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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.
EN
Background. The fears, concerns, and negative attitudes of pregnant women towards sex during pregnancy can have a negative impact on the sexual relationship and sexual performance of couples. Objectives. We aimed to determine the effects of cognitive-behavioral counseling on misconceptions about sexual intercourse during pregnancy in pregnant women. Material and methods. In this randomized educational study, five clinics were randomly selected in Arak, Iran. A total of 20 pregnant women who met the inclusion criteria were selected from each clinic. The Misconceptions about Sexual Intercourse during Pregnancy Questionnaire (MSIP-Q) was completed after written informed consent. Finally, twenty-two women with the lowest scores on the MSIP-Q were selected. Eleven subjects were allocated to the intervention group (cognitive-behavioral counseling), while eleven subjects were assigned to the control group. The questionnaire was also completed by the participants over a three-month interval. For statistical analysis, descriptive and inferential statistics (student’s t-test, paired t-test and Fisher exact test) were calculated using SPSS software. Results. The mean MSIP-Q score was 77.81 ± 10.03 in the intervention group and 71.27 ± 8.29 in the control group before the intervention; no significant difference was found between the groups. On the other hand, the mean MSIP-Q score was 113.3 ± 11.16 in the intervention group and 76.90 ± 19.07 in the control group following cognitive-behavioral counseling; a significant difference was found between the two groups (p < 0.001). Based on the findings, no significant difference was reported in the intervention group in the three-month follow-up; in fact, the effects of training remained stable. Conclusions. This study showed that there are misconceptions about vaginal intercourse during pregnancy in Iranian women. Therefore, providing sexual health services and training during pregnancy are necessary at health clinics
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EN
Introduction: Pregnancy is the time of the most dynamic and visible changes in a woman's body. Some researchers have shown that woman's ability to adapt to changes in her body may affect the attitude towards her baby. Purpose: To study the relation between body image in pregnant women and the attachment to the unborn child. Materials and methods: 100 women in II trimester completed Maternal Fetal Attachment Scale (MFAS) and Body Image Questionnaire. Results: The analysis showed a significant relation between the attitudes towards the own body during pregnancy and the quality of the mother-child attachment. According to the research, the mothers who were strongly attached to the child were concurrently dissatisfied with bodily changes. Socio demographic variables (age, education, marital status, place of living), pregnancy-related variables (pregnancy planning, familiarity with child's gender, the level of preparation to maternity) and the variables related to the woman's body (BMI before pregnancy, severity of pregnancy complaints) had no impact on maternal-fetal attachment. Also, the attitude towards the own body was formed regardless of socio demographic variables and pregnancy-related variables. Significant relations between the attitudes towards own body and the variables associated with woman's body (BMI, pregnancy complaints) were observed. Conclusions: Woman's attitude towards the body and changes during pregnancy is a complex issue. According to the results of this study, it is possible to develop a positive bond with the child despite experiencing dissatisfaction with own body.
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.
XX
The values to which a person adheres shape one’s personality. The aim of our present project was to assess whether, and in what way, the crisis connected with high-risk pregnancy infl uences a woman’s system of values. The study group consisted of 61 patients in the Department and Ward of Obstetrics and Pregnancy Pathology of the Medical University of Lublin in their fi rst high-risk pregnancy. The control group was composed of 50 women in their fi rst normal pregnancy. The average age in each group was 27.4. The majority of women were married and educated. Method: sociometric survey and the Polish adaptation of Value Survey (VS) by M. Rokeach, 1973. Data was analyzed with the Mann-Whitney U Test. The study showed no differences between the preferred terminal and instrumental values in either group. The terminal values included: Family security, Mature love, Wisdom, Self-Respect etc.; the instrumental ones included: Love, Responsibility, Honesty.
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.
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.
EN
  This essay describes meanings attributed to images of pregnancy in contemporary culture, to their idiomatic expressions and to fashions associated with pregnancy. It considers also semiotic and sociological contexts that are being modeled through these meanings. Pregnancy appears then as a symbol of prevailing values, a sign of social standing and ideological convictions. This essay contributes to the understanding and explanation of how meanings are formed in the culture of daily experience.
PL
On the Margins of Culture: Images of Pregnancy and their Meanings in the Culture of Daily Experience This essay describes meanings attributed to images of pregnancy in contemporary culture, to their idiomatic expressions and to fashions associated with pregnancy. It considers also semiotic and sociological contexts that are being modeled through these meanings. Pregnancy appears then as a symbol of prevailing values, a sign of social standing and ideological convictions. This essay contributes to the understanding and explanation of how meanings are formed in the culture of daily experience.
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.
EN
Objectives: The aim of the study was to characterize the PAH exposure level based on 1-hydroxypyrene (1-HP) in urine of Polish pregnant women and to assess the relationship between PAH and factors such as smoking, environmental tobacco smoke exposure, place of residence, heating and cooking method. Materials and Methods: The study population included in this analysis consisted of 449 pregnant women who had been the subjects of the prospective Polish Mother and Child Cohort study performed in 8 regions of Poland. The women were interviewed three times during pregnancy (once in each trimester). 1–HP concentration in urine was chosen as the biomarker of exposure to PAH. The urine sample was analysed using high performance liquid chromatography (HPLC). The active and passive smoking exposure was verified by saliva cotinine, analysed by high performance liquid chromatography coupled with tandem mass spectrometry (LC-MSMS) and isotope dilution method. Results: 1-HP concentration in urine ranged from 0.02 to 10.2 μg/g creatinine with the geometric mean (GM) 0.4 μg/g creatinine. The significantly higher concentration of urinary 1-HP in pregnant women was observed for summer collection (GM ratio: 1.1; p = 0.01), among smokers (GM ratio: 1.7; p < 0.001) and for the women living in big cities (GM ratio: 1.3; p = 0.001). Conclusions: The significantly higher concentration of urinary 1-HP in pregnant women was observed for summer collection, among smokers and those living in big cities.
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.
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.
EN
Introduction. Healthy nutrition is very important during pregnancy for both a baby and a mother. Modification of metabolic and hormonal processes i.e. metabolic programming occurs already at the prenatal stage. This process significantly affects the baby’s health and eating habits at a later age. The diet of a pregnant woman should supplement the demand for energy, nutrients, vitamins and minerals. An expecting woman needs to also avoid products that are contraindicated during this period, such as raw milk, eggs or meat. Aim. Assessment of nutritional behavior of pregnant women from the Podkarpacie province. Materials and method. 228 women living in the Podkarpackie province were enrolled in the study. Surveys were collected via the Internet. An anonymous questionnaire developed by the authors was used. Results. Women’s eating habits are primarily influenced by education. Most women had knowledge about proper nutrition and awareness of its impact on the health of the baby. A worrying fact was a very low intake of dairy products. 44% of women consumed dairy products only once a day. Fruit and vegetables consumption was also low (40% of the respondents ate only from 100 to 200 g during the day). Conclusions. Although part of the eating habits of pregnant women is correct, nutritional education should be introduced in this group, especially related to the adequate supply of dairy products, fruit and vegetables to supplement the necessary vitamins, minerals and protein.
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
EN
Introduction. Gestation is a very sensitive time both to mother and child. Any substance, factor, or environmental condition disturbing homeostasis may cause congenital defects, anomalies or even death. Teratology evaluates those potential factors and their influence. Also, medicinal products used during pregnancy may be teratogenic. Adriblastin, also known as Doxorubicin, and Bleomycin are widely used cytostatic drugs in oncology. Aim. Aim of this study was to evaluate the embryotoxic effects of Doxorubicin and Bleomycin in an animal model. Materials and methods. Fertilised Wistar rat females were given each drug intraperitoneally between the 8th and 15th gestation day, and compared to control group receiving placebo (distilled water, 0.9% NaCl). Another group received acetyl salicylic acid, as a model, well known teratogen. Changes in mothers’ weight from baseline, implantation of embryos, any discrepancies in mothers wombs and health as well as defects in fetuses were evaluated and compared. Fetus skeletons were stained by Dowson’s method to visualise bone defects. Results and conclusion. Both Adriblastin and Bleomycin were teratogenic, producing significantly more embryo absorptions, and fetal defects compared to placebo. The effects of the two cytostatics were similar to the model teratogen acetyl salicylic acid.
EN
Introduction and aim. The role of a medical team during the perinatal period is significant, since it not only focuses on the patients’ physical health, but also impacts mental wellbeing. The aim of this study is to compare the level of satisfaction with the quality of care provided by healthcare professionals during pregnancy and perinatal period before and during the COVID-19 pandemic. Material and methods. The study was conducted among 102 women who had at least two births, one in the pre-pandemic period and the other during the pandemic. An original questionnaire (53 items) was used to assess the quality of medical care. Results. The assessment of the quality of medical care, and the emotional and informational support received from medical personnel during pregnancy and perinatal care was significantly higher before the COVID-19 pandemic (p<0.001). During the pandemic, the respondents experienced significantly more anxiety about their health (p=0.027) and their baby’s health (p=0.028) as well as anxiety caused by the lack of a partner during labor (p<0.001). Conclusion. It is necessary to further evaluate the quality of medical care for pregnant and perinatal women in order to determine the best possible procedures for the functioning of health care in the time of a pandemic.
EN
Introduction: It is commonly known that healthy attitudes of pregnant women condition normal pregnancy and health of a newborn. The most important factor influencing the well-being of a pregnant woman and her child is the right nutrition. Convinced that she is making every effort to ensure that the baby in her womb develops normally, the expectant mother is at the same time satisfying the need for her own safety and the safety of her growing family. From a population perspective a full-term and properly nourished neonate, subjected to the right upbringing, guarantees the development and survival of the society the member of which it becomes. Aim: This paper attempts to present functional dietary recommendations for pregnant women, based on national and international recommendations with respect to social and personal safety of pregnant women. The right nutrition in the course of pregnancy is a multidimensional issue. From one hand this refers to satisfying our energy requirement, which changes at different trimesters of pregnancy, on the other hand, it also linked to the structure of consumed products, namely the right amount and proportion of nutrients. It also included modification of wrong dietary habits (Godala M. et al., 2012). There is no single opinion on the possibility of consuming some food pregnancy while being pregnant. Attention needs to be paid to such dubious products as blue cheese, sushi, surimi, soft-boiled eggs or some kinds of fish. It is of high importance that a pregnant woman’s diet is supplied with floate, iodine, iron, zinc and calcium, which to a large extent condition normal development of many systems in an unborn child’s organism. Conclusion: Malnutrition or an unbalanced diet of a pregnant woman is the cause of numerous complications, the effects of which are visible even in her child’s maturity. Such complications affect humans’ fundamental need which is the need for safety of own health and life. The right understanding of the multifaceted role of nutrition during pregnancy and its effect on gene expression by pregnant women and medical personnel is an unquestionably important argument used in the fight against chronic diseases of our time.
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