Pregnancy, childbirth and onset of parenting are major advances in life, which are a challenge for a woman and a man, as well as for the child and the immediate environment that affects mental health and well-being. During pregnancy and after the birth of a child, a common depression occurs, which affects the health of the pregnant woman and the fetus, so it is important that you recognize it as soon as possible.
According to him, a clinical psychologist at the Gynecology Clinic of the University Clinical Center (UKC) Ljubljana Vislava Velikonja GlobevnikAccording to a survey in Slovenia, about five percent of pregnant women are depressed and worried, about 30 percent of women in pregnancy use alcohol, four percent of women are victims of violence during pregnancy, and some pregnant women are addicted to illicit drugs.
Increased risk of poor outcome of pregnancy
These conditions are often intertwined and in total represent about 15% of all pregnant women in Slovenia who meet clinical criteria for at least one of these disorders, which should be adequately addressed. These disorders are simultaneously transmitted from generation to generation, warned Velikonja Globevnikova. In these pregnant women there is an increased risk of poor outcome of pregnancy, such as premature birth, fetal growth lag, fetal death or newborns, and even the death of a pregnant woman or mother.
Discovering mothers and pregnant women who are experiencing violence are depressing and upset or taking illicit substances is still a great challenge because they seem to be different from others, hide their problems and problems and are often not willing to talk about them. Experts, therefore, propose a modern multimodal screening method, in order to improve fertility care and improve the physical health of pregnant women.
They wanted to systematically approach recognition
In the framework of the PODN project, which is an abbreviation for the identification of addiction, mental disorders and violence in pregnancy, in the first year of the project, a manual for health experts was prepared in 2017, and last year, workshops for gynecological time throughout Slovenia.
According to Velikonja Globevnik, the project encouraged the fact that the leading cause of the death of mothers in Slovenia is suicide, which, according to the president of the Perinatal Medicine Association and head of the Clinical Department of Perinatology UKC Ljubljana Gorazd Kavške"in fact, just the tip of the iceberg". In order to identify vulnerable women, they wanted to approach systemically.
"The screening program does not set a diagnosis, it only detects women with an increased risk of problems. Only the screening is made in every trimester of pregnancy, and for the first examination after delivery"she explained Marijana Vidmar Simic from the clinical department of perinatology. They are examined, for example, on smoking, because a cigarette has a negative effect on the fetus and alcohol consumption, which, inter alia, prevents the production of milk.
Slovenia, according to a gynecologist from the Clinical Department of PerinatologyTanja Premru Sršen ranks "in a fairly violent country"as a study carried out on 1000 pregnant women showed that every other woman experienced some type of violence from birth to childbirth. In the meanwhile, violence is experienced by every 25 pregnant women.
The environment should pay attention to the smallest changes
Signs of postpartum depression, most commonly occurring in the second and third month after delivery, are not as pronounced or expressed. are hidden, and it is important that the environment is warned of the slightest change and that a woman in need finds appropriate help. A psychiatrist can contact at any time, even without referral.
In addition to a quality partnership relationship as a preventive factor of mental disorders, the psychophysical health of pregnant women is also under the strong influence of interpersonal relations, especially at the workplace, Prime Minister Sršenova said.
PODN project is realized with the Association for Perinatal Medicine of the Slovenian Medical Society, the Clinical Department for Perinatology of the Gynecology Clinic in Ljubljana and the Slovenian Society for Psychosomatic Gynecology and Obstetrics.