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

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

tom XIX

nr 1

126-139

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.

Prężność psychiczna przyszłych matek oraz kolejność ciąży jako moderatory budowania więzi z nienarodzonym jeszcze dzieckiem

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Pawlicka P. , Chrzan-Dętkoś M. , Lutkiewicz K.

Family Forum

2013

tom 3

139-152

Resilience understood as mental strength and resourcefulness of life is also important during pregnancy, childbirth and the postpartum period. The level of resilience can decide how the expectant mother will perceive the process of pregnancy, childbirth and all difficulties related to this time and thereby establish bond with her child. This bond is formed during the prenatal period and is extremely important for the proper development, as the quality of attachment in pregnancy is related to the quality of attachment after childbirth. The aim of this study is to analyse the relationship of psychological resilience of mothers and their sense of bond with the unborn child, taking into account three variables, significant for the perception of pregnancy and building the mother-child attachment during this period: the order of pregnancy (first or subsequent), experiencing difficulties with conceiving and the level of perceived support from a partner and other loved ones. The study involved 89 women in the third trimester of pregnancy. 73% of the first pregnancy, while 27% of the subsequent (second or third) pregnancy. 24.5% of women surveyed by us experienced trouble with conceiving. The women completed the questionnaire Maternal-Fetal Attachment Scale and the Scale of Resilience, as well as a questionnaire about the course of the current pregnancy, the subjective sense of support from loved ones and a personal sense of preparation for the impending birth. Results: Resilience proved to be a significant factor in creating a bond with the unborn child, but different aspects of it have proven to be important for women who are pregnant for the first and subsequent time. The feeling of support from loved ones is important in mother-fetal attachment, however solely for women in their first, not second or third pregnancy. In addition, women who have experienced difficulty with conceiving, compared with women who did not experience such difficulties, developed more intense attachment with their yet unborn child and created stronger mental representation of the child. The results of the study revealed a different psychological experience of pregnancy, depending on whether it is first or subsequent, as well as the necessity of taking into account the history of any difficulties with conceiving in the analysis of the mother-fetal attachment.