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Mental disorders in women during pregnancy


Occur more often in nulliparous women in the first half of pregnancy, parallel to the toxicosis of pregnancy and immediately before birth. Violations in the first months of pregnancy usually boil down to sharpening certain character traits. Some women become more irritable, excitable, sometimes aggressive; others are impressionable, tearful, touchy, requiring special attention, especially from her husband. Some women who have an alarmingly suspicious nature, an alarming focus on pregnancy, fear of the possibility of miscarriage. Anxious thoughts about the unexpected death of the fetus or possible malformations of its development are aggravated if there are at least minor circumstances aggravating the course of pregnancy: the associated somatic illness, especially influenza, forced or accidental use of drugs, previous abortions or miscarriages. In such cases, anxious thoughts become stubborn, persistent, 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 the strengthening of mental disorders.
Vomiting is resumed not only by the sight or smell of food, but also by thinking about food. In the middle and beginning of the second half of pregnancy, most women feel good. As the delivery approaches, especially in primiparas, various neurotic reactions occur, mainly of anxiety. In addition to the natural fear of the childbirth itself, labor pains, there are alarming fears for the child (whether the position of the fetus is correct, whether the child is injured during the birth). There is a fear for the life of the child and his own: what if childbirth ends in the death of a child or his own death. Such thoughts are aggravated due to additional psychogenic moments, with ill health (toxicosis of the second half of pregnancy, other diseases of internal organs).
Treatment:
The main method - explanatory psychotherapy, autogenic training. If possible, taking medications, especially in the first half of pregnancy, should be excluded, except for 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 on prescription. With a strong toxicosis 1 half of pregnancy successfully use small doses of neuroleptics, relieving nausea, vomiting and other vegetative manifestations (epotarazin, haloperidol in drops).
Before childbirth, the indications for the use of drugs are wider, since the probability of their harmful effect on the development of the fetus is significantly reduced. More often prescribed sedatives, sleeping pills, both before childbirth and during the period of labor.