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EN
The topic of discussion is the discourse that shapes around pregnancy and childbirth in the past about two hundred years in Western countries – the mechanisms of its development, the most important manifestations and possible consequences. Theoretical basis for this problem is – Critical Discourse Analysis (CDA), and the main inspiration was the concept of M. Foucault – how according to the author this discourse is constructed, imposed and reproduced. „(...) in every society the production of discourse is at once controlled, selected, organized and subjected to redistribution by a number of procedures, whose role is to (...) take over the randomness of events (...)” writes Foucault. The purpose of the following discussion is, therefore, an attempt to show these „procedures” – methods and measures that are imposing and strengthen the medical discourse on pregnancy, childbirth, and more broadly the female body.
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Content available remote The Influence of Nursing Care on Pregnancy and Labour
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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.
EN
Young mothers frequently complain of backaches. The aim of this paper is to reveal if there is any relationship between physical activity in their early years (aged 6-18 years) and in adulthood, and between current physical activity and back pain. The paper is based on empirical research carried out by the survey method. With the help of structured sampling, 336 young mothers, all within 1-3 years after giving birth and all of whom were from the V4 countries and Romania, were included in the study. Their early and present physical activities, as well as their back pain in the upper and lower part of the back, was examined. Data were collected by questionnaire. To process the data, SPSS.17 was used. The results show that young mothers who were the most physically active in their early years remained the most active as adults. The correlation between the young mothers’ sporting activity in the early years (aged 6-18 years) and adulthood is strong. Due to their activity, the most physically active young mothers have less upper and lower back pain. The connection between current sporting activity and back pain were also significant both by the upper and the lower part of the back. It is concluded that regular physical activity in childhood is often continued and make up part of a young women’s life. As a result, they bear the early period of motherhood fitter and with fewer backaches.
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Content available remote Porod jako determinanta postavení ženy ve společnosti?
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EN
The gender division of people into ‘men’ and ‘women’ is valid in all, even the smallest, human groups Identification of woman or man stems from the basic relation nature v. culture. Every human society is built on this ground. The goal of this essay is to analyse in which way the childbirth determinates woman’s status in society. In case of cultural interpretation of childbearing, distinct identification of man and woman is made. The status of woman in society is derived from the main difference between men and women - the ability to give birth to progeny. Social structure which differentiates humankind from its animal progenitors is among others marked by every individual’s knowledge of his or her mother as well as father, who is perceived as ‘pater’ not as ‘genitor’. For a woman, delivery means a break point accompanied by a rite of passage. Delivery can cause a change of woman’s status. The study focuses on these questions: what is the significance of childbirth for woman and her society? What kinds of socially accepted values can influence social status of woman? How is the dichotomy mother-father created? Does the traditional social role of woman still exist in modern society?
EN
Childbrirth is a unique experience in the lives of both the child and its parents. The aim of this research was to obtain information from couples that had experienced a family birth on subject of preparation for its course and the influence of this event on formation of the parental and marital bonds. Material and methods. The research has been carried out amongst 107 couples, which participated in a family birth. The basic research tool consisted of the author's own survey prepared in two versions: (K) for the woman and (M) for the child's father. Results: The Internet, magazines and the participation in a birth school constituted the main source of information for expecting parents. Amongst the main motivations for participating in a family birth indicated by women were: obtaining psychological support (72.89%), the desire to be with someone close to them (41.12%), providing a sense of security (27.10%). For men their presence during birth was connected with psychological support for their wife (62.61%), experience an unforgettable moment (36.44%), be with someone close to them (26.16%). Conclusion: The spouses claimed that participating in a family birth had a beneficial effect on the marital relationships and increases the feeling of safety among parturient.
PL
Poród jest dla dziecka i jego rodziców wydarzeniem szczególnym. Celem badań było uzyskanie informacji od par, które odbyły poród rodzinny, na temat przygotowania do porodu, jego przebiegu oraz kształtowania się więzi rodzicielskich i małżeńskich w kontekście porodu rodzinnego. Materiał i metoda: Badania przeprowadzono wśród 107 par, które uczestniczyły w porodzie rodzinnym. Narzędzie badawcze stanowił autorski kwestionariusz ankiety w dwóch wersjach: (K) – dla kobiet i (M) – dla ojca dziecka. Wyniki: Głównym źródłem informacji o porodzie rodzinnym dla przyszłych rodziców był Internet, czasopisma oraz uczestnictwo w zajęciach szkoły rodzenia. Motywacją do jego odbycia, wskazywaną przez kobiety, było: uzyskanie wsparcia psychicznego (72,89%), chęć bycia z kimś bliskim (41,12%), zapewnienie poczucia bezpieczeństwa (27,10%). Dla mężczyzn obecność przy porodzie powodowana była chęcią udzielenia żonie wsparcia psychicznego (62,61%), przeżycia niezapomnianej chwili (36,44%) oraz bycia z kimś bliskim (26,16%). Wnioski: Poród rodzinny pozytywnie wpływa na relacje małżeńskie oraz zwiększa poczucie bezpieczeństwa wśród rodzących.
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Objectives. The aim of this article is to describe objective obstetric and population factors for the development of post-traumatic stress disorder (PTSD) after childbirth, the ways in which they interact with subjective factors, in order to identify those women who are at an increased risk of developing PTSD symptoms after delivery. Methods. The Web of Science database was used to search the literature. The keywords “posttraumatic stress disorder”, “PTSD”, “childbirth”, “trauma” and “risk factors” were entered. Out of 79 resulting articles in English, 48 articles dealing with the topic of postpartum PTSD were selected, of which 29 directly dealt with the identification and description of risk factors for the development of postpartum PTSD. Additional relevant literature has been obtained through the study of these articles. Results. The incidence of PTSD at 4-6 weeks after childbirth is estimated at 5.77% in the total population of postpartum women, and in the at-risk subpopulation, the estimate is 12.64%. Obstetric factors appear to be largely mediated by the emotional support of birthing woman from medical staff as well as by the presence and support of the accompanying person. Subjective perception of childbirth by the women giving birth, and the degree of control they feel during the birth process are among strongest factors which influence the risk of developing PTSD after childbirth. Early intervention in the form of providing comprehensive information and emotional support during childbirth, as well as in the postpartum period, and various forms of social support reduce the risk of developing a chronic form of PTSD. Study limitations. Due to the specifics of childbirth systems across geographies, the incidence rate of PTSD and the representation of risk factors in the Czech and Slovak environments can differ from the incidence and representation of those countries included in the resources for this review article.
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INTRODUCTION Childbirth is one of the most important events in a partnership. It influences not only the family relationship, but also the sex life of the partners. MATERIAL AND METHODS The study group consisted of 106 women (age 21–43) and 75 men (age 26–50). Most of those questioned live in a city, are employed, have higher and secondary education. 48% men and 45% women participated in family delivery, the rest participated in traditional childbirth. RESULTS Both the women and men had, independent of the delivery form, greater sexual activity before pregnancy. Women in comparison to men declared a lower level of sexual satisfaction after childbirth. Women more often declared that their sexual activity was disturbed after childbirth. Men claimed that they did not have any problems with sexual desire before or after their partner’s pregnancy, but 1/3 declared that their partners had problems with desire. CONCLUSIONS The form of delivery does not affect the stages of sexual life. Subjective assessment of sexual satisfaction among women, regardless of the type of labor, is lower than that of men. The level of sexual satisfaction is lower for men accompanying their partners during birth.
PL
WSTĘP Poród jest jednym z najważniejszych momentów w związkach partnerskich. Wpływa on na relacje wewnątrzrodzinne, a także na pożycie seksualne partnerów. MATERIAŁ I METODY Badaniem ankietowym objęto grupę 106 kobiet (K) w wieku 21–43 lat (mediana 32) oraz 75 mężczyzn (M) w wieku 26–50 lat (mediana 35). W większości byli to mieszkańcy miast, pracujący, z wyższym i średnim wykształceniem. Narzędziem badawczym był autorski kwestionariusz. W porodzie rodzinnym uczestniczyło 48% mężczyzn i 45% kobiet, pozostali w porodach tradycyjnych. Analizy wyników badania dokonano w programie Statistica 7,0 . W Y N I K I Zarówno mężczyźni, jak i kobiety, niezależnie od rodzaju porodu wykazują większą aktywność seksualną przed okresem ciąży kobiety. Kobiety prawie dwukrotnie częściej niż mężczyzni oceniają swój poziom satysfakcji ze współżycia po porodzie jako niższy. Kobiety znacznie częściej deklarowały występowanie u siebie zaburzeń poszczególnych etapów współżycia po ciąży niż przed nią. Mężczyźni twierdzili, że nie występowały u nich zaburzenia pożądania seksualnego przed ciążą partnerki ani po niej, ale pon ad 1/3 mężczyzn oceniła, że ich partnerki mają zaburzenia pożądania seksualnego po ciąży. W N I O S K I Rodzaj porodu nie wpływa na etapy życia seksualnego . Subiektywna ocena satysfakcji ze współżycia seksualnego wśród kobiet, niezależnie od rodzaju porodu, jest niższa niż wśród mężczyzn. Poziom odczuwanej satysfakcji ze współżycia wśród mężczyzn obecnych przy porodzie jest niższy, gdy mężczyźni znajdowali się przy boku rodzącej kobiety
EN
In the psychological literature there are theories of mother-infant bonding defined as a process that begins in prenatal life. The authors explored the perceived family cohesion amongst people who has just become parents from the perspective of bonding theories. The studies were conducted during 2-3 days after the childbirth. Mothers (the first and the second study) and fathers (the second study) described the current perceived structure of their family system (the position of a newborn child, parents, others in the family), Associations between the perceived family cohesion and personality traits of participants, as well as factors connected with childbirth were examined. The research project was comprised of two studies. Fifty two women took part in the first study, and a group of young parents participated in the second study (29 women and 25 men, including 24 pairs), All women were hospitalized at the Neonatal Clinic – Department of Gynecology and Obsterics at the Medical University of Gdansk, and were 2/3 days after giving birth to a child. Results of the research indicate that mother-infant bonding is a process associated with creating the stability of a family system. Factors that facilitate this process include orientation towards others among mothers, and differentation of self of fathers, as well as their participation in childbirth.
EN
INTRODUCTION: In pre-hospital conditions, the diagnosis of patients in the perinatal period is very limited. Emergency ambulance calls to pregnant women should only apply to emergency situations related to the risk of maternal and / or foetal life. The aim of the work is to draw a patient's profile in the perinatal period, to which the intervention team undertakes medical emergency. MATERIAL AND METHODS: The study group consisted of 119 calls in 2018 selected from 12854 ambulance interventions in the operational area of central Poland. Data was obtained from medical records. The analysis was carried out using the Statisticaver program. 13.1. The threshold of α=0.05 was considered as the level of significance, however, significant results at the level of 0.05 < p < 0.10 were considered significant at the level of statistical tendency. RESULTS: The median age in the group was 27 years (SD±8 years). The vast majority of cases (67.23%) were women without labor. The delivery was diagnosed in 27.73% of patients. The average pregnancy time was 27.5 weeks (SD±22). Most often, patients were intervened in the place of residence (84.87%), and the least frequently at work (2.52%). The increase in the number of calls was recorded in November and December. The most common reasons for the calls were childbirth and abdominal pain. The burden of medical history was found in 16 patients. Life parameters including the state of consciousness, respiratory and circulatory system were in the majority in the norm. CONCLUSIONS: Emergency ambulance interventions for pregnant women are a low percentage of all calls and usually involve pain and bleeding from the genital tract. In most cases, the examined patients are in the third trimester of pregnancy, and their condition can be described as stable. Calls are usually made in the winter season, and the place of the event is the patient's own home. Further research, directed at the educational needs of pregnant women, is recommended.
PL
WSTĘP: W warunkach przedszpitalnych diagnostyka pacjentek znajdujących się w okresie perinatalnym jest bardzo ograniczona. Wezwania pogotowia ratunkowego do kobiet w ciąży powinny dotyczyć wyłącznie sytuacji nagłych, związanych z wystąpieniem stanu zagrożenia życia matki i/lub płodu. Celem pracy jest próba nakreślenia profilu pacjentki w okresie okołoporodowym, do której interwencje podejmuje zespół ratownictwa medycznego. MATERIAŁ I METODY: Grupę badaną stanowiło 119 wezwań w 2018 r. wyselekcjonowanych spośród 12854 interwencji pogotowia ratunkowego w rejonie operacyjnym centralnej Polski. Dane pozyskano z dokumentacji medycznej. Analizę przeprowadzono przy użyciu programu Statisticaver. 13.1. Za poziom istotności uznano próg α=0,05, jednakże wyniki istotne na poziomie 0,05 < p < 0,10 uznawano za istotne na poziomie tendencji statystycznej. WYNIKI: Mediana wieku w grupie wyniosła 27 lat (SD ± 8 lat). Zdecydowaną większość przypadków (67,23%) stanowiły kobiety bez czynności porodowej. Akcję porodową rozpoznano u 27,73% pacjentek. Średni czas ciąży wyniósł 27,5 tygodni (SD±22). Najczęściej interweniowano w miejscu zamieszkania pacjentek (84,87%), a najrzadziej w pracy (2,52%). Wzrost liczby wezwań odnotowano w listopadzie i grudniu. Najczęstszymi powodami wezwań był poród i bóle brzucha. Obciążający wywiad chorobowy stwierdzono u 16 pacjentek. Parametry życiowe obejmujące stan świadomości, układ oddechowy i krążeniowy w zdecydowanej większości mieściły się w normie. WNIOSKI: Interwencje pogotowia ratunkowego do kobiet w ciąży stanowią niski odsetek wszystkich wezwań i dotyczą zazwyczaj dolegliwości bólowych oraz krwawienia z dróg rodnych. Badane pacjentki w większości przypadków znajdują się w trzecim trymestrze ciąży, a ich stan można określić jako stabilny. Wezwania są realizowane najczęściej w sezonie zimowym, a miejsce zdarzenia stanowi własny dom pacjentki. Wskazane są dalsze badania ukierunkowane na potrzeby edukacyjne kobiet w ciąży.
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Spontaneous, painless enophthalmos, hypoglobus with orbital floor resorption and maxillary sinus collapse on the ipsilateral side is recognised as a rare condition known as the silent sinus syndrome. This paper aimed to present an unusual association of natural childbirth and the onset of orbital floor displacement caused by silent sinus syndrome. We wanted to present a case of a 31-year-old woman presented with a 3-month history of painless, progressive right enophthalmos otherwise utterly asymptomatic who developed symptoms shortly after natural childbirth. That association have never been presented before in literature. We also wanted to discuss the pregnancy-related nasal congestion. We present our experience with these case treated with a single-stage procedure, focusing on the advantages of this one-step approach.
EN
Background. Today there is a set of pharmacological ways of pain relief at childbirth, but some women consciously choose natural anesthesia. It works for relaxation of the woman, and therefore they effectively relieve pain and restore forces. Material and methods. The objective of the research was studying of awareness of pregnant women at the age of 18 - 44 years about natural methods of labor pain relief and the efficiency of using these methods in order to decrease patrimonial pain. The patients were offered to answer on the short questionnaire which had been consisted of 14 open questions. Results. The most common methods of non-pharmacological analgesia and the results of their application for women during childbirth are considered on the basis of the survey highlights. Our studies indicate that natural methods of pain relief with proper and timely application of the women effective in reducing sensitivity to pain during labor, making labor more pleasant for the mother and has no adverse effects on the child. Conclusions. Today pregnant women are adequately informed with respect to the existing natural methods of pain relief in labor and they quite often use them in practice.
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Wprowadzenie. W dzisiejszych czasach istnieje szereg farmakologicznych sposobów na uśmierzenie bólu w czasie porodu, jednak niektóre kobiety świadomie wybierają metodę naturalnego znieczulenia. Działa ona na stan zrelaksowania kobiet, za czym idzie skuteczne uśmierzenie bólu oraz zregenerowanie sił. Materiał i metody. Celem badania było przeanalizowanie świadomości kobiet ciężarnych w wieku 18-44 lat w zakresie naturalnych metod uśmierzania bólu oraz efektywności korzystania z tych metod przy zmniejszaniu bólu porodowego. Pacjentkom zaproponowano udzielenie odpowiedzi na krótką ankietę składającą się z 14 otwartych pytań. Wyniki. Najpopularniejsze metody niefarmakologicznej analgezji oraz wyniki ich użycia dla kobiet w czasie rodzenia zostały wskazane na podstawie wyników kwestionariusza. Nasze badania wykazały, że naturalne metody uśnieżenia bólu, o ile są one stosowane w odpowiedni sposób w odpowiednim momencie, skutecznie zmniejszają wrażliwość na ból w czasie porodu, sprawiając, że staje się on mniej nieznośny dla mam, nie wywołując przy tym negatywnych efektów dla dzieci. Wnioski. W dzisiejszych czasach kobiety ciężarne są odpowiednio poinformowane na temat istniejących metod naturalnych uśmierzających ból porodowy, co sprawia, że korzystają one z tych metod dosyć często.
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The focus of the study was to take a look at the functions of telling personal experience stories on the Estonian internet family discussion forum Perekool (Family School) subforums dedicated to conception, pregnancy, and childbirth. The analysis was based on four groups of stories and their comments: ‘strip catchers’’ stories (stories of women who want to get pregnant), IVF (in vitro fertilization) stories, ‘belly growers’’ stories (stories of pregnant women), and childbirth stories. The aim was to find out which role these stories play from the point of view of the functioning of the internet group, and which are these broader socio-cultural meanings and motives why women share their personal stories with delicate content on the easily accessible internet forum. The following categories of functions of personal experience stories emerged from the research: support and help, information exchange and advice, warning, self-presentation, and entertainment. Sharing personal experience stories on an internet forum can provide support and help for both their writers and readers. The woman who wants to get pregnant, is undergoing in vitro fertilization procedure or is expecting a baby can feel lonely or isolated if she has no close people with similar experiences and understandings of her condition (what is ‘right’ or ‘wrong’, ‘normal’ or ‘abnormal’). Sometimes a woman prefers to conceal her experiences, thoughts, and feelings, because she is afraid of being misunderstood. For example, women’s long-term problems related to getting pregnant and in vitro fertilization seem to be topics that the wider public knows very little about, and that is why women prefer to share their stories and get support and help on the internet forum from those who have similar experiences and thus may understand them better. Both writing and reading the personal experience stories provide psychological support to group members, driven by understanding that only the women who have experienced the same can truly help. The so-called ‘success stories’ play an important role in mutual assistance. A woman can share her success story with the aim of getting in return other women’s stories with a happy ending or the aim may be to offer hope and support to others. Personal experience stories function as information exchange in the sense that they are an important alternative or additional source of information that women get from their relatives, doctors, and midwives. Women may prefer to get information from others’ experiences and stories posted on the internet forum because they have not found a common language with medical staff. For example, women with endometriosis write in their stories that the diagnosis was a shock for them because they did not know anything about it and the doctor gave them very little hope (or not at all) to become a mother. On the other hand, women have found advice and information suggesting they might still get pregnant from other women’s stories. The stories have a kind of informal advisory function because they allow access to the experiencer’s point of view. Both configuring your own experience into a story and reading about others’ experiences help women better understand their condition and become aware of potential different solutions of their problems. The aim of the story writer may also be to initiate a discussion on her own experiences. In this respect, the study revealed that the longer narrative form (a detailed description of the experience, related events and emotions) can provide more specific feedback and advice from group members than a mere question-answer style conversation. A personal experience story can also function as a warning that leads women to stand up for themselves in communication with medical staff and to avoid their own thoughts and activities that they might regret later. In addition to the activities in the physical space, the purpose of writing a story can be to warn against the risks associated with the use of the internet. Personal experience stories work as self-presentation on the internet forum in the sense that they show how women manage their experience. The stories also enable women to show that they belong to a particular group of people with similar interests and experiences. So, there is only one meaningful ‘my story’ per person within the Family School subforums titled Conception, Pregnancy, and Childbirth. The personal experience stories on these forums function as business cards, which allow women to introduce themselves when they join the group and by which other group members identify them later in the discussions even if women participate anonymously (for that purpose anyone can use the pseudonym Cuckoo). However, in spite of accessibility of the discussion forum (the postings are easy to find by a search engine and can be read by all internet users), the women do not write their stories to present themselves and their stories to the general public, but only to peers, i.e., other women with similar experiences. The easily accessible (public) internet forum is perceived as private communication space of a particular interest group because there is an implicit assumption that the forum is used and the conversations there are read only by those who go through a similar life period and who need, based on personal experiences, to participate in the group. A personal experience story can be entertaining for both the writer and the reader. Entertainment as the function of women’s stories emerges in relation to comparing experiences and ‘expecting together’, but also in connection with the fact that sharing the story at the end of the journey of strip catching, in vitro fertilization or pregnancy has become an unwritten rule of the internet group – the woman who has spent time reading other’s stories is expected to share her own story as well. Also, entertainment as a function emerges if, in the passage of time, women share their stories on the forum in response to other ones, when the concrete topic and experience are no longer relevant to them. To what extent and in what form one or another of the functions of the experience stories emerges, depends on the core experiences, interests, problems, and needs of the concrete subgroup.
EN
Prospekt Wesoły underlies the past analyses of pregnancy, delivery and postnatal issues. The time span of this work had been set by church commissions (1511, 1726), which aimed at collecting testimonies to confirm the miraculous nature of the painting of the Virgin Mary of Holy Mountain.
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rtykuł podejmuje problematykę zmiany modelu porodu, zachodzącej w krajach Ameryki Łacińskiej. W oparciu o analizę filmu dokumentalnego Nacer Jorge Caballero z 2012 roku, materiałów audiowizualnych organizacji zajmujących się opieką okołoporodową oraz wybranych aktów prawnych, koncentruje się na wartościach, znaczeniach, zasadach normatywnych i relacjach władzy w technologicznym i naturalnym modelu porodu. Przejście od paradygmatu technologicznego do paradygmatu naturalnego może przyczynić się do zniesienia patriarchalnych struktur utrwalających przemoc, do upodmiotowienia kobiet i budowy społeczeństwa opartego na wartościach szacunku i miłości do istot żywych.
EN
The article tackles the issue of the shift in the model of childbirth taking place in Latin American countries. Based on the analysis of 2012 documentary film Nacerby Jorge Caballero, audiovisual material from organizations dedicated to maternity care, and selected documents and legislation it focuses on representations, discourses and practices related to childbirth, in technological and natural paradigm. I argue that a shift from the technological paradigm to the natural paradigm of childbirth may contribute to the women’s empowerment and the abolition of patriarchal structures perpetuating violence
EN
One of the fundamental conditions of successful adoption is to provide parents with accurate information about the past of the child and his or her family, analyze the impact of his or her experiences on current functioning, and anticipate their long-term effects. Contemporary knowledge of prenatal and perinatal pedagogy, psychology and medicine allows to claim that the earliest - intrauterine period of life is the time of biological, psychological and even social development of man. Since many orphaned children come from dysfunctional families, it is advisable to consider the specificity of their functioning in relation to the prenatal and perinatal period of their lives and even the experiences of previous generations.
PL
Jednym z podstawowych warunków powodzenia adopcji jest przekazanie rodzicom dokładnych informacji na temat przeszłości dziecka i jego rodziny, analiza wpływu jego doświadczeń na aktualne funkcjonowanie oraz przewidywanie ich długofalowych skutków. Współczesna wiedza z zakresu pedagogiki, psychologii i medycyny prenatalnej i perinatalnej pokazuje, że najwcześniejszy – wewnątrzmaciczny okres życia to czas biologicznego, psychicznego, a nawet społecznego kształtowania się człowieka. Ponieważ wiele osieroconych dzieci pochodzi z rodzin dysfunkcyjnych, wskazane jest rozpatrywanie specyfiki ich funkcjonowania w odniesieniu do prenatalnego i perinatalnego okresu ich życia, a nawet doświadczeń poprzednich pokoleń.
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Content available Ciąża i poród u chorych na stwardnienie rozsiane
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EN
Multiple sclerosis (MS) is the main cause of disability in young adults and, as most autoimmune diseases, more commonly affects women. The relationship between pregnancy and MS has been an issue of significance for many years and has recently become the subject of multicentre studies. Usually, pregnancy is a period of relative wellness for patients and most commonly is a period without relapse. This boost of health involves the change of immune reactivity to anti-inflammation associated with Th2 lymphocytes and anti-inflammatory cytokines (interleukin 4, 5, 6, 10, TGF-β). After giving birth, a woman’s immune system returns to its original level of activity and disease susceptibility increases. Most studies have shown no overall negative impact of pregnancy on longterm disability associated with MS, and MS does not have negative impacts on pregnancy, childbirth or the child’s condition. Women with MS can plan to have children. The disease does not increase the risk of pregnancy/ childbirth complications or birth defects compared to the general population. Each immunomodulatory therapy is contraindicated in pregnancy. If a patient wishes to become pregnant, discontinuation of the therapy much before planned pregnancy is recommended. The work summarizes available information on clinical problems associated with pregnancy and childbirth in patients with MS and analyses risks to the child associated with the administration of drugs.
PL
Stwardnienie rozsiane (łac. sclerosis multiplex, SM) jest główną przyczyną niepełnosprawności u młodych dorosłych i jak większość chorób autoimmunologicznych częściej dotyczy kobiet. Wpływ ciąży na przebieg SM wzbudza zainteresowanie od wielu lat, a w ostatnim okresie stanowi temat badań wieloośrodkowych. Ciąża to zwykle okres bardzo dobrego samopoczucia chorych, najczęściej bez rzutów. Wynika to ze zmiany reaktywności immunologicznej na korzyść reakcji przeciwzapalnych związanych z limfocytami Th2 i cytokinami antyzapalnymi (interleukina 4, 5, 6, 10, TGF-β). Po porodzie zmienia się reaktywność immunologiczna i aktywność choroby wzrasta. Większość badań nie wykazała ogólnego negatywnego wpływu ciąży na niesprawność długoterminową związaną z SM; stwardnienie rozsiane nie ma negatywnego wpływu na przebieg ciąży, porodu i stan dziecka, dlatego chore kobiety mogą planować potomstwo. Choroba nie zwiększa ryzyka powikłań w ciąży i podczas porodu ani wad wrodzonych u dziecka w porównaniu z populacją ogólną. Jednakże każda terapia immunomodulująca jest przeciwwskazana w ciąży. Jeśli pacjentka decyduje się na dziecko, powinna przerwać leczenie; zaleca się również przerwę od leków przed zajściem w ciążę. W pracy podsumowano dostępne informacje na temat klinicznych problemów dotyczących ciąży i porodu u chorych na SM oraz oceniono zagrożenia dla dziecka związane z podawaniem leków.
18
63%
PL
Wstęp. Intensywny rozwój położnictwa w ciągu ostatnich kilkudziesięciu lat powoduje coraz większe zainteresowanie zagadnieniami dotyczącymi porodu nie tylko w znaczeniu medycznym, ale także psychologicznym. Cel pracy. Poznanie wpływu jednego z najczęściej stosowanych zabiegów położniczych w czasie II okresu porodu – nacięcia krocza na stan fizyczny i psychoseksualny kobiety. Materiał i metody. Badaniem objęto grupę 40 wybranych położnic przebywających na oddziale położniczo-noworodkowym jednego z wrocławskich szpitali. Do tego celu posłużono się ankietami zawierającymi 12 autorskich pytań otwartych. Badane osoby wyodrębniono ściśle jako grupę wieloródek po jednym lub więcej porodzie siłami natury z przebytym zabiegiem nacięcia krocza. Analizę statystyczną oparto na arkuszu kalkulacyjnym Microsoft Excel. Wyniki. Przeprowadzone wśród pacjentek obserwacje dowiodły, że nacięcie krocza w wielu przypadkach ma bezpośredni wpływ na samopoczucie nie tylko położnicy, ale też kobiety po zakończeniu połogu, a nawet w późniejszych okresach jej życia. Poza dolegliwościami fizycznymi pojawiają się te natury psychoseksualnej, które wydają się być równie ważne, zwłaszcza w świetle nowoczesnego położnictwa zorientowanego na holistyczną opiekę nad pacjentką. Złe samopoczucie kobiety ma niewątpliwy wpływ na jej codzienne funkcjonowanie i obniża komfort życia w różnych aspektach. Wnioski. Nacięcie krocza podczas porodu jest zabiegiem inwazyjnym mogącym u niektórych kobiet powodować negatywne odczucia psychofizyczne oraz seksualne.
EN
Background. The intensive development of obstetrics during the last several decades causes greater interest in the problem of childbirth, not only in a medical but also in psychological meaning. Objectives. The aim of this project is to find out the influence of the most popular operation performed during the second phase of childbirth – known as episiotomy – to the physical and sexual women’s wellbeing. Material and methods. The research was carried out on forty participants who were the patients of one of the obstetrics units in a hospital in Wrocław, Poland. The questionnaire consisted of twelve questions; moreover, the patients were divided as group after many (two or more) physiological childbirth with using episiotomy. The statistical analysis was made in Microsoft Excel. Results. The observations prove that episiotomy in many cases has a direct impact on the frame of mind of a woman not only after the childbirth, but also later in her life. Except from the physical illnesses, a woman may have also sexual problems which are equally important especially in the time of modern obstetrics. The bad state of mind has an indubitable influence on a women’s daily comfort of living. Conclusions. Episiotomy during the childbirth is an invasive operation which may cause negative psychophysical and sexual disorders.
Studia Hercynia
|
2016
|
tom 20
|
nr 2
30-39
EN
This paper arises from the socio‑cultural norms about female biology that are evident in the Greek medical theories and discusses what measures women could take in response to the concerns presented by them. Taking the viewpoint of individuals as ‘consumers’ of healing, it examines healing opportunities within the shrines of Artemis and Hera. Artemis and Hera are well known to us for their association with women, their biological and social maturation, and, consequently, conception, pregnancy and childbirth. A significant body of evidence potentially indicating a concern for female health exists in their sanctuaries, typically in the form of votive offerings. Did all the sanctuaries of Artemis and Hera offer protection for gynaecological problems? Did the two goddesses offer the same level of protection? Was this protection subject to regional variation? Investigating votives dedicated to the two deities, this paper surveys ways in which the healing landscape of ancient Greece may have functioned in regard to female patients. Evidence from major sites in Attica, the Peloponnese and Asia Minor is brought together to allow a better comparison of customs.
PL
Wstęp. Wiele kobiet w trakcie ciąży odczuwa dolegliwości fizyczne oraz zmiany w sferze psychicznej, które mogą mieć negatywny wpływ zarówno na matkę, jak i dziecko. Niefarmakologiczne interwencje mogą pozytywnie oddziaływać na stan psychiczny kobiet w okresie okołoporodowym, nie wywołując jednocześnie efektów ubocznych. Joga może stanowić właściwą metodę wspierającą samopoczucie kobiet w ciąży oraz wpływać na sprawny przebieg porodu, dzięki używanym w tej praktyce technikom relaksacyjnym.
EN
Background. During the course of pregnancy, many women experience physical discomfort, as well as changes in mental state, which can have a negative impact on the mother and the baby. Non-pharmaceutical intervention may have a positive effect on women’s mental state during pregnancy, not causing any side effects at the same time. Yoga could be the optimal method to support the well-being of pregnant women and it could smoothen the labour process due to the yogic relaxation techniques.
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