Background. The autonomic nervous system (ANS) plays a crucial role in maintaining homeostasis during pregnancy, regulating maternal and fetal physiological processes. War-related stress and forced displacement significantly increase stress levels in pregnant women, potentially leading to ANS dysfunction and negatively impacting pregnancy outcomes. Objective of the study: to assess the impact of war-related stress on ANS function in pregnant women who experienced forced relocation and compare their autonomic parameters with those of women who did not change residence. The study included 1000 pregnant women divided into three groups: the first - women who relocated from active combat zones, the second - women who moved from other regions of Ukraine, the third - a control group of Lviv residents. Results. Women in the first group exhibited the most pronounced ANS dysfunction, with symptoms of sympathetic hyperactivity (elevated blood pressure, tachycardia, dry skin) and parasympathetic dysfunction (obesity, hypotension, bradycardia). The second group also demonstrated ANS disturbances, although less extent, whereas the control group had the lowest incidence of autonomic disorders. The state of the ANS was determined using an adapted questionnaire by A.M. Wayne. The following studies were performed to assess vegetative parameters: measurement of systolic and diastolic blood pressure, heart rate, Kerdo vegetative index, and minute blood volume. Conclusions. Obtained data underscore the need to develop and implement comprehensive medical and psychological support programs for pregnant women affected by forced displacement. The study suggests correction strategies, including psychological counseling, relaxation techniques, and physical activity, to mitigate the adverse effects of stress on ANS function and reduce the risk of perinatal complications.
Malachynska et al. (Fri,) studied this question.
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