degree of vaginal laxity severity was evaluated by vaginal examination in each patient. Perineal length, vaginal orifice length were measured and female sexual function index questionnaire was used to assess sexual satisfaction score. The women had different degree of vaginal laxity and underwent fractional CO2 laser from 2 to 3 sessions with or without simple perineoplasty and follow up them for gain vaginal tightness and improvement of their sexual function.Results. There was significant correlation between increase body mass index and parity with decrease sexual function of the women as the P values equal to 0.0001 and 0.029 consequently. Regarding the anatomical variation of the genital tract that occurs to women before and after doing the laser sessions and simple perineoplasty, our study show very significant correlation between partner satisfaction and anatomical variation were P value equal the following consequently 0.003, 0.035 and 0.57. Conclusion. The degree of vaginal laxity should be clinically evaluated and accordingly the use of only fractional CO2 laser with or without simple surgical perineoplasty to achieve vaginal tightness and improve in sexual function.","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139308422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical assessment of the placenta function in women at risk and threat of premature delivery","authors":"O. Laba, V. Pyrohova","doi":"10.30841/2708-8731.7.2023.292602","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292602","url":null,"abstract":"Premature birth, despite the significant achievements of perinatal medicine in recent decades, remains an urgent global and national medical and social problem, as it is the leading cause of perinatal morbidity and mortality. According to modern views, placental dysfunction can be one of the causes of premature birth, and its frequency, according to randomized studies, can be from 78 to 91%, depending on the gestational age. At the same time, the research conducted to date does not provide a clear understanding of the role of timely diagnosis and prevention of placental dysfunction in preventing premature birth.The objective: to perform clinical evaluation of the prevalence of placental dysfunction in women at risk of preterm birth and with threat of preterm birth.Materials and methods. 180 pregnant women were took part in the study. To achieve the research aim, three research groups were formed. I group – 73 pregnant women with threat of premature birth; II group – 77 pregnant women with risk factors for premature birth. Women with risk factors for premature birth were included in the study at the stage of pregnancy planning (IIA subgroup, 39 women) or from the moment of applying to a women’s outpatient clinic to monitor the course of pregnancy (IIB subgroup, 38 pregnant women). The control group included 30 pregnant women with an uncomplicated course of pregnancy.Transabdominal ultrasound examination with color Doppler mapping, determination of free estriol, progesterone and placental lactogen levels in blood serum were performed at 18–21+6 and 28–30 weeks of gestation.Results. Analysis of the prevalence of risk factors for placental dysfunction and preterm birth in patients of the studied cohort showed that in pregnant women with preterm birth (I group), the combination of risk factors was 5.2; in pregnant women who received pre-gravid training (IIA subgroup) – 3.2; in pregnant women who were included in the study in the I trimester of pregnancy (IIB subgroup) – 4.7, while in pregnant women of the control group – only 0.8 (p<0.05).The threat of early spontaneous miscarriage with the formation of a retrochorial hematoma as a clinical manifestation of primary placental dysfunction was determined in 43.8% of pregnant women whose premature delivery was carried out for medical reasons. Placenta abruption in these patients can be considered as decompensation of the primary dysfunction of the placenta with the transition to acute placental insufficiency.The formation of chronic placental dysfunction, clinically manifested by the syndrome of fetal growth retardation, was most often observed in patients whose pregnancy ended in spontaneous premature birth at 34–36+6 weeks in the presence of an untouched amnion, – 68.6% compared to births at 28–33+6 weeks of gestation – 25.9% and with childbirth at 22–37+6 weeks – 13.3%.Conclusions. Clinical manifestations of placental dysfunction were detected in 30.6% of patients with premature birth, with morphologic","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes of pregnant Ukrainian women towards their child in the ІІІ trimester of pregnancy during wartime in Ukraine in relation to women’s reproductive health (Podillia region)","authors":"O. Cherepiekhina, A. Turubarova, G. Gorshkova, V. Bulanov","doi":"10.30841/2708-8731.7.2023.292598","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292598","url":null,"abstract":"Pregnancy for a woman is a period of transformation of her personal, professional, sexual, gender, bodily and other identities. The state of bearing a child is a crisis stage in the formation of a woman’s personality. In wartime this crisis may intensify, which requires scientifically based research in the context of women’s reproductive health and the demographic policy of Ukraine.The objective: to study the image of the future child in women in the III trimester of pregnancy during martial law in relation to women’s reproductive health.Materials and methods. 180 pregnant women, most of whom were aged 24–29 years and were officially married and had no children, were examined using a questionnaire, a color test of attitudes by O. M. Atkind and the method of semantic differential by C. Osgood. 90 women who were registered in Vinnytsia and Vinnytsia region at the time of the survey took part in the study, and 90 women – in city of Zaporizhzhia and Zaporizhzhia region.To determine the relationship between women’s perceptions of themselves, the child, and the husband, Pearson’s r correlation coefficients were calculated in the statistical program IBM SPSS Statistics - Early Access, and the Kruskel–Wallis H test was also used.Results. Research conducted among women living in Vinnytsia and Vinnytsia region established that the attitude of pregnant women to themselves affects the attitude to the child (p=0.772), to the pregnancy (p=0.162), to the family (p=0.599) and to the child’s father (p=0.923). A statistically significant relationship was found between the pregnant woman’s attitude towards herself and her children (p=0.001), as well as between her attitude towards herself and motherhood (p=0.022). That is, the type of emotional attitude of a pregnant woman to herself affects the type of attitude towards children and motherhood. By having a positive attitude towards themselves, women have a positive attitude towards children and towards motherhood.Also, with the help of the Kruskel–Wallis H test, the trend of the influence of the attitude towards the child depending on the age of the woman was revealed (XI=7.424; df=3; p=0.060), the trend of the influence of the level of education of the pregnant woman on her perception of pregnancy (XI 10.373; df=5; p =0.065). The correlation between the categories “I am a child” is r=0.676; between “father-child” categories - r=0.528; between “I am the father of the child” - r=0.439. At df=30, these indicators are significant.It should be noted that among the three indicators, the highest level of significance was found between the categories “I am a child”. A comparative analysis of the obtained data between groups of women from the Vinnytsia and Zaporizhzhia regions as research participants from regions of Ukraine with different levels of security, that is, with active hostilities and relatively calm regions, shows specific differences, the description of which is given in the text of this article.Conclusions. T","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139308662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 as a multidisciplinary problem: impact on reproductive health (Literature review)","authors":"S.M. Turyanytsia, N.O. Loya, O.O. Korchynska, A.V. Sabovа, V.V. Malyar","doi":"10.30841/2708-8731.7.2023.292604","DOIUrl":"https://doi.org/10.30841/2708-8731.7.2023.292604","url":null,"abstract":"COVID-19 is an infectious disease which is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). According to the WHO, on March 11, 2020, COVID-19 was declared a global pandemic. Undoubtedly, no one will deny that infectious pathology occupied and is occupying a significant place among all diseases of different age groups. The ongoing pandemic of coronavirus infection is a vivid proof of this.There is probably no such person in the world who would never “has his own little war” with infectious pathogens. Therefore, the disease is constantly looking for means that would give it an advantage in the fight against pathogens. Research in recent years indicates that COVID-19 affects not only the respiratory, circulatory and nervous systems, but also the reproductive system, in particular the female one.The article is devoted to a review of scientific publications that describe the impact of COVID-19 on women’s reproductive health. The COVID-19 pandemic has sparked debate in the scientific community focusing on the risk of menstrual changes in women with COVID-19, such as disorders in the duration, frequency, regularity, and volume of menstruation (including increased bleeding and clotting), increased severity of dysmenorrhea, and premenstrual syndrome. However, there is not enough data or information about the impact of COVID-19 on reproductive health.The problem of remote potential negative impact of the COVID-19 pandemic on women’s reproductive health is becoming more and more relevant in the practice of gynecologists. It is important to emphasize the need for high-quality work of gynecologists, which includes early diagnosis of reproductive disorders, adequate diagnosis and treatment in order to prevent complications in case of ovarian-menstrual cycle disorders, infertility and miscarriage.Unfortunately, to date there are no unambiguous data on the impact of SARS-CoV-2 on the reproductive system. Therefore, further research into the long-term consequences of the transferred coronavirus infection in women of reproductive age is critically important.","PeriodicalId":21003,"journal":{"name":"Reproductive health of woman","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139306420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}