Young primiparous of women has medical­and­social aspects

Abstract

DOI: 10.52705/2788-6190-2025-01.2-13
УДК 618.5-053.7-055.2-06:614.2:364

The objective: to learn medical-and-social aspects for young primiparous of women.

Materials and methods. From inspected by us 200 young women (13-18 years) 100 termination this pregnancy on the early and late terms of gestation; after 100 young women a dynamic supervision is conducted during pregnancy and births with the estimation of the state of intrauterine fetus and new-born. Control a group was made 35 pregnant practically healthy in age 20–25 years for comparison of new-born from young mothers with extragenital pathology.To the complex of the conducted researches clinical, laboratory instrumental and statistical methods were included.

Results. Early sexual activity with the unformed personal responsibility, in combination with the sexual lack of information and low culture of contraception, and a quite not previous mood ison maternity, brought majority over of our young respondent to pregnancy which arose up bychance and absolutely unexpectedly for them, suddenly and that changed dramatically them social status, vital interests and prospects. Birth of child in this age rarely is it is planned. Iin 66,0% cases a child was conceived by chance. In 34,0% girls pregnancy was planned. Pregnancy, thusextramarital, casual, unplanned, without a previous mood on maternity, that suddenly broke all vital plans, sharply put before a adolescent girls questions, constrained by the change of it socialstatus, with the necessity of rapid social adaptation it is for a adolescent girls by psychotraumaticfactor. This is first trimester of pregnancy, period of greatest acute awareness of the suddenly arising up new position, appears psychologically most heavy. As a rule, pregnant adolescent girls at first were deeply low-spirited, experienced sense of fear, as expected serious condemnationon the side of loved ones, acquaintances, societies on the whole. Unplanned pregnancy without a previous mood on maternity appeared a factor, by fosters of emotional stress, and causedtension of adaptation mechanisms of organism of primiparous of adolescent with the offensive of pregnancy. Impressive, that all these events developed on eyes parents, which in 24,0% cases or not suspected about that which happened, or not gave timely help, as a result of what an appeal after sending to the artificial breaking of pregnancy in 47,3% happened on the late terms of pregnancy, when abortion presents the most serious health hazard young woman. As a result the young pregnant is forced was to give an undesirable child.

Conclusions. The meaningful factors of risk of this contingent of minor were unfavorable psychological microclimate both in family and at school, insufficient readiness of young mother to maternity, social isolation of adolescent, incomplete family, presence of harmful habits forparents and adolescent, low appeal for medical help, presence of chronic diseases, low financial prosperity of family, unregulated, absence of the proper sexual education, early sexual activity, sexual adulteries, unprecendented commitment to sex life with the low culture of contraception, late appeal in women’s consultation concerning pregnancy. The got results must be taken into account at development of algorithm of diagnostic andtreatment-and-prophylactic measures.