Influence of modern methods of prenatal psychoprophylactic preparation of pregnant women and alternative methods of vaginal delivery on the course and outcome of labor


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Objective. Improve the course and outcome of labor through the use of modern methods of prenatal psychoprophylactic preparation of pregnant women and alternative methods of vaginal delivery. Subjects and methods. The study involved 300 primiparas women, 27.8 ± 0.2 years old at the 33-37 weeks of gestation period, randomly distributed into two groups: 1 group - 150patients underwent the course of prenatal psychoprophylactic preparation program, the birth was conducted using vaginal delivery technique: horizontal, vertical and delivery into water (discussed with each patient individually); 2 group - 150 patients were observed according standard obstetric practice, the birth was conducted according routine obstetric practice, in the dorsal position. The study assessed the course of pregnancy, outcomes and complications of childbirth, the condition of a newborn on the Apgar scale, and the level of anxiety of women at the beginning of the study and on the eve of birth. Results. Using the program of prenatal psycho prophylactic preparation of pregnant women in combination with the most preferred methods of vaginal delivery for the woman improves the course and outcome of labor: the duration of labor is reduced from 9.5 to 8.3 hours, the incidence of primary and secondary weakness of labor is reduced, the share of birth trauma is reduced. In the ma in group, a lower incidence of caesarean section and the use of epidural anesthesia was noted, as well as a lower level of anxiety before the birth. Conclusion. Based on the data obtained it can be concluded that effective improvement in the course and outcome of labor is achieved through the use of prenatal psycho-preventive preparation of pregnant women in combination with the most preferred methods of vaginal delivery for the woman herself.

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Igor Manukhin

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: mgmsugyn@mail.ru
Honored Doctor of Russia, Doctor of Medicine, Professor, Department of Obstetrics and Gynecology, Medical Faculty

Kirill Silaev

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: silaevkir@gmail.com
junior researcher, biometric research laboratory, post-graduate student of the Department of Obstetrics and Gynecology, Medical Faculty

Yuliya Vuchenovich

City Clinical Hospital No. 68, Moscow

Email: gkb68@zdrav.mos.ru
сandidate of medical sciences, deputy chief physician for obstetrical and gynecological aid

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