Assessment of the gynecological and psychological status of the patients after spontaneous abortion in the first trimester

Umakhanova M. M., Filippova G. G., Tsidaeva M. M., Tagirova Z. M.

This study deals with gynecological and psychological status of patients with spontaneous abortion in the first trimester. According to the results of our study, the most important factors in early termination of pregnancy are: age up to 25 years, smoking, early onset of sexual activity, menstrual disorders, inflammatory diseases of the uterus and appendages, bacterial and viral associations, ovarian dysfunction or endometritis in history, repeated abortions, aggravated somatic history (hypertension, iron deficiency anemia, diseases of the thyroid gland), violation of the ontogenesis of the maternal sphere. Psychological studies have shown that patients with miscarriage often have conflicting relationships with their mother, they are also characterized by an intrapersonal conflict, deep internal dissatisfaction, manifested in inadequate self-esteem, bearing the character of psychological protection, full of conflict and anxious self-presentation as a mother. In this regard, it requires not only medical but also psychological assistance, which is aimed at psychological correction and psychotherapy of the sources of internal conflict in the maternal sphere, which is the cause of the formation of a destructive image of motherhood. The negative experience of a failed pregnancy greatly increases the level of anxiety and has a negative effect on the course of subsequent pregnancies, which can lead to repeated episodes of spontaneous termination.

Keywords:miscarriage, spontaneous abortion, maternal ontogenesis, perinatal psychology.