Psychological Investigation of Habitual Abortion

Grimm, Elaine R.

doi:10.1097/00006842-196200700-00007

Cited by 64 publications

(20 citation statements)

References 11 publications

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“…Ohne eine spezifische Ursache und Behandlungsmöglichkeit für das Syndrom der ungeklärten habituellen Aborte zu kennen, wurden die betroffenen Patientinnen früher psychosozial oder psychotherapeutisch betreut [15]. Im Zuge zunächst sehr inhomogener Betreuungsversuche stellte sich eine erstaunliche Effek- …”

Section: Therapieunclassified

Psychische Faktoren bei habituellen Aborten

Bois

2009

Gynäkologe

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Psychische Faktoren bei habituellen Aborten LeitthemaDer Verlust einer Schwangerschaft durch eine Fehlgeburt ist ein gravierendes Geschehnis und kommt verhältnismäßig häufig vor. Das Risiko für einen einzelnen Spontanabort liegt um 15%, altersabhän-gig zwischen 9 und 75%, das Risiko für habituelle Aborte, also 3 oder mehr aufeinander folgende Fehlgeburten, bei etwa 1-2% aller Paare. Medizinische Fortschritte in den letzten Jahrzehnten erlauben eine zunehmend bessere Aufklärung der Ursachen und eine rationelle Therapie, aber auch heute noch kann etwa die Hälfte der habituellen Aborte ätiologisch nicht geklärt werden [1, 2].Eine Fehlgeburt kann erfolgreiche psychische Reaktionen zu ihrer Verarbeitung auslösen, aber auch schwere psychische Reaktionen mit Krankheitswert. Wann sollte eine Frau nach einer Fehlgeburt psychisch betreut werden und in welcher Form? > Erfahrungswissen legt eine mögliche Beteiligung der Psyche nahe

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Section: Therapieunclassified

Psychische Faktoren bei habituellen Aborten

Bois

2009

Gynäkologe

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“…In 1962-1963, Grimm [9] and James [10] wrote about the importance of psychological investigations and approaches in the prevention of early habitual and spontaneous abortion.…”

Section: The Embryonic Periodmentioning

confidence: 99%

Influence of Maternal Stress on Fetal Behavior and Brain Development

Relier

2001

Neonatology

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The very early establishment of certain sensory faculties turns the fetus into a being capable of perceiving multiple stimuli. This perceptive capability forms part of many interchanges between the mother and her developing child. These interchanges are doubtless not only biological and metabolic in nature, but also sensorial and sensitive. The importance of a good quality of psychoaffective communication between mother and child during pregnancy has been shown to be decisive for fetal growth and also for the perinatal period and further development of the child. Maternal psychological stress leads to adverse pregnancy outcome. Chronic anxiety causes an increased stillbirth rate, fetal growth retardation and altered placental morphology. Experimental studies have demonstrated a relationship between specific episodes of maternal psychological stress and exacerbation of fetal asphyxia in utero. It is concluded that all the psychoaffective interchanges between the mother and child are decisive for harmonious fetal growth and brain development.

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“…He particularly noted the lack of husband's support, i.e., through job loss, which supports Berle and Javert's 27 similar findings. Grimm, 30 in an extension of Mann's work, compared 71 habitual aborters (51 primary, 19 secondary) with a group of 35 heterogeneous controls composed of (1) "presumably normal" pregnant females tested in the second trimester and (2) nonpregnant females referred for gynecological problems. The Wechsler-Bellevue (W-B) tests indicated no significant differences in age, education, or intelligence.…”

Section: Habitual Abortionmentioning

confidence: 99%

The Role of Emotional Factors in Obstetric Complications: A Review

McDonald¹

1968

Psychosomatic Medicine

124

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This paper explores the relationship between emotional factors and "psychogenic" obstetric complications (those involving no discernible physical cause) by reviewing the pertinent articles that have appeared during primarily the past 15 years. The literature provides no conclusive evidence of causal relationships between emotional factors and such complications. The most consistent findings were that women who subsequently experienced any of a variety of obstetric complications had higher anxiety levels and used fewer repressive-type defenses than women who experienced normal pregnancies and deliveries. These findings are discussed in terms of the presumed causal role of emotional factors in psychogenic obstetric complications. XHEGNANCY is widely recognized by obstetricians (and husbands) as an event precipitating profound changes. Foremost and extensive among these changes are normal physiological adaptations: the numerous hormonal 1 changes triggered in response to the increasing maintenance demands of the rapidly developing fetus. Psychological adaptations are also apparent. There is general agreement that even a normal pregnancy constitutes a period of transient ego vulnerability marked by at least minimal regressive changes. 2 " 9 At another level are the anticipated changes in the family unit-a shift from the primary husbandwife dyad to a more complex system of dyadic and triadic relationships. Harmony between these changes, particularly the psychological and physiological ones, is regarded as propitious-a sign of normal pregnancy.Growing evidence emphasizing the dismaying effectiveness of emotional factors in altering the outcome of and recovery from physical illness 10 has stimulated speculation that emotional factors may also adversely influence physiological changes during pregnancy. The recent increase of investigations focusing on the role of emotional factors in obstetric complications attests to a growing interest in possible causal relationships between emotional factors and obstetric complications. Preliminary reports have suggested emotional factors as a determinant in these complications, but due to the numerous complications, the diverse populations, and the heterogeneous methodology involved, definitive statements regarding the relationships are rendered difficult. A review of the current literature in this area, then, seems warranted, from a heuristic view-222

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Psychological Investigation of Habitual Abortion

Cited by 64 publications

References 11 publications

Psychische Faktoren bei habituellen Aborten

Psychische Faktoren bei habituellen Aborten

Influence of Maternal Stress on Fetal Behavior and Brain Development

The Role of Emotional Factors in Obstetric Complications: A Review

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