Wyniki wyszukiwania - Biblioteka Nauki

1

Komunikacja matki z dzieckiem w okresie prenatalnym

100%

Matuszczak-Świgoń J. , Kowalska-Żelewska A.

Człowiek i Społeczeństwo

|

2020

|

tom 50

EN

The aim of this paper is to present theories, current research on the forms and importance of a mother’s communication with her child in a prenatal period, and discuss the results of own research in this area. In the research, the Communication with a Prenatal Child Questionnaire was used which measures six forms of prenatal communication. Prenatal communication is significant for both a mother and a child in her womb. Thanks to prenatal communication the mother can explore more consciously the challenges of pregnancy which are preparatory tasks for the role of a parent and the child develops better. The mother learns how to express her feelings non-verbally through empathy, facial expressions, touch, synchrony, and intuition. After childbirth, she can use the forms of communication from the prenatal period.

2

Congenital fetal heart disease - course and outcome of pregnancies

89%

Plešinac S. , Plećaš D. , Ljubić A. , Parezanović V. , Terzić M.

Open Medicine

|

2007

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tom 2

|

nr 2

203-207

EN

The aim of the study was to analyze the course and outcome of pregnancies with congenital heart disease of the fetus, diagnosed and terminated at the Institute of gynecology and obstetrics Clinical Center of Serbia over four years. The study included 71 patients, divided into 3 groups according to the fetal outcome. Group 1 had consisted of 9 pregnancies terminated artificially, Group 2 of 48 patients who delivered live fetuses, and Group 3 of 14 pregnancies terminated as fetal intrauterine death. The types congenital heart diseases were categorized as follows: 40 had L-R shunting type, 18 R-L shunting type, 8 coartacion of aorta, and 7 valvular diseases. Intrauterine fetal death occurred in 11 pregnancies in Group 3 after 28 weeks of gestation. In 13 cases karyotypisation were done, because of maternal age or intrauterine growth retardation diagnosed with ultrasound, and 9 of them had genetic disorders. Forty-eight fetuses were born alive. Fourteen died in the first 2–7 days and 12 had successful heart surgery. Twenty-two needed no surgical correction. Ultrasound findings were false negative in 3 cases. The diagnosis of fetal heart disease should be done by fetal echocardiogram, which can be preformed early in the beginning of the pregnancy.

3

Spontaneous Gastric Rupture in the Peri-Delivery Period

89%

Strzelczyk S. , Sułkowski L. , Pęczak M.

Polish Journal of Surgery

|

2008

|

tom 80

|

nr 12

676-680

EN

The case of young primigravida pregnant women with spontaneous gastic rupture in perinatal period was reported. Rapid obsteric intervention during caesarean section made possible the survival of the neonatant. Prompt surgical laparotomy was performed with excision necrosis part of the stomach wall. The wall was repaired what gave the positive therapeutic effect. Authors indicate on diagnostic troubles, the way of obstetric and surgical treatment and complications in postoperative course.

4

Anxiety states and knowledge of COVID-19 among pregnant women during the pandemic in Turkey – a cross-sectional study

71%

Esra Hoşoğlu E. , Berkan Şahin B. , Bedia Sultan Önal B. S. , Sema Baki Yıldırım S. B.

European Journal of Clinical and Experimental Medicine

|

2021

|

nr 1

10-17

EN

Introduction. Infectious outbreaks have negative effects not only on the physical health of the society but also on the mental health. Aim. To evaluate the anxiety states and knowledge of COVID-19 during the pandemic in pregnant women. Material and methods. Cross-sectional study conducted in a university hospital in Turkey. A total of 199 pregnant women were included in the study. The State-Trait Anxiety Inventory (STAI), two questionnaires to evaluate the knowledge about COVID-19, and COVID-19-related anxiety were applied to all the women. Results. The highest level of COVID-19-related anxieties were about their spouses or newborns contracting COVID-19, effects of drugs on fetus and contracting COVID-19 during delivery. There was a negative correlation between gestational week and the questionnaire of COVID-19-related anxieties (r=-0.152, p=0.037). STAI total score was 76.48±14.11, and STAI-T scores (42.39±7.66) were higher than STAI-S scores (34.09±8.77). Although their general knowledge about the disease was relatively good, their level of knowledge on issues that pertained specifically to pregnancy was low. Conclusion. These findings indicated more than four months had passed since the pandemic came to the country but, pregnant women were very worried and did not have enough information about the disease

5

Isoenzymes of N-acetyl-β-hexosaminidase in complicated pregnancy

71%

Arciuch L. P. , Bielecki D. , Borzym M. , Południewski G. , Arciszewki K. , Różański A. , Zwierz K.

Acta Biochimica Polonica

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1999

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tom 46

|

nr 4

977-983

EN

The activity of N-acetyl-β-hexosaminidase was found to be significantly higher in the placentas collected after delivery from women in puerperium with symptoms of prolonged pregnancy or complicated by EPH gestosis, than in placentas from normal pregnancy. Isoelectrofocusing of placenta homogenates showed the presence of isoenzymes A, P and B of N-acetyl-β-hexosaminidase. Different isoenzyme A patterns in homogenates were observed in placentas obtained from normal and prolonged pregnancies and in those complicated by EPH gestosis.

6

Biomechanical changes in pregnant women

71%

Opala-Berdzik A. , Bacik B. , Kurkowska M.

Physiotherapy

|

2009

|

tom 17

|

nr 3

51-55

PL

Celem pracy jest przedstawienie problemów związanych z różnorodnymi biomechanicznymi zmianami w układzie mięśniowo-szkieletowym kobiet w ciąży dotyczącymi postawy ciała także w aspekcie dolegliwości bólowych, zwłaszcza w dolnym odcinku pleców. Poruszane są zagadnienia związane ze zmianą funkcjonalnego zakresu ruchomości tułowia oraz ograniczeniami i trudnościami w wykonywaniu czynności codziennych i zawodowych. W pracy przedstawiono także wpływ ciąży na stabilność posturalną i chód. Wiedza zawarta w artykule powinna być pomocna zarówno osobom prowadzącym zajęcia w szkołach rodzenia, jak też lekarzom i fizjoterapeutom w profilaktyce oraz leczeniu dolegliwości układu mięśniowo-szkieletowego u kobiet w ciąży i po porodzie.

EN

The purpose of the paper is to present the problems related to various biomechanical changes taking place in the musculoskeletal system in pregnant women concerning body posture and pain problems and especially low back pain. The changes of the functional motion range of the trunk as well as the limitations and difficulties in daily life activities and work performance are taken into consideration. The influence of pregnancy on postural stability and gait is also presented in the paper. The knowledge gathered in the article should be helpful to those who provide the child birth classes as well as to physicians and physical therapists in prevention and treatment of musculoskeletal complaints of women during pregnancy and post partum.

7

Oczekiwania kobiet ciężarnych w zakresie wsparcia społecznego i medycznego w okresie okołoporodowym

71%

Pawlicka P. , Łockiewicz M. , Szulman-Wardal A.

Polskie Forum Psychologiczne

|

2014

|

tom XIX

|

nr 1

126-139

EN

The aim of our study is to determine the importance of various aspects of delivery and post-natal care for women in the third trimester of pregnancy, and the analysis of relationship of these aspects to selected personal variables also in the context of the relationship with the yet unborn child. In this exploratory study, 94 pregnant respondents participated, including 72% of primiparous and 28% of multiparous women. The participants completed the MFAS questionnaire and a survey in the form of closed questions. The results show that women preparing for childbirth considered as very important medical standards included in the Regulation of the Minister of Health: freedom and the opportunity to decide on issues related to birth and care of a newborn child, as well as care and support from professionals and the loved ones; however, only a third of respondents prepared or are planning to prepare a birth plan. Primiparas, despite a lower sense of preparation for childbirth as compared with multiparas, valued more the availability of natural than pharmacological measures to reduce the pain, and hoped to receive staff’s help at the first stages of child care, which shows the need for post-natal care and support of women, especially those who gave birth to their first child/children. The multiparas found the first breastfeeding immediately after birth as more important than the primiparas. Our results indicate the importance of treating problems with conceiving for the strength of the bond with the unborn child, and show that significant factors for the strength of bond with the unborn child is a longer contact time with the baby immediately after birth and importance attributed to the access to education and counseling.

8

Oczekiwania kobiet ciężarnych w zakresie wsparcia społecznego i medycznego w okresie okołoporodowym

71%

Pawlicka P. , Łockiewicz M. , Szulman-Wardal A.

Polskie Forum Psychologiczne

|

2014

|

tom 19

|

nr 1

126-139

EN

The aim of our study is to determine the importance of various aspects of delivery and post-natal care for women in the third trimester of pregnancy, and the analysis of relationship of these aspects to selected personal variables also in the context of the relationship with the yet unborn child. In this exploratory study, 94 pregnant respondents participated, including 72% of primiparous and 28% of multiparous women. The participants completed the MFAS questionnaire and a survey in the form of closed questions. The results show that women preparing for childbirth considered as very important medical standards included in the Regulation of the Minister of Health: freedom and the opportunity to decide on issues related to birth and care of a newborn child, as well as care and support from professionals and the loved ones; however, only a third of respondents prepared or are planning to prepare a birth plan. Primiparas, despite a lower sense of preparation for childbirth as compared with multiparas, valued more the availability of natural than pharmacological measures to reduce the pain, and hoped to receive staff’s help at the first stages of child care, which shows the need for post-natal care and support of women, especially those who gave birth to their first child/children. The multiparas found the first breastfeeding immediately after birth as more important than the primiparas. Our results indicate the importance of treating problems with conceiving for the strength of the bond with the unborn child, and show that significant factors for the strength of bond with the unborn child is a longer contact time with the baby immediately after birth and importance attributed to the access to education and counseling.

9

Polygraph Examination of Pregnant Women: Dilemmas and Recommendations

71%

Gołaszewski M.

|

nr 2

69-78

10

The Influence of Nursing Care on Pregnancy and Labour

71%

Kozłowiec J. , Kozłowiec M. , Książek P.

Polish Journal of Public Health

|

2015

|

tom 124

|

nr 4

195-198

EN

Introduction. Performance management is a crucial concept in the broader field of human resource management. In accordance with its principles, in defining a professional role, its aim must be included. In addition, key results areas and crucial competencies must be stated. The professional role of a nurse with regard to pregnancy and pre-natal care, is defined by way of the set of functions fulfilled. The role of a midwife and her competencies are, however, in this situation, much broader. Aim. The aim of the conducted research was to determine the roles played by both nursing and midwifery staff in ensuring a healthy pregnancy and delivery by way of their patients' assessment. Material and methods. The research was conducted in the Obstetrics and Gynaecology unit, in the Regional Specialist Hospital in Biała Podlaska, and it involved 40 pregnant women. Results and discussion. Our study reveals that what the subject women need the most from the nursing and midwifery staff, is emotional support. What is more, the dominant majority connects their expectations as to the fulfilment of the roles played by nursing and midwifery staff to an increase in information support. Conclusion. The obtained results allow a defining of the aim of the professional roles of nurses and midwives in supporting and assisting the pregnant, as well as identifying their key results areas and crucial competencies from the patients' point of view. In comparing our own study results to that involving patients' opinions (gained by way of a study conducted in the obstetrics and gynaecology unit, by the quality care assessment section of the Regional Specialist Hospital in Biała Podlaska), it can be stated that there is continuous positive growth in the quality of service provided by nurses and midwives.

11

Determining fetal sex in pregnancy with reference to pregnant women behavior in late pregnancy

71%

Robak-Chołubek D. , Chołubek G. , Piróg E.

Polish Journal of Public Health

|

2015

|

tom 125

|

nr 2

87-89

EN

Introduction. Pregnant women often create their own image of a child. The ultrasound is able to model and modify this picture. The image of the unborn child develops along with the process of creating the space for the baby on the psychological and emotional level and is continued after the delivery. Aim. The authors of the study made an attempt to evaluate the influence of fetal sex determination during ultrasound in pregnancy on emotional and ‘practical’ experiencing late pregnancy - after the 28th week of its duration. Material and methods. The study included 200 pregnant women. Qualification criteria for the research was the declared awareness of fetal sex confirmed by ultrasound. Among others, factors influencing decision to determine fetal sex, emotional bond with the unborn child after identifying the sex, as well as preparation for birth regarding prognosticated sex were assessed. Results. Nearly all pregnant women wanted to find out the fetal sex, usually claiming that they did so out of curiosity. After they did it, about 2/3 of them stated that the emotional bond with the baby increased and the vast majority of women started preparing layettes for their future babies. Conclusions. Determination of fetal sex during ultrasound improves the relationship between the mother and her future baby. It also enables the woman to prepare for childbirth considering its sex by the purchase of clothes, pram and preparation of layette or baby’s room

12

FACTORS ASSOCIATED WITH ESTIMATE OF HIGH TERATOGENIC RISK IN FEMALES EXPOSED TO ANTI-INFECTIVE AND ANTI-INFLAMMATORY DRUGS DURING PREGNANCY

71%

Grubor I. , Nikolić L. , Ružić Zečević D. , Milovanović D. , Folić M. , Rosić N. , Radonjić V. , Janković S. M.

Acta Poloniae Pharmaceutica - Drug Research

|

2018

|

tom 75

|

nr 6

1439-1445

EN

ABSTRACT Introduction. Considering that small number of drugs are completely safe for use during pregnancy, right choice and adequate risk assessment is extremely important. Objective. The aim of this study was to analyze factors associated with estimate of high teratogenic risk (as judged by clinical pharmacologist) in pregnant females who were prescribed anti-infective drugs or mild analgesics. Methods. A cross-sectional study included 284 pregnant women who came for an advice about teratogenic risk to clinical pharmacologist in Clinical Centre Kragujevac, Serbia during the period from 1997 to 2012. All of included pregnant women were prescribed mild analgesics and/or anti-infective drugs during the first 3 months of pregnancy. The data were collected from patient files and by phone interviews. Results. Clinical pharmacologists estimated the risk of teratogenicity as “high” in pregnant females who were using tetracyclines or propionic acid derivatives. Disorders of development reported by mothers during phone interviews were associated with cephalosporin use during first 3 months of pregnancy, while miscarriages or abortions happened more often in women who used a tetracycline. Conclusions. Estimate of risk from congenital anomalies after use of drugs during pregnancy, which make clinical pharmacologists as part of their routine healthcare services, depends on amount of published data about previous experiences with specific drugs during the first 3 months of pregnancy. Key Words: pregnancy; drugs; risk of teratogenicity; risk estimate

13

Unusual case of double acute intoxication with tamoxifen complicated by miscarriage

71%

Sein Anand J. , Chodorowski Z. , Korolkiewicz R. , Klimaszyk D. , Łukasik-Głębocka M.

Open Medicine

|

2006

|

tom 1

|

nr 1

99-102

EN

Background: A 24-year-old female had attempted suicide twice, at the age of 20 and 24, using tamoxifen. Case report: Subsequent to the first acute intoxication a development of bilateral ovarian cysts was observed. Cysts regressed spontaneously within 8 weeks. Five weeks after the second suicidal attempt, pregnant patient (15 weeks of gestation) was admitted to the hospital with vaginal bleeding and suspicion of miscarriage. The autopsy of the fetus did not reveal any gross abnormalities, whereas the microscopic examination demonstrated numerous foci of necrosis in the placental decidua. Other fetal membranes as well as the umbilical cord were normal. Conclusions:1.Acute intoxication with tamoxifen may be connected with the formation of follicular ovarian cysts.2.During pregnancy, intoxication with tamoxifen, may result in delayed miscarriage.

14

Possibilities in Anaemia Prevention during Pregnancy through the Basic Health Care System

71%

Karácsony I. , Albrecht H. , Brantmüller É.

Practice and Theory in Systems of Education

|

2015

|

tom 10

|

nr 2

141-149

EN

In case of pregnancies, one of the most common pathological conditions in internal medicine is aneamia with iron-deficiency. Furthermore, iron deficiency may also affect the mother and the fetus negatively. We wanted to find out which group of expectant mothers are mostly affected, which factors influence the development of aneamia. It was also observable in the case of those living at higher living standards that they take fetus-protecting vitamins with a significantly higher frequency before the pregnancy than those living at lower living standards. According to our research data, 67% of the sample developed aneamia. In our research the risk group consisted of young, vegetarian expectant mothers with low education and the multiparas. After conception, the timing of gynaecological consultation was appropriate and the majority of the sample had a clear idea of the ways of preventing aneamia. However, prevention was only realized in practice - based on the criteria - only with a frequency of 12%. It would be important to consciously plan pregnancy. After taking expectant mothers into care, they should - as soon as possible - be screened for the deficiency and in need, supplements should be started. Risk groups should be given greater attention. In their case, a routine supplement of iron would be desirable even before the development of a deficiency. During pregnancy care, awareness must be raised and an iron-rich diet should be established at the beginning. Beyond these, general practitioner, health visitors have the opportunity - through the close relationship with the expectant mothers - to control laboratory tests, provide appropriate information, recommend vitamin preparations as well as check taken medications.

15

Dealing with hypodysfibrinogenemia during pregnancy with a successful outcome

71%

Faflik Z. , Witkowski M. , Witkowska M. , Smolewski P. , Robak T.

OncoReview

|

2021

|

tom 11

|

nr 4

102-105

EN

Background: Fibrinogen is a protein playing pleiotropic role in human body. It is engaged in maintaining hemostasis. Congenital fibrinogen disorders comprise quantitative and qualitative fibrinogen anomalies. The symptoms range from bleeding, thrombosis to asymptomatic at all what is the most common case. Hypodysfibrinogenemia with lower level of fibrinogen of reduced activity, is the least common of all congenital fibrinogen disorders. Case report: A 31-year-old woman was reported at the 21 weeks of gestation, suffered from genital tract bleeding and there was a history of stillbirth. Clinical examination with no pathology, however laboratory tests revealed coagulation abnormalities due to prolonged thrombin test, decreased protein S and lower fibrinogen level (70 mg/dl). Autoimmune diseases were excluded and the diagnosis was widened with rotational thromboelastometry and genetic test for hypodysfibrinogenemia. The patient was treated with fibrinogen substitution and prophylactic dose of heparin throughout pregnancy and 2 weeks following labour. At 39 week of gestation Caesarean section was done, with no complications. Results: Genetic test revealed heterozygous mutation in fibrinogen gamma gene confirming hypodysfibrinogenemia. Due to bleeding manifestation in this patient of congenital fibrinogen disorders, fibrinogen substitution was implemented with heparin as a paranticoagulant prophylaxis, what turned out to be successful and enabled the patient to maintain the pregnancy. Conclusions: As hypodysfibrinogenemia symptoms are diverse the management is difficult and each patient’s therapy should be planned separately. Pregnancy may be the first time when congenital fibrinogen disorders reveal and it is especially challenging to prevent from obstetrical complications.

16

Pregoreksja – jadłowstręt psychiczny kobiet w ciąży

71%

Cichecka-Wilk M.

Studia Edukacyjne

|

2021

|

nr 62

187-204

EN

Pregorexia is the term used to describe anorexia nervosa in pregnant women. It is not a medical term, yet increasingly used by specialists nowadays. Probably this is because the cases of pregorexia they encounter in practice are increasing in number, affecting 1.5–5% of women. In addition, they emphasize the specificity of this eating disorder, which carries a double risk when the mother is expecting. However, the latest classification of mental disorders of the American Psychiatric Association, DSM-5, does not include a separate name and criteria for the diagnosis of anorexia nervosa occurring in pregnant women. The clinical picture of pregorexia, apart from some significant symptoms, is consistent with the picture of this disorder in other people. Women with this disorder show a strong fear of the natural consequence of pregnancy, which is weight gain. To this end, they reduce the amount of food consumed, reduce the caloric content of meals, and use fasts. They also often do intense exercise. Sometimes they have binge eating and purging episodes, provoke vomiting, and abuse laxatives. As a result, they lose weight, develop qualitative malnutrition and body exhaustion. This entails numerous negative effects on the health and sometimes life of both mother and child. Such a danger, however, is not a factor preventing the actions causing it. They are caused by the pathological mechanism of the disorder, related to the action of various factors. In this article, some selected ones seem to be peculiarly significant in relation to pregorexia.

17

The Influence of Pregnancy on the Location of the Center of Gravity in Standing Position

71%

Opala-Berdzik A. , Bacik B. , Cieślińska-Świder J. , Plewa M. , Gajewska M.

Journal of Human Kinetics

|

2010

|

tom 26

5-11

EN

The purpose of the study was to compare the average location of the center of gravity vertical projection in sagittal plane in women at the beginning of and in advanced pregnancy as well as after delivery. The experiment was performed with the use of a force platform during four test sessions. A group of 44 women (8-16 weeks of pregnancy) participated in the initial test session. In the following sessions the number of the subjects reduced mainly due to medical and childcare problems: 33 women were tested in late pregnancy (2-3 weeks before delivery), and 39 women were tested two and six months after delivery.The results showed the statisticaly significant (p<0,05) posterior displacement of the projection of the center of gravity of the lenth of approximately 4 mm in late pregnancy comparing to the beginning of pregnancy. The displacement may be the result of the body's adaptation to the increased mass in the anterior trunk area in late pregnancy. No discrepancy was found when comparing the average center of gravity location in the early pregnancy and after delivery.We concluded that the change of the center of gravity location in late pregnancy is temporary and two months after delivery the vertical projection of the center of gravity is located as it was at the beginning of pregnancy.

18

ASSOCIATIONS BETWEEN HEALTH BEHAVIOR HABITS AND QUALITY OF LIFE OUTCOMES IN PREGNANT WOMEN: A PRELIMINARY INVESTIGATION IN POLISH SAMPLE

71%

Krzepota J. , Sadowska D.

Central European Journal of Sport Sciences and Medicine

|

2015

|

tom 10

|

nr 2

45-53

EN

The aim of our study was to analyze the relationships between health behaviours and quality of life. Research was conducted on a sample of 144 women in the third trimester of pregnancy, participating in antenatal classes. The tools used for investigation of health behaviour was Health Behaviour Inventory and for the quality of life was Quality of Life Questionnaire (WHOQoL-Bref). The analysis of results between women with high, average and low General Index of Intensity of Health Behaviours (GIIHB) showed statistically relevant difference in quality of life only in the Environment domain ( p ≤ 0.05). Depending on GIIHB, there are different correlations between categories of health behaviours and quality of life. The present research confirmed the existence of correlations between health behaviours and perceived quality of life among pregnant women participating in antenatal classes. The observed correlations show a need for further investigation and taking into account also other individual and socio-economic factors.

19

Przesądy ciążowe – nasilenie i wybrane uwarunkowania zjawiska mitologizacji ciąży

71%

Dąbrowska-Wnuk M.

Społeczeństwo i Edukacja. Międzynarodowe Studia Humanistyczne

|

2018

|

nr 2(29)

447-464

EN

Waiting for the birth of a child launches a series of activities aimed at creating the most optimal conditions from the point of view of child development. In addition to legitimate medical reasons, women also apply behaviors resulting from superstitions. Their goal is to overcome stress and make the woman convinced that she is a good mother. The conducted research proved that future mothers are guided by superstitions. The relationship between the greater intensification of pregnancy superstitions and the place of residence (the village), the unplanned pregnancy and the initial months of pregnancy were demonstrated. It has also been shown that the severity of pregnancy superstitions is greater in those women who are generally superstitious and have become more superstitious because of pregnancy.

20

What to expect when expecting? Experiences of pregnant women in Serbia during the COVID-19 pandemic and state of emergency

71%

Bilinović Rajačić A. , Čikić J.

Gender a výzkum / Gender and Research

|

2023

|

tom 24

|

nr 1

88-113

EN

The aim of this paper is to shed light on the experiences of non-infected pregnant women in Serbia during the COVID-19 pandemic and the state of emergency by applying a qualitative research method. The present analysis examines four aspects of being pregnant during the COVID-19 pandemic and the state of emergency: (a) pregnant women’s health and health care; (b) preparation for childbirth and the arrival of a new family member; (c) working while pregnant during the pandemic; and (d) the family atmosphere and family practices. The results show that the coronavirus pandemic affected pregnant women both psychologically and socially. The following conditions had a negative impact on pregnant women: (a) worrying about both their own health and the health of their baby; (b) a significant reduction in the level and quality of health-care support; (c) a decrease in ‘external’ parental support as a result of the need to socially isolate; (d) difficulties in managing their professional and family obligations; (e) missing their regular pre-pandemic activities; and (f) a decrease in total family income as a result of changes to employment conditions during the pandemic. Respondents who experienced pregnancy positively had high levels of marital adjustment and a stable family income and enjoyed spending more time with their husband and children during the pandemic.