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

100%
Pawlicka P., Łockiewicz M., Szulman-Wardal A.
Polskie Forum Psychologiczne
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2014
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vol. 19
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issue 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.
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Regulacje prawne w zakresie opieki okołoporodowej w Polsce w kontekście projektu nowego standardu organizacyjnego

100%
Witek Z.
Studia Prawa Publicznego
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2018
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issue 3 (23)
179-210
PL
Pursuant to Article 68(3) of the Constitution of the Republic of Poland, a pregnant woman is entitled to special care from the State. Therefore, it seems extremely important to indicate uniform, universally binding standards in order to improve the quality of services provided and to respect the fundamental rights due to women and their children in maternity care. Unfortunately, as the analysis and reports concerning the observance of patients’ rights during the perinatal period show, the current standards are not always properly implemented by medical institutions, and the legal guarantees of observance of perinatal care standards are not sufficient. The aim of the article is to discuss the legal regulations in force in the field of perinatal care, to indicate their subject and subject scope and to conduct a legal analysis of the proposal of new organisational standards of perinatal care, which are to enter into force as of 1 January 2019. The basis for the discussion is the presentation of the legal form of the existing standards of perinatal care. It is extremely important to answer the question whether the principles of medical knowledge should be enacted in the form of standards of medical procedure in the form of universally binding normative act, or whether they should constitute guidelines and recommendations that are legally non-binding. Perinatal care standards in the context of the duty of doctors and medical staff to apply current medical knowledge and to act with due diligence deserves additional attention. The article contains a detailed analysis of the proposal of new standards and presents de lege ferenda postulates, especially in the field of legal guarantees of observance of perinatal care standards in Poland.
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Newborn blood spot screening – knowledge of genetic testing among mothers

100%
David A., Cruz M. O., Telega G., Simpson P., Pan A., Nagórska M.
European Journal of Clinical and Experimental Medicine
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2023
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issue 1
52-57
EN
Introduction and aim. Newborn blood spot screening (NBS) uses genetic technology to screen for selected genetic, endocrine, and metabolic disorders. The purpose of the study was to assess the knowledge of newborn blood spot genetic screening among expectant mothers. Material and methods. Between October 2015 and January 2016, a 20 question, multiple-choice questionnaire was administered to expectant mothers presenting for a pre-natal ultrasound at the Maternal Fetal Care Center in Milwaukee, Wisconsin Froedtert Hospital. Statistical analysis used Chi-Square or Fisher’s exact test for categorical variables. Results. 103 women completed the survey; 34% believed that education regarding screening is incomplete and 39% believed that it needs improvement. 27% knew the purpose of newborn screening. Conclusion. Many mothers lack general and specific knowledge about NBS and the diseases screened for. Health education that provides accurate and complete information on the newborn blood spot screening should be provided to all parents prior to the administering of any genetic testing. Key areas that should be targeted include: purpose of NBS, screened diseases and how to interpret the results of the test.
4
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Opieka okołoporodowa na oddziałach położniczych – zapewnienie standardów świadczeń zdrowotnych

88%
Radgowski W.
Kontrola Państwowa
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2017
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vol. 62
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issue 3 (373)
50-66
EN
Persons who provide care for women during labour and immediately after should, apart from clearly medical care, provide comfort and satisfaction to future mothers. In response to the expectations of the medical environment, non-governmental organisations and patients, the Minister of Health has issued a regulation on maternity care standards which determines individual elements of medical care aimed at welfare of the mothers and newborns. NIK’s audit reveals how the standards are complied with in hospitals during labour, and whether the conditions required by the regulations are ensured.
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Professionalization of non-medical support of women in perinatal period: the significance of the doula profession

63%
Stępkowska J., Królak A., Stępkowska K.
Teologia i Moralność
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2021
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vol. 16
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issue 2(30)
231-245
EN
Background:A doula (gr. “a woman who serves”) is a person trained to provide the woman and her family with emotional, physical, and informative support during pregnancy, labor, and just after childbirth. Objective:The aim of the study is an attempt to analyze the role and tasks of a doula on the level of the diverse needs of women giving birth, taking into account the results of preliminary research on the opinions and experiences of Polish women on the support of a doula in the perinatal period. Methods:The conducted study was preliminary. The quantitative study explored women’s opinions and experiences with doula support. 526 women aged between 18 and 50 years, who have experienced at least one childbirth, were included in the study. The sample was divided into the experimental group (women with a history of doula's assistance at least once) N=62 and the control group (women with no history of doula’s assistance) N=464. The data were collected anonymously via an online survey questionnaire. The purposeful sampling procedure was selected using the snowball method, and the results were applied to statistical analysis. All calculations were performed in the PQStat program (version 1.6.6). Results:Doula's supporting role during labor appears not evident to every Polish woman. The results indicate a necessity of a birthing coach's assistance to a parturient woman, especially with respect to playing both informative and emotional roles, as well as giving help with the use of non-pharmacological methods of pain alleviation. The majority of the experimental group assessed that doula support has a beneficial influence on the perinatal period. Conclusions:The doula's support as additional care for motherhood should be addressed more openly in maternity wards. It is also vital to promote and popularize alternative forms of prenatal and postpartum support to help Polish women feel less traumatized and less neglected after hospital childbirth and empower them through education campaigns or special care services, such as doula support, to enjoy this extraordinary moment in their personal life. Moreover, the
PL
Wprowadzenie:Doula (gr. „kobieta, która służy”) to osoba przeszkolona do udzielania kobiecie i jej rodzinie wsparcia emocjonalnego, fizycznego i informacyjnego w czasie ciąży,porodu i połogu. Cel:Celem pracy jest próba analizy roli i zadań douli na płaszczyźnie zróżnicowanych potrzeb kobiet rodzących z uwzględnieniem wyników wstępnych badań dotyczących opinii i doświadczeń polskich kobiet na temat wsparcia douli w okresie okołoporodowym. Metody: Przeprowadzone badanie miało charakter wstępny. Badaniem ilościowym objęto 526 kobiet z wywiadem położniczym, w wieku od 18 do 50 lat. Próba została podzielona na grupę badaną (kobiety, które kiedykolwiek skorzystały z usług douli) N=62 i grupę kontrolną (kobiety, które nigdy nie korzystały z asysty douli) N=464. Dane zostały zebrane anonimowo, za pomocą autorskiego kwestionariusza w formie badania on-line. Dobór próby celowy. Wyniki poddano analizie statystycznej. Obliczeniawykonano w programie PQStat (wersja 1.6.6). Wyniki: Zawód douli i możliwość skorzystania z jej wsparcia w okresie okołoporodowym nie są szeroko rozpoznawane wśród badanych kobiet w Polsce. Wyniki wskazują na konieczność lepszego wsparcia rodzącej, zwłaszcza w zakresie potrzeb informacyjnych, emocjonalnych oraz wsparcia w zakresie niefarmakologicznych metod łagodzenia bólu porodowego. W opinii badanych kobiet, które korzystały z asysty douli, jej wsparcie miało korzystny wpływ na przebieg okresu okołoporodowego. Wnioski:Wydaje się, że wsparcie douli jako dodatkowa forma opieki na oddziałach położniczych powinna być traktowana bardziej otwarcie. Niezbędna jest również promocja i popularyzacja alternatywnych form wsparcia prenatalnego i poporodowego poprzez kampanie edukacyjne i promocję dedykowanych usług opiekuńczych i wspierających, takich jak usługi douli, w celu zapewnienia lepszej opieki dla kobiet w okresie około porodowym i redukcji czynników stresogennych. Przeprowadzone badania wskazują na potrzebę popularyzowania informacji o istnieniu zawodu douli oraz rozpowszechniania wiedzy o zadaniach i roli douli.
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Opieka okołoporodowa w Polsce po transformacji ustrojowej – między medykalizacją a demedykalizacją?

63%
Doroszewska A.
Annales Universitatis Mariae Curie-Sklodowska, sectio I – Philosophia-Sociologia
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2016
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vol. 41
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issue 2
EN
There has been a lot of changes in the provision of care for women during the perinatal period and newborns since the early 90s past century. These changes are an example occurring in parallel to the process of medicalization and the tendency to demedicalization. The aim of this paper is to characterize the changes in perinatal care after the political transformation and to analyse these changes from the perspective of the theory of medicalization. In this article I describe the perinatal care present in Poland at the beginning of the 21st century. I analyse three effects of medicalization: increasing number of unjustified medical interventions, ignoring the needs of childbearing women and reducing the role of midwives. I assert that we observe two contradictory tendencies. On the one hand, the medicalization of perinatal care is promoted by physicians. On the other hand, the demedicalization has its advocates among women and midwives. The question then arises whether these tendencies are exclusive or they are an example of democratization in the field of perinatal care, which are increasingly influenced by active in civil society, various pressure groups.
PL
Od początku lat 90. XX w. nastąpiło wiele zmian w zakresie świadczenia opieki nad kobietą w okresie okołoporodowym oraz nad noworodkiem. Zmiany te są przykładem występującej równolegle do procesu medykalizacji tendencji do demedykalizacji. Celem artykułu jest przedstawienie zmian w zakresie opieki okołoporodowej po transformacji ustrojowej oraz analiza tych przeobrażeń z perspektywy teorii medykalizacji. W pracy staram się scharakteryzować opiekę okołoporodową w Polsce na początku XXI w. w odniesieniu do trzech skutków medykalizacji, tj. rosnącej liczby nieuzasadnionych interwencji medycznych, nieuwzględniania potrzeb rodzących oraz ograniczenia roli położnych. Stawiam tezę, że obserwujemy dwie sprzeczne tendencje. Z jednej strony medykalizacja opieki okołoporodowej jest promowana przez lekarzy, z drugiej demedykalizacja ma swoich zwolenników i zwolenniczki wśród kobiet i położnych. Powstaje zatem pytanie, czy te tendencje wzajemnie się wykluczają czy też stanowią przykład demokratyzacji również w zakresie opieki okołoporodowej, na którą coraz większy wpływ mają aktywne w społeczeństwie obywatelskim różne grupy nacisku.
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