Medical and Social Portrait, Course and Outcomes of Pregnancy in Women with High Levels of Anxiety

The psychoemotional status of pregnant women is influenced by factors such as age, income, marital status, and employment status. Pregnant women with high levels of anxiety have a more complicated course of pregnancy and childbirth. The definition of the features of a woman’s psychoemotional state during pregnancy remains relevant.

The aim of the study is to determine the features of the medical and social profile, the course of pregnancy and obstetric outcomes in patients with high levels of anxiety.

Materials and methods. Psychological testing was conducted to determine the personal level of anxiety in 100 pregnant women for the period 2013–2016 and in 100 patients for 2018–2021. The medical and social portrait, the course of pregnancy and its outcomes were studied in 16 patients with high levels of anxiety for the period 2013–2016 (group 1) and in 21 — for the period 2018–2021 (group 2).

Results. Patients from the 2018–2021 cohort were statistically significantly more likely to be employees in most cases, and there was a tendency to decrease the number of married women. Patients with high levels of anxiety in both time cohorts had complications of the gestational period such as toxicosis of the first half of pregnancy, the threat of termination of pregnancy, and moderate preeclampsia. The percentage of premature births remains consistently high. Conclusion. The results indicate the determination of the characteristics of a woman’s psycho-emotional state during the gestational period for a personalized approach to pregnancy management tactics in order to prevent unfavorable obstetric and perinatal outcomes.

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