ASSESSMENT OF QUALITY OF LIFE IN PREGNANT WOMEN WITH DISEASES OF THE HEPATOBILIARY SYSTEM
DOI:
https://doi.org/10.32689/2663-0672-2023-2-4Keywords:
psycho-emotional state, quality of life, liver, pregnant women, hepatobiliary system.Abstract
Abstract. Introduction. Diseases of the hepatobiliary system, such as hepatitis, cholelithiasis, liver cirrhosis and others, are common and can affect many areas of pregnant women’s lives. This may include pregnancy complications, deterioration in general health, and impact on fetal development. It is important to consider the individual needs and risks of each pregnant woman with hepatobiliary diseases, as they may vary depending on the severity of the disease and other factors. The aim. To conduct a comparative systematic analysis of the quality of life of pregnant women with diseases of the hepatobiliary system and during physiological pregnancy. Materials and methods. A clinical and statistical analysis of inpatient records of 420 pregnant women who were under the supervision of obstetric institutions in the Ternopil region was performed. All pregnant women were examined in full clinical and laboratory scope, they underwent general clinical (clinical and anamnestic, laboratory) and special (ultrasound with Doppler, cardiotocography) studies. The SF-36 questionnaire was used to study the quality of life in pregnant women. Research results and their discussion. Four main syndromes were observed in pregnant women with chronic liver disease, which were manifested by subjective symptoms. The following differences were noted in the group of pregnant women with hepatobiliary system diseases: a significantly higher frequency of symptoms associated with liver and biliary tract diseases, such as right hypochondriac pain, dyspeptic disorders, general weakness, and neurotic disorders. According to the SF-36 questionnaire, the most significant differences were found in the mental health indicator, which may indicate the presence of depressive and anxiety experiences, as well as the presence of psycho-emotional distress in the group of pregnant women with hepatobiliary diseases. Conclusions. The presence of hepatobiliary system diseases in pregnant women has a pronounced impact on the quality of life. Significant differences in the self-assessment of quality of life in pregnant women with and without hepatobiliary system pathology were found. Pregnant women without any existing pathology are characterised by greater social support and role activity, they are more socially adapted, not prone to depression and causeless mood swings.
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