[Psychological aspects of high risk pregnancy in hospitalized women -- toward the change of the existing model of care].
OBJECTIVE
The aim of this study was to explore the psychological situation of hospitalized women with high risk pregnancy, i.e. 1) the level and sources of anxiety, 2) coping strategies and 3) the needs regarding the model of care at OB/GYN department.


METHODS
116 subjects participated in the study. The experimental group consisted of 65 pregnant women with high risk of preterm delivery and after repeated perinatal loss, hospitalized at complicated pregnancy dept. The controls were 51 women with low risk pregnancy. The following methods were used: State-Trait Anxiety Inventory (STAI) by Spielberger, Ways of Coping Questionnaire by Folkman and Lazarus and a specially designed questionnaire on women's needs, sources of anxiety and social support.


RESULTS
The results clearly show that the level of anxiety is significantly higher in experimental group. There are also differences in coping strategies used in the two groups under study.


CONCLUSIONS
The conclusion is that a new model of care is needed for hospitalized high risk pregnancy patients in order to reduce the level of their anxiety, support effective coping strategies as well as help them in working through psychic conflicts relating to reproductive health.
Kmita
G
G
Zakładu Zdrowia Rodziny Instytutu Matki i Dziecka w Warszawie.
Barańska
M
M
Ciastoń-Przecławska
E
E
Cerańska-Goszczyńska
H
H
Urmańska
W
W
D000223:Adaptation, Psychological / Q000502:physiology; D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006760:Hospitalization; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology* / Q000534:rehabilitation*; D018566:Pregnancy, High-Risk / Q000523:psychology*; D012944:Social Support; D011795:Surveys and Questionnaires