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Mental disorders in women during pregnancy


Occur more often in primiparous in the first half of pregnancy in parallel with the toxicosis of pregnancy and immediately before childbirth. Violations in the first months of pregnancy usually come down to sharpening certain traits of character. Some women become more irritable, excitable, sometimes aggressive; others are impressionable, tearful, touchy, requiring increased attention, especially from her husband. Some women who have an alarming and suspicious nature have an anxious focus on pregnancy, a fear of the possibility of a miscarriage. Alarming thoughts about the unexpected death of the fetus or possible malformations of its development are exacerbated in the presence of at least insignificant circumstances aggravating the course of pregnancy: an onset somatic illness, especially flu, forced or accidental use of drugs, previous abortions or miscarriages. In such cases, disturbing thoughts become stubborn, relentless, sleep is disturbed, a woman loses weight, instead of gaining weight. It is not excluded the influence of traumatic situations in the family, etc. Toxicosis of 1 half of pregnancy in the form of nausea, vomiting usually contributes to increased mental disorders.
Vomiting resumes not only at the sight or smell of food, but also with the mental representation of food. In the middle and beginning of the second half of pregnancy, most women feel good. As the birth approaches, especially in the primiparous, various neurotic reactions occur, mainly of an alarming series. In addition to the natural fear of childbirth itself, labor pains, there are alarming fears for the child (whether the position of the fetus is correct, if the child gets injured during childbirth). There is fear for the life of the child and his own: what if the birth ends in the death of the child or his own death. Such thoughts are amplified in connection with additional psychogenic moments, with health problems (toxicosis of the second half of pregnancy, other diseases of internal organs).
Treatment:
The main method is explanatory psychotherapy, autogenic training. If possible, medication, especially in the first half of pregnancy, should be excluded, except in situations that are dangerous to the mother or fetus. As a sedative, infusions and decoctions of herbs (valerian, motherwort, peony) are recommended. Tranquilizers, antidepressants and other drugs should be used only as directed by a doctor. With severe toxicosis of 1 half of pregnancy, small doses of antipsychotics that relieve nausea, vomiting, and other autonomic manifestations (etaperazine, haloperidol in drops) are successfully used.
Before birth, the indications for the use of drugs are wider, because the likelihood of their harmful effects on fetal development is significantly reduced. Most often prescribed sedatives, sleeping pills, both before childbirth and during labor.