# Effect of individualized psychological interventions on the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion

## TL;DR

This study shows that personalized psychological support helps reduce anxiety and depression in women with repeated miscarriages and improves their chances of a successful pregnancy.

## Contribution

The study demonstrates that individualized psychological interventions significantly improve mental health and pregnancy outcomes in patients with recurrent spontaneous abortion.

## Key findings

- The intervention group had significantly lower anxiety and depression scores compared to the control group.
- The intervention group had a lower miscarriage recurrence rate and higher newborn Apgar scores.
- Patients in the intervention group reported higher satisfaction with their care.

## Abstract

To investigate the effects of individualized psychological interventions on the psychological state and pregnancy outcomes of patients experiencing recurrent spontaneous abortion (RSA).

This was a retrospective study. Eighty-eight patients with RSA treated at Langfang TCM Hospital from December 2022 to December 2023 were selected as study subjects. They were randomly divided into a control group, which received standard nursing care, and an intervention group, which underwent individualized psychological interventions. The psychological states and pregnancy outcomes of patients in both groups were compared through assessments of anxiety and depression scores, quality of life, recurrence rate of miscarriage, newborn Apgar scores, and patient satisfaction.

Before the intervention, no significant difference was observed in the baseline characteristics between the two groups(P>0.05). After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores in the intervention group were significantly lower than those in the control group, respectively. The quality of life scores were all higher in the intervention group than in the control group. The recurrence rate of miscarriage in the intervention group (4.55%) was significantly lower than that in the control group (18.18%). The Apgar scores of newborns at birth, one minute after birth, and five minutes after birth were all higher in the intervention group. The satisfaction rate of the intervention group was significantly higher than that of the control group, with all differences being statistically significant(P<0.05).

Individualized psychological interventions can effectively improve the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion.