Tekrarlayan gebelik kaybı ve infertilitenin rüya kaygısı ve uykusuzluk ile ilişkisi

Amaç: Kadınların gebelik döneminde fizyolojik ve psikolojik sağlığını etkileyen birçok faktör vardır. Bu çalışmada, normal gebelikler ile birincil infertilite veya tekrarlayan gebelik kayıpları öyküsü olan gebeliklerin rüya anksiyetesi ve uykusuzluk durumları arasındaki farklar araştırıldı. Gereç ve Yöntem: Bu tanımlayıcı korelasyonel çalışma verileri İstanbul'daki özel bir hastanenin Kadın Hastalıkları Polikliniğinde toplanmıştır. Bu tanımlayıcı korelasyonel çalışma 49 sağlıklı gebe kadın, 49 infertil gebe kadın ve tekrarlayan gebelik kaybı öyküsü olan 49 gebe kadını içeriyordu. Çalışma verileri 44 maddelik Maternal Bilgi Formu (MIF), Van Dream Anksiyete Ölçeği (VDAS) ve Uykusuzluk Şiddet İndeksi (ISI) kullanılarak toplandı. Bulgular: Primer infertilite öyküsü olan gebelerin (sırasıyla 24.9 ± 6.5 ve 11.1 ± 3.7) ve tekrarlayan gebelik kaybı öyküsü olan gebelerin (sırasıyla 26.3 ± 8.7 ve 12.6 ± 4.2) aldıkları ortalama VDAS ve ISI skorları sağlıklı gebelerden elde edilenlere göre (sırasıyla 18.7 ± 6.5 ve 7.8 ± 2.4;) istatistiksel olarak anlamlı derecede yüksekti. Primer infertilite öyküsü olan gebelerin VDAS ve ISI skorları ile tekrarlayan gebelik kaybı öyküsü olan gebelerin puanları arasında önemli bir fark yoktu. Sonuç: Birincil kısırlık öyküsü veya tekrarlayan gebelik kayıpları olan gebe kadınlar, sağlıklı gebelikleri olan kadınlardan önemli ölçüde daha fazla rüya kaygısı ve uykusuzluk yaşadı. Sağlık uzmanları, kadınların zihinsel durumlarını değerlendirmeli ve hamilelik sırasında kadınlara uygun sağlık bakımını sağlamalıdır.

Relation of recurrent pregnancy loss and infertility on dream anxiety and insomnia

Purpose: There are many factors affecting the physiological and psychological health of women during pregnancy. This study investigated the differences between dream anxiety and insomnia statuses of normal pregnancies and pregnancies with histories of primary infertility or recurrent pregnancy losses. Materials and Methods: This descriptive correlational study data was collected in the Obstetrics Outpatient clinic of a private hospital located in Istanbul. This descriptive correlational study included 49 healthy pregnant women, 49 infertile pregnant women, 49 pregnant women with histories of recurrent pregnancy losses. The study data was collected using the 44-item Maternal Information Form (MIF), the Van Dream Anxiety Scale (VDAS), and the Insomnia Severity Index (ISI). Results: The mean VDAS and ISI scores obtained by pregnant women with histories of primary infertility (24.9 ± 6.5 and 11.1 ± 3.7, respectively) and pregnant women with histories of recurrent pregnancy losses (26.3 ± 8.7 and 12.6 ± 4.2, respectively) were statistically significantly higher than those obtained by healthy pregnant women (18.7 ± 6.5 and 7.8 ± 2.4, respectively). There were no significant differences between the VDAS and ISI scores of pregnant women with histories of primary infertility and those of the pregnant women with histories of recurrent pregnancy losses. Conclusion: Pregnant women with histories of primary infertility or recurrent pregnancy losses experienced significantly more dream anxiety and insomnia than women with healthy pregnancies. Healthcare professionals should assess women's mental statuses and provide appropriate health care to women during pregnancy.

Keywords:

Insomnia, dream anxiety infertility, recurrent pregnancy loss,

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