The Impact of the Factor of the Russian-Ukrainian war (2021-2025) on the Dynamics of the Quality of Life of Pregnant Women with Primary Chronic Disease of the Veins of the Lower Extremities During Gestation
Antonyuk-Kysil VM, Dziubanovsky IYa, Enikeeva VM, Syaska IO, Martsynovskyi VP and Oliynyk DF
ABSTRACT
Wars have always affected the deterioration of the mental and emotional state of the population in general, and especially among women of reproductive age. It is extremely important for Ukraine to identify and assess the impact of the Russian-Ukrainian war on the quality of life of pregnant women as a source of demographic recovery, especially with primary chronic disease of the veins of the lower extremities, which occurs from 23.7% to 34.2% of pregnant women. Methods: This article provides an assessment of the dynamics of changes in the quality of life of pregnant women with primary chronic disease of the veins of the lower extremities according to subjective criteria during gestation in the period 2021 - 2025. The control year is 2021, as between the war period. The work was carried out on the basis of the municipal institution "Rivne Regional Perinatal Center" of the Rivne Regional Council. Quality of life was evaluated according to physical, social and psychological aspects and the presence of such an aspect as pain. For this purpose, the CIVIQ-20 and VCSS questionnaires were used. The patient's direct participation in the assessment of her condition provides adequate information about the quality of life directly related to the course of the disease and its impact on psychological, physical and social states against the background of the deterioration of the mental and emotional state caused by the war. And, in addition, the disease can significantly affect physical, psychological states and role in social life. Results: According to the analysis, we can focus on negative trends in the deterioration of the quality of life during the study period. Thus, the quality of life, according to the CIVIQ-20 questionnaire, was estimated at 31.51±0.2 points in 2021, and in 2025 it was already 52.61±0.4 points. It decreased by 66.9%. A tendency to reduce the birth rate by 25.3% was noticed, from year to year during 2022-2025. compared to 2021; also, the number of women giving birth for the first time by 3.3%. The number of pregnant women under 30 years of age increased from 36.2% in 2021 to 42.3% in 2025, with a long-term primary chronic disease of the veins of the lower extremities for more than 5 years from 37.5% to 43.8%, The number of women giving birth to more than 3 children increased compared to 2021, so in 2021 it was 34.9% to 42% in 2025. Conclusion: The obtained results of assessing the quality of life of pregnant women can be used in planning the possibilities of demographic growth both in Ukraine as a whole and in a specific region, which will ultimately affect the socio-economic development of Ukraine.
