Method for complex psychotherapeutic preparation of pregnant women for delivery |
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IPC classes for russian patent Method for complex psychotherapeutic preparation of pregnant women for delivery (RU 2515763):
Method for complex rehabilitation of patients in early rehabilitation period of cerebral apoplexy / 2513418
With underlying pharmaceutical treatment, a complex program of rehabilitation actions involves combined therapeutic exercises (CTE) involving respiratory exercises and relaxing exercises and auto-training elements; the program is completed with the stage of visualisation that involves visual psyching-up of the visual process. That is followed by a dynamic propriocorrection using a reflectory loader. Further, a functional programmed electric stimulation of the neuromuscular apparatus is used. Depending on the manifestation of motor disturbances, a four- or sin-canal electric stimulation accompanying motor actions is performed according to the muscular excitation and contraction. The rehabilitation complex is completed in front of a mirror and involves doing the exercises of all joints of the upper limb and all planes with a healthy hand with inspecting a mirror image and visualising the motions to be performed with an involved hand. All combined exercises are followed by doing elementary relaxing motions. The quantity of the exercises is gradually increased to 400 per four sets.
Method for obstetric aid / 2506964
Invention refers to medicine, namely to obstetrics, and may be used in obstetric practice during an act of delivery for elimination of apprehension, pain management and control of parturient's behaviour. The obstetric aid accompanies the period of the act of delivery. A parturient is visually and verbally contacted by establishing the stable positive psychological interrelation during the contractions. Suggestion techniques are used for the psychotherapeutic effect on the parturient with creating cognitive attitudes to concentrate the parturient's attention on a baby and to form an active delivery position, to form a sense of confidence in the favourable delivery outcome. Then, the parturient is brought into the altered state of consciousness by intrusion of the intensive cohesive breathing; for this purpose each following contraction in the parturient is accompanied by operator's suggestions to breath together by a calm, mild yet directive voice, and the operators starts breathing together with the parturient by a maximum deep breathing and a calm breathing out without breath holding. Between the contractions, the operators intensifies the suggestive directive effect on the formation of the parturient's internal active position by creating the cognitive attitudes at the nonconscious level. A consequence of the psychotherapeutic effect is repeated until the parturient starts breathing adequately and behaving stably that are controlled by the operator and maintained by the respective actions until the act of delivery completed.
 Method for correction of cognitive impairment accompanying cerebrovascular pathology / 2506963
Invention refers to medicine, namely neurology and may be used in the cognitive function recovery, including optical perception in the patients with a cerebrovascular pathology. A patient is presented with an image on a monitor, and additionally a number of images of sharp traced objects; one of the images shows an 'noisy' object. The patient identifies the 'noisy' object by recognising and selecting the object among the presented versions. The patient is given with a maximum period of time specified by a doctor that when expired is accompanied with evaluating the task and presenting the results on the monitor. The score presented to the patient is directly proportional to a 'noise' density of the image followed by the correct answer of the patient and calculated by formula:
 Method of medical-psychological normalisation and support of weight / 2506895
Invention relates to field of medicine, namely to preventive, rehabilitative, general therapeutic (family) practice, endocrinology, neurology and psychotherapy, and can be used for medical-psychological normalisation and support of weight, as well as for prevention of consequences to which patient's organism can be brought by: incorrect nutrition, extra weight and obesity as disease. Patient's anthropometric parameters are measured: height, weight, chest circumference, waist circumference, index of cardiovascular system activity - pulse. Obtained data are used to calculate patient's individual digital series (IDS). Methodology of IDS calculation is explained to patient and session of psychotherapy is started. During session patient in convenient pose, relaxed state sits down in front of computer screen and whispers IDS, with IDS being periodically displayed on screen, to stop session patient makes quiet deep inhalation and exhalation.
Method of medical and psychological prevention of stress / 2503412
Invention relates to field of medicine, namely to preventive, rehabilitating, general medical (family) practice, therapy, neurology and psychotherapy, and can be used for prevention of stress and pre-stress states, as well as consequences, which uncompensated stress response of patient's organism can result in irrespective of characterological peculiarities of stressor or stressors. Patient's anthropological parameters are measured: height, weight, chest circumference; index of cardio-vascular system activity - pulse. Obtained data are used to calculate patient's individual digital series (IDS). Patient is explained how IDS is calculated and session of psychotherapy, during which patient sits down in front of computer in convenient pose, relaxed state and whispers IDS, with IDS being periodically displayed on screen, to finish session patient makes quiet deep inhalation and exhalation.
Method of medical-psychological adaptation of railway employees / 2503402
Invention relates to medicine, namely to preventive, rehabilitation, railway medicine, general medical (family) practice, neurology and psychotherapy, and can be used for prevention of stress and pre-stress states, as well as consequences of uncompensated stress response of railway transport employee's organism irrespective of character peculiarities of stressor or stressors. Employee's anthropometric parameters are measured: height, weight, chest circumference, index of cardiovascular system activity - pulse. Individual digital series (IDS) of RW transport employee is calculated on the basis of obtained data. Employee gets acquainted with method of IDS calculation and session of psychotherapy, during which employee in convenient position, relaxed state sits in front of computer screen and whispers IDS, is started, with IDS periodically displayed on screen, to finish the session employee makes quiet deep inhalation and exhalation.
Method for psychological, physical rehabilitation and social adaptation in desomorphine addiction / 2501579
Invention refers to medicine, particularly addictology, psychotherapy, correction and medical psychology. The rehabilitation is four-staged. At the first stage, a drug-addicted person is informed on the necessity of psychological, physical rehabilitation and social adaptation; and a rehabilitation group is formed of 6-10 individuals signed the informed consent. At the second stage, the formed group undergoes an excursion lesson in animal shelters and centres; at a later stage, the individual undergoes further lessons in the animal shelter or centre according to the positive attitude to a specific animals - dogs, cats, or horses. The third stage involves animal care work, including feeding, sanitary and hygiene procedures, cleaning of grounds and animal's place, furniture repair, regular walks with graduated physical exercises of increasing length, monitoring, training, progress and animal's behaviour report to the shelter or centre's staff, group and psychotherapist. At the first stage, the individual keeps caring of the animal and provides managing it domiciliary and commit himself to return the animal to the shelter or centre in case of a recurrence and repeated use of the narcotic substance.
 Method for tobacco smoking cessation / 2501578
Invention refers to health protection, to methods for tobacco smoking and addiction cessation. A tobacco product is smoked until observing a smoking satiety sensation and a period of temporary tobacco independence. Two- to three-week stages follow with using cigarettes having a certain quantity of the equally spaced holes of the diameter of 0.7-1.0 mm formed around the filter border. At the initial stage, 2-3 holes are formed, and at the each following stage, the quantity of the holes increases by 2-3, but no more than 12. The number of the above stages is specified as soon as a sensation of smoking addition disappears. The each following stage distanced from the initial stage may be considered either as an intermediate stage, or as a final one which can end on any day tobacco smoking cessation.
Method for rehabilitation patients with early rheumatoid arthritis / 2500379
Invention refers to medicine, namely to rheumatology, and can be used for rehabilitation of patients with early rheumatoid arthritis. That is ensured by 8 in-patient cryotherapeutic sessions involving knee, ankle or shoulder joints and alternated with 8 cryotherapeutic sessions involving hand joints every second day. The cryotherapy is conducted using CryoJet C600 apparatus at temperature -60°C according to the stationary technique at 1-2 cm from the skin. An air flow intensity falls within the range of the 8-9th stage for the knee, ankle and shoulder joints that is 1370-1550 l/min with a procedure length making 10 minutes. Treating the hand joints requires the air flow intensity to be within the 6-7th stage, i.e. 1080-1220 l/min with the procedure length of 8 minutes. After 1-1.5 hours, the cryotherapy is followed by eight 45-minute group therapeutic physical trainings alternated with eight 45-minute ergotherapeutc sessions every second day. The cryotherapy of the greater joints is conducted on the same day as the therapeutic exercises, while the cryotherapy of the hand joints - on the same day as the ergotherapy. The treatment is combined with five 90-minute lessons at Health School "Rheumatoid arthritis" every second day. The further out-patient and domestic stages involve the 45-minute therapeutic exercises for the greater joints 3 times a week alternated with the 45-minutes exercises for the hand joints 3 times a week in a combination with the compliance with the recommendations of the ergotherapy, training programme and orthotic prosthesis.
 Method of controlling multi-component anesthesia in general surgical interventions / 2499546
Invention relates to medicine, namely to anesthesiology and reanimatology, and can be used in carrying out multi-component anesthesia in surgical interventions. For this purpose parameters, obtained from near-bed monitor, as well as myorelaxation parameters and ringing acoustic signals enter unit of data collection and protocol coordination. After that, data are supplied to unit of parameter calculation and unit of patient's current state analysis with further building of multi-system integral nomogram. For each preparation unit of calculation of patient's current requirement of anesthetic aid performs preliminary calculation of induction dose and rate of diffusion with application of three-component model. Calculation of patient's current requirement of preparations and correction of preliminarily calculated doses of preparations are realised in unit of calculation of patient's current requirement of anesthetic aid. After that data are supplied into units of preparation rate calculation, with each group of preparations being connected with database, which contains list of preparations with their pharmacological and pharmacodynamic profiles. Rate of hypnotic drug introduction is calculated in accordance with current value of ringing acoustic potentials, rate of introduction of anesthetic preparations is calculated in accordance with current values of hemodynamic parameters, rate of introduction of relaxants is calculated in accordance with myorelaxation level. Data of calculation of load dose and infusion rate are dynamically updated as new data are supplied. In addition, obtained data are compared with database, which stores profiles of critical situation development in unit of critical situation analysis.
 Method for motivational interviewing of dental patients in outpatient dental practice / 2515749
Patient passes a psychological pre-testing to determine an anxiety level and a self-efficacy level that are used to derive the number for visits, which are supposed to include the motivational interviewing preceding the dental intervention. If the patients have the low anxiety and the low self-efficacy, the motivational interviewing is only included in the first visit with the demonstration of empathy. The patients showing the medium anxiety and the high self-efficacy require the motivational interviewing on the first three visits to demonstrate empathy by reflexive listening with argues and straight confrontation to be avoided. In the patients with the medium anxiety and the low self-efficacy, the motivational interviewing is used on the first five visits with each visit started with demonstrating empathy to the patient to relieve a resistance to the treatment if any. The patients with the high anxiety and the high self-efficacy require the motivational interviewing on each visit to relieve a resistance to the treatment if any, to demonstrate empathy, to intensify a contradictory nature of the patient's judgments, to support a positive self-feeling; the first visit includes no traumatic interventions; the visits are appointed not less than every 10 days. The patients with the high anxiety and the lower self-efficacy passes the motivational interviewing on each visit; on the first 3 visits, no traumatic injuries are included with demonstrating empathy, relieving a patient's resistance to the treatment, intensifying intensify a contradictory nature of the patient's judgments, and supporting a positive self-feeling. On each visit, the patient is accompanied by people who give the moral support with the visits appointed not less than every 7 days.
Differential diagnostic technique for cognitive disorders accompanying toxic encephalopathy caused by effect of mercury and alcohol / 2515398
Neuropsychological testing aims at determining an analytic-synthetic thinking index; a depression index; a trait anxiety index; a state anxiety index; a mental alertness index; a psychomotor activity rate, and recording an electroencephalography to measure β1-rhythm and β2-rhythm. A diagnostic function F is calculated; the derived value is compared to a constant, and if F is more than the constant, the cognitive disorders accompanying encephalopathy caused by an effect of alcohol are diagnosed; if F is equal to or less than the constant, the cognitive disorders accompanying chronic mercury intoxication are diagnosed.
 Method for prognosis of mental distress development in applicants to military higher educational institutions / 2515397
Invention is related to medicine, in particular to psychiatry, psychophysiology, psychology, and it can be used for mental health prognosis in applicants to military higher educational institutions. Persons under tests are offered to take psychological tests: KP - 3-85: performance efficiency of the test for assessment of complex analogies, visual memory, image thinking, verbal memory, setting regularities; data processing rate coefficient; indicators in L, D, Pd, Mf, Pa scales of MMPI test. According to the testing results mental health prognosis is suggested as favourable or unfavourable.
 Method of testing speed and accuracy of movements / 2514728
Test person is offered to perform for the given time at the maximum rate the movements with a probe sequentially on the contact pads located in the corners of a flat triangular or polygonal figure, touching the contact points located in the centre of the contact pads. The contact points are surrounded by N concentric zones isolated from each other and from the contact point. The contact points and the concentric zones of the contact pads are connected to the inputs of the computer. The distance between the adjacent concentric zones and between the inner concentric zone and the contact point corresponds to the diameter of the probe. The test person makes movements with the probe on the contact pads, trying to touch the contact points. Hitting the outer concentric zone with the probe corresponds to 1 point, hitting each successive inner zone corresponds to 1 point more, the contact point - (N+1)-th point. In case of hitting with the probe between the concentric zones or between the inner concentric zone and the contact point when the probe touches them at the same time, is estimated as a number of points corresponding to the inner concentric zone or the contact point, respectively. The computer calculates the total number of movements, equal to the number of touches with the probe of the contact pads, and the number of scored points as a result of touches. Speed of movement is estimated by the total number of movements, accuracy of movements - by the number of scored points.
Method of determining predisposition of athlete to playing football / 2513595
Athletes are tested using the device of psychophysiological testing UPFT-1/30 - "Psychophysiolog" assessing the complex visual-motor response by presenting a series of 75 light stimuli with a random distribution of green and red colors, the time of appearance of the next stimulus is a random value in the range of 2 to 5 seconds, counting from the time the response, followed by blanking of the indicator, for the green light stimuli the subject presses a button "Yes", for the red - "NO", the first 5 stimuli are training and are not involved in the calculation. The device measures the response time for each stimulus and the number of erroneous actions with definition of the parameters: the average response time, the level of stability of responses and the number of errors made. With an average response time of 341.00-397.00 ms, at 4-5 level of response stability, the number of errors made of 0.94-1.5 the athlete is recommend to play football.
 Method for estimating indications for prescribing drug preparations incompatible with alcohol ingestion / 2512764
Invention refers to medicine and may be used to estimate the indications for prescribing drug preparations incompatible with alcohol ingestion, in addictology, psychiatry, as well as psychotherapy. There are performed electroencephalography and psychological testing: the first stage involves electroencephalography (EEG) in the patients diagnosed with alcohol dependence syndrome for the presence of short wave, desynchronosis and asymmetric bioelectric brain activity, disturbed alpha activity; the given study aims at finding the presence or absence of an organic pathology of brain functioning related to disturbed bioelectric activity. At the second stage, the patients with EEG findings showing no signs of an organic brain involvement are estimated considering the personal nonverbal emotional attitude system using colour repertory grid (CRG) techniques with using groups of alcohol-related objects and displaying Luscher colour cards. Pearson linear correlation coefficients of the elements and constructs to be further processed using a principal component analysis procedure. The detected factor loadings of the two most important components are used as two-dimensional element coordinates when constructing a graphical model of the attitude system of the person being tested. The presence of high conformity in the two representational personal emotional attitude system (verbal and nonverbal) gives evidence of the intact and adequate personality motivation sphere and serves as an indication for prescribing drug preparations of opioid receptor antagonists (naltrexone) and a cognitive behaviour therapy of alcohol dependency. The presence of low conformity is a sign of such disturbances of the motivation sphere that neutralise possibilities of psychotherapeutic methods and serves as a proof for prescribing drug preparations incompatible with alcohol ingestion (disulphiram, cyanamide).
 Method of testing person's reaction on moving object / 2508050
Invention relates to field of medicine and is intended for testing person's reaction on a moving object. A light spot is created on horizontal surface by computer-controlled light emitter. Tested person is placed in the centre of the spot, with direction and rate of the light spot being changed within specified time in a programmed way. Tested person assesses movement of the light spot and changes their position in such a way as to be in its centre, movement of the light spot and tested person is registered by videocamera, located at the specified height above horizontal surface. Video image is sent to computer, which calculates position of the light spot centre and centre of tested person's position, distance between the centres, arithmetic mean of calculated distances between the centres of the light spot and place of tested person's position. Conclusion about person's reaction on a moving object is made by the value of arithmetic mean.
Method of determining falsity of transmitted information on dynamics of parameters of person/s nonverbal behaviour / 2506048
Invention relates to field of cognitive psychology and psychophysiology and can be used for establishment of reliability of content of information transmitted by person in intellectual infocommunication systems, as well as in carrying out office investigations. Structured interview, which includes blocks of questions of neutral and control character, with registration of parameters of nonverbal person's behaviour in the process of answering the questions is carried out. After that, analysis of nonverbal bahaviour dynamics is carried out with identification of its most informative parameters, grouped on the basis of factor analysis into the group of vegetative responses, group of mimic responses, group of pantomimic responses; identification of tendency of changes for each parameter and/or group of parameters, characteristic of the tested person, is performed. After that, parameters of nonverbal person's behaviour in the process of communicative interaction are registered by means of infocummunication system, and used to make conclusion about falsity/validity of transmitted information by comparison of obtained response with response to questions of neutral and/or controlled units of questions, registered in the process of structured interview.
Method of testing time of person's reaction / 2506047
Invention relates to any field, where assessment of time of person's reaction is required. A light spot is created on horizontal surface by computer-controlled light emitter. Tested person is placed in the middle of the spot. Direction and/or speed of the light spot movement is changed in the course of time in programmed way. Tested person assesses movement of the light spot and changes their position in such a way as to be in the centre of the spot. Movement of the light spot and tested person is filmed by video camera, located above horizontal surface. Video image is transmitted to computer, which registers moments of time of change of direction and/or speed of movement of the light spot and tested person, measures delay in change of direction and/or speed of tested person's movement relative to moment of time of change of direction and/or speed of the light spot, and calculated the mean arithmetic value of measured delays. The mean arithmetic value is used to make conclusion about person's reaction.
 Method of hiererchical functional systemic psychophysiological estimation of individual typological peculiarities of purposeful personality activity / 2506046
Invention relates to means for carrying out psychological tests, namely to means of occupational selection and determination of occupational suitability in various areas of human activity. Preliminary interview, collection and estimation of information about personality are performed by means of sociobiographical questionnaire and psychophysiological testing. Individual is related to one of 24 identified personality types, ordered in accordance with domination of four personality constructs: "Will", "Logics", "Emotion", "Physique". Additionally determined are: belonging of individual to introverts or extraverts, type of accentuation of social adaptation character and temperament: demonstrative type, pedantic type, delayed type, excitable type, hyperthymic type, disthymic type; cyclothymic type, exalted type, emotive type, anxious type. After that, suitability of individual for purposeful activity is determined by comparison of data with specified individual-typological requirements of occupational orientation.
Method for determining mental fatigue degree / 2243724
Method involves forming signals as tests requiring solution. The tests are shown with frequency changed proportionally to the frequency they are solved. The number of tests is set to be the same in the cases of recovered and tired state. General amount of time spent for finding solution for given number of tests and the number of tests having right solutions are determined in each state. Mental fatigue degree is evaluated from relative change of mean time needed for finding the right test solution using a relationship like (Tm.r- Tm.t)100%/Tm.t, where Tm.t = Tsum.t/Kr.t, Tm.r = Tsum.r/Kr.r, Tm.t is the time spent for finding the right answer in tired state, Tm.r is the time spent for finding the right answer in recovery state, Tsum.t is the total time spent to solve given number of tests in tired state, Tsum.r is the total time spent to solve given number of tests in recovered state, Kr.t is the number of right answers to the tests in tired state, Kr.r is the number of right answers to the tests in recovered state.
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FIELD: medicine. SUBSTANCE: what is involved is psychodiagnostics that provides a basis for a short-term positive and rational psychotherapy. Then, three types of breathing are trained: diaphragm breathing technique; pre-labour breathing technique that provides a deep chestful breath-in alternated with a deep breath-out every time labour arrives, in a relation of breath-in : breath-out - pause 4:6, repeated for at least 5 times. The breathing technique for the period of intensive labours is trained to provide a deep mouth breath-out, a chestful breath-in, in the relation of breath-in : breath-out 4:4; and a shallow breathing is trained. After the breathing types are trained, a pregnant woman is subject to a positive non-conscious exposure for 30 minutes according to SOMVI technique for the purpose of the desensitisation of negative expectations of the forthcoming delivery and the correction of the psychosomatovegetative state; the preparation course is 8-10 sessions. EFFECT: method enables provides the more effective psychotherapeutic preparation of the women at the late pregnancy by normalising the high anxiety level and reducing the subjective feeling of the labour pain, that in turn leads to reducing the drug-induced load accompanying the labour, and reduces a probability of obstetric and perinatal complications in birth and after-birth periods.
The method relates to medicine, namely to psychophysiological method in obstetrics, and is intended for psychotherapeutic preparation of pregnant women for childbirth. Medical and psychotherapeutic preparation of pregnant women for childbirth remains a problem not only in practice, obstetrician-gynecologist, but in General medical practice, since pregnancy outcomes depends on the health of mother and child that determines the quality of life in General. Anxiety has a negative impact on the health of the fetus, obstetric and perinatal outcomes. Anxiety related to pregnancy, there are 54% of women (Faisal-Cury, A., Rossi P. Menezes, 2007; Lee A.M., Lam S.K., Sze Mun Lau S.M. et al., 2007). However, anxiety in pregnancy often remains unrecognized (Alder J., Fink, N., J. Bitzer et al., 2007; Coleman VH, Carter, M.M., Morgan, M.A. et al., 2008), which is a significant factor for the occurrence of complications in the neonatal period (Zelkowitz, P., Papageorgiou, A., 2005). In addition, anxiety disorders during pregnancy are one of the main risk factors for emotional stress after birth, leading to maladjustment (Korotkova N.A., 2011). Today there are many training programs of pregnant women for childbirth, which combine various psychotherapeutic approaches (psychoanalytic, suggestive, art terapeuta), adapted to work with pregnant; breathing and physical exercises, acupuncture, biofeedback, acupressure and other non-drug methods of preparation. These methods require a sufficient period of time to educate pregnant women to consciously use them during childbirth. That is why training is recommended to start in early pregnancy and often performed individually, leading to greater economic and time costs of medical care. However, the skills acquired psychoprophylactic preparation in connection with stress, and lack of learning, in terms of labor activity is often not reproduced, which makes many ways of preparing ineffective. There is a method of childbirth preparation when pregnant teach diaphragmatic breathing with the use of biofeedback (BFB) on heart rate under control of the maximum heart rate during inhalation and training in the use of this breath (EN 2134542, 1999). Pregnant abdominal breathing first exhalation equal to the breath, then breath on the inhale. The periods of such breathing alternate with rest periods, the duration of periods of breathing and relaxation regulate depending on periods generic activities is lesti. The method allows to objectify monitoring the progress of the preparation of a pregnant woman for childbirth. Training directed nacereddine different skills in the proposed timing modes. However, for this method of preparation, as a rule, necessary training, and special equipment. Known physiological adaptation and psychological support "Prepared childbirth", which offers a combination of techniques: "working in small groups, positive psychotherapy with elements of autogenic training and joint work (Shirinian L.V. "the Role of psycho-physiological adaptation during pregnancy in the prevention of gestational and perinatal complications. The dissertation on competition of a scientific degree of candidate of medical Sciences, Blagoveshchensk, 2006) Proved that the maximum efficiency (66,7%) after the psycho has been observed in women who started training in the early stages of gestation (before 28 weeks). This was manifested in the reduction of anxiety level, the normalization of autonomic balance and create a positive attitude to pregnancy and childbirth. However, pregnant women after 28 weeks of hard succumbed psycho effects in 50% of cases of anxiety remained at the same high level. Known psychoprophylactic preparation (PP is) on the program "Prepared childbirth (Kovalenko-Madruga N.P., 2001), which includes the method of individual support in childbirth in combination with non-pharmacological methods of pain relief (relaxation between contractions, the pressure on painful points, a point and a normal massage, change of body position, self-regulation of breath, audiotherapy). However, prenatal psychoprophylactic preparation proved ineffective: every second remained high anxiety level in childbirth. In the main group of 51.2% was required emergency epidural analgesia in connection with discoordinating generic activities, accompanied by severe pain of contractions and hypoxia. The known method, which is taken as a prototype "Method psychoprophylactic preparation of pregnant women for childbirth" (EN 2308299, 2006.05.17). It includes thematic conversations, relaxation sessions and special sessions videotherapy. Videotherapy involves viewing pregnant video, on 25-th frame which is placed verbal information containing thematic and permanent installation on a positive motherhood. However, this method requires constant switching the active attention of the patient for the perception of visual information, which excludes the possibility of complete relaxation. In addition, the authors emphasized that this method should use is to only equipment of the highest quality, and the screen on which the video will be projected, must be large enough. This eliminates the possibility to use this method in conditions outside the hospital setting. The objective of the invention is to normalize elevated levels of anxiety and reduce the subjective experience of ancestral pain, which in turn will reduce the medical burden during childbirth and the likelihood of obstetric and perinatal complications in the birth and postpartum periods. The problem is solved by the method of complex psychotherapeutic preparation of pregnant women for childbirth, namely, that in addition to conducting 8-10 sessions of 1.5-2 hours short-term positive, rational psychotherapy and breathing techniques, conducted additionally the inclusion of 8-10 sessions positive unconscious effects within 30 minutes. Inclusion in the psychotherapeutic method of preparation of pregnant women for childbirth short-term positive psychotherapy, rational psychotherapy based on developing a conscious relationship pregnant all processes that occur in her body, breathing techniques and positive unconscious effects with the use of modern technical means, will allow you to normalize elevated levels of anxiety and reduce the subjective experience of generic pain that will optimize odogwu activities to reduce medication burden during childbirth and the likelihood of obstetric and perinatal complications. Medical information is recorded on the CD-ROMs that offer to listen to each lesson. The duration of listening to medical information 30 minutes. The subject method auditory psychotherapy remains constant and is aimed at reducing the level of anxiety and tension (anxiolytic effect), increased confidence (assertive effect), desensitization of the negative expectations of the upcoming birth, correction psychosomatisation state. The recording format CD-audio. APK-program contains three levels of entry: - 1st level - background audio-media - audible sound (fully perceived by the patient on the conscious level)that is sewn into the unconscious sound effects (data APK-programs background sound is music); - 2nd level - priporogovaya masked record sound effects, sewn to the background sound on the border of the threshold of perception. The patient perceives it as a hissing sound (crackling), not discerning the content impact on the conscious level (sometimes patients with good hearing can isolate individual words that does not impact negatively on the overall suggestive effect); - 3rd level - subthreshold masked write - SV is the same effect, sewn in the background sound below the threshold of conscious perception is absolutely not perceived at the level of consciousness. The entry is made under the masking threshold, but not below the physiological threshold of perception. Affecting the audio information according to its physical parameters is not subthreshold (the volume level is 10-20% of the background sound, and more), while maintaining the effect of the unavailability of conscious perception. Unconscious sound effects include: - unconscious suggestive installation (NPC) - a short phrase consisting of key words (individually meaningful semantics), the sound of which is automatically looped and is constantly repeated throughout the session psychotherapy. The number of repetitions given reverb depending on the duration of the program and size of GCS ranges from 630 to 1260 in each channel (right and left channels used are different, but complementary in the meaning content NSO). Unconscious influence is aimed at the gradual change of values of semantic memory elements (according to the mechanism of psychosemantic conditioning) and, as a consequence, the modification of mental functions in accordance with the purpose audioline-psycho programs. The duration of the playback IMEI : is doing - 30'04". AIC program consists of 2 parts: part 1 - duration 21' 04". The semantics of the NSO left channel (main suggestion installation): "I'm pregnant - Delivery will be easy. Soft painless childbirth - Delivery will be easy" The semantics of the NSA right channel (contextual suggestive installation): "I'm sure I am healthy - I'm happy - I'm sure" Form of exposure to suggestion - autosuggestion. The purpose is suggestive of the impact - relaxation and desensitization negative expectations of the upcoming birth, formation and strengthening of positive motivation to be pregnant, assertive effect. Part 2 - duration 09'00". The semantics of the NSO left and right channel: "Head net - Eye bright - Thoughts clear - Body free" Form of exposure to suggestion - heterosuggestion. The purpose is suggestive of exposure - correction psychosomatisation state. This method is used by any equipment to listen to music CDS, making this method available for use in a medical facility, or at home. Practically the method is as follows. First conduct a conversation with pregnant women about the purpose of preparation and expectation is the be from psychotherapeutic course of preparation for childbirth. Then pregnant are psychodiagnostics using psychometric tests (test of Spilberger Hanina, SAN questionnaire)reveals evaluation of the generic expectations of pain by visual analogue scale (VAS). Classes include topics of the three periods of the childbirth, the harbingers of sorts, biomechanism of labor, the concept of "pain in childbirth, explain its protective function during childbirth, are introduced to psychological characteristics of the child up to one year and features a child-parent relationship, explain the importance of breastfeeding, highlight issues of postpartum contraception; then teach three types of breathing, one of which is the technique of diaphragmatic breathing when pregnant puts his hands on his stomach to control the "correctness" of the process, the exercise starts with the maximum exhale, then take a deep breath, the abdomen protrudes forward, the fingers diverge at the abdomen, the lower parts of the lungs passively filled with air, do exercise 5 times; mastering the technique of diaphragmatic breathing, moving to the type of breathing that is suitable for the start of labour, when every time you start the fight you need to take a deep cleansing breath, then a deep breath full Breasts, after a deep exhale in the ratio of the inspiratory:expiratory (pause) 4:6 (2), to perform this exercise you will need at least 5 times during practice; then teaching the t woman the type of breathing, when the contractions become more intense, the intervals between them become shorter, there is a need to breathe more often and shorter, the respiration circuit is as follows: deep exhale through the mouth, then a full breath, the ratio of inhale:exhale 4:4; breathing out long, for 20-30 seconds, in order to avoid hyperventilation; to facilitate the woman feel when not to push, and the baby's head drops down, teach superficial breathing, starting with a deep exhalation, then a deep full breath, then surface shortness of breath, which must be completed deep intense breath, and then breathe a calm type of breathing in the ratio inhale:exhale (pause) 4:6 (2); conduct demonstration breathing, when the baby's head was down on the pelvic floor muscles: deep exhale full breath, hold your breath and make an effort the entire aperture, the entire volume of the lungs when breathing is not enough, we take a deep breath, not throwing, and again make an effort; after breathing techniques is given instructions to take a comfortable position, close your eyes, relax and imagine yourself in a safe place and turn the music disc with the unconscious effects within 30 minutes, after listening to which proposed to make some aggressive moves; after class give instructions to re-test Spilberger Hanina and questionnaire-SAN, when choosing the appropriate graph must cross out the number depending, as the patient feels at the moment; instruction to assessment expectations generic pain on visual analogue scale (UA) is to mark on the scale the number that corresponds to the expected pain scores during labor. The following example illustrates the method according to the invention: Patient 28 years, gestational age of 32 weeks, the first childbirth. During the psychological interview to the use of psychotherapeutic method of preparation of pregnant women for childbirth by questionnaire Spilberger revealed an increased level of situational anxiety (47 points), indicators questionnaire sun at 4.1-3.8 to 4.5, the expectation generic pain patient evaluated by 8 points. Within 8 sessions of 1.5-2 hours pregnant was conducted short-term positive psychotherapy, rational psychotherapy, included topics of the three periods of the childbirth, the harbingers of sorts, biomechanism of labor, the concept of "pain in childbirth, explained its protective function during childbirth, dealt with the psychological characteristics of the child up to one year and features a child-parent relationship, explained the importance of breastfeeding, covered the issues of postpartum contraception; then the patient was taught the three types of breathing, one of which is the technique of diaphragmatic breathing when pregnant put their hands on the abdomen to control the "correctness" of the process, prajnan the e started with a maximum exhalation, then did a deep breath stomach was showing through forward, fingers parted on the abdomen, the lower parts of the lungs passively filled with air, was successfully completed exercise 5 times; mastering the technique of diaphragmatic breathing, went to training type of breathing, which is suitable for starting fights, when every time you start the fight you need to take a deep cleansing breath, then a deep breath full breast - deep exhalation in the ratio of the inspiratory : expiratory (pause) 4:6 (2), was completed this exercise 5-7 times for practice; then he taught the woman to the type of breathing, when the contractions become more intense, the intervals between them become shorter, there is a need to breathe more often and shorter, the respiration circuit is as follows: deep exhale through the mouth, then a full breath, the ratio of inhale : exhale 4:4; breathing out long, for 20-30 seconds, in order to avoid hyperventilation; I did this exercise 5-7 times in the course of teaching; taught the patient surface to breath, starting with a deep exhalation, then a deep full breath, then surface shortness of breath, which must be completed deep intense breath, and then breathe a calm type of breathing in the ratio of the inspiratory : expiratory (pause) 4:6 (2), was completed this exercise 5-7 times during practice; demonstrated the following type of breathing: deep exhale full breath in, breath and tug who were the entire aperture, the entire volume of the lungs, explained that if the breathing is not enough, we take a deep breath, not throwing, and again make an effort; after breathing techniques, gave instructions to take a comfortable position, close your eyes, relax and imagine yourself in a safe place and included a music CD with a positive unconscious action - 8 sessions for 30 minutes, after listening which was offered to do some active movements; after all classes were given the instructions to re-test Spilberger Hanina and questionnaire-SAN, when in the appropriate box you must cross out the number depending on how the patient felt at the moment; instruction to assessment expectations generic pain on visuale-analog uiKane(VAS) is to mark on the scale the number that corresponds to the expected pain scores during labor. In the preparation for childbirth a high level of anxiety decreased (35 points), desactualizado the problem of pain in childbirth (assessment expectations generic pain decreased by 3 points on the VAS scale). The delivery was without complications for mother and child (the child's condition on Apgar scale 8-9, weight 3500 g, 52 see) postpartum assessment of pain in childbirth remained at the expected level (5 points). Subjective attitude towards childbirth and satisfaction with behavior in childbirth the woman appreciated what about the 5-point scale 4. The claimed method was used to improve the efficiency psychoprophylactic preparation for childbirth not only in individual lessons, but in the group, due to the normalization of elevated levels of anxiety and reduce subjective experiences generic pain that helped to reduce medication burden and complications in the birth and postpartum periods in 50 women. The results of the study showed that the level of anxiety of 82.5% significantly decreased, the expectation generic pain decreased from 7-8 points 5-6 with a maximum score of 10 points. The questionnaire SAN indicators were 5-5,5-5,1. Integrated psychotherapeutic preparation of pregnant women for childbirth, namely, that conduct diagnostics, based on the results of which carry short-term positive and rational psychotherapy, and then teach the following types of breathing: techniques of diaphragmatic breathing; breathing technique for the start of labour, according to which every time you fight you should perform alternating deep breath, deep breath full chest, and breathing exercise in the ratio of inhale:exhale - pause 4:6, and repeated at least 5 times; then teach the technique of breathing for a period of intensive labour, according to which to perform a deep exhale through the mouth then a full breath, PR is the ratio of inhale:exhale 4:4, then teach superficial breathing; after learning the types of breathing in pregnant have a positive tangible impact within 30 minutes according to the method of "SOMVI"aimed at desensitization of the negative expectations of the upcoming birth and correction psychosomatisation state, the training course includes 8-10 sessions.
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