Background In Poland, the rate of cesarean birth (CB) is 43%, which is much higher than the European average of 27%. Optimizing the CB birth rate is of critical importance, especially among women with low‐risk pregnancies. However, the determinants of cesarean preference among low‐risk women in Poland have not been well explored. Methods This cross‐sectional study included 1011 pregnant women and aimed to identify associations between selected determinants of women's preferences for CB vs. vaginal birth (VB) in Poland. A descriptive questionnaire was distributed online, and a theoretical model was validated against empirically gathered data. Group comparisons were performed using the Welch t test for continuous data or chi‐square test for categorical data. All statistical analyses were performed using R (R Core Team, 2018). Results The mean age of women preferring CB (30.46 years) was 1.25 years higher than that of women preferring VB (29.21 years). Pregnant women who expressed a preference for CB tended to be multigravid, inhabited cities, and were characterized by higher levels of anxiety and depression. Moreover, the majority of women who underwent a previous CB asserted their intention to repeat the procedure for the current pregnancy. Conclusions The primary factors that were correlated with high CB preference among the low‐risk group included age, previous childbirth experiences, and anxiety. The underlying reasons that drive birth preferences remain poorly understood. However, women who have previously undergone difficult childbirth experiences and are afraid of pain require specialized care.
1 Studentka studiów stacjonarnych drugiego stopnia, kierunek: położnictwo, Gdański Uniwersytet Medyczny 2 Zakład Pielęgniarstwa Położniczo-Ginekologicznego, Wydział Nauk o Zdrowiu, Gdański Uniwersytet Medyczny dział położnej w kształtowaniu więzi emocjonalnej między matką a dzieckiem podczas porodu Midwife participation in shaping the emotional bond between mother and child during labour STRESZCZENIE Początek kształtowania się więzi emocjonalnej między matką a dzieckiem sięga okresu prenatalnego. Poród jest kolejnym, naturalnym etapem rozwoju owej więzi, w którym czynny udział bierze położna. Więź między matką a dzieckiem podczas porodu kształtuje się na podstawie zaspokajania potrzeb dziecka, którymi są: ssanie piersi, zapewnienie odpowiedniej temperatury oraz ochrona przed bodźcami takimi jak: ostre światło, hałas i gwałtowny dotyk. Sytuacją, która pozwala matce i dziecku na interakcję, a której skutkiem będzie zaspokojenie potrzeb noworodka, jest bezpośredni poporodowy kontakt "skóra do skóry" trwający nie mniej niż dwie godziny. Determinantami kształtowania się więzi emocjonalnej podczas porodu są: obecność osoby towarzyszącej, traumatyzacja porodu oraz przebieg poporodowego kontaktu matki i dziecka. Położna, poprzez wykonywanie swych obowiązków zawodowych wytyczonych w Rozporządzeniu Ministra Zdrowia z dnia 20 września 2012 roku w sprawie standardów postępowania oraz procedur medycznych przy udzielaniu świadczeń zdrowotnych z zakresu opieki okołoporodowej sprawowanej nad kobietą w okresie fizjologicznej ciąży, fizjologicznego porodu, połogu oraz opieki nad noworodkiem, wpływa na rozwój więzi emocjonalnej między matką a dzieckiem podczas porodu.Problemy Pielęgniarstwa 2015; 23 (1): 99-103 Słowa kluczowe: relacje matczyno-płodowe; położna; poród; opieka pielęgniarska nad matką i dzieckiem ABSTRACTThe beginning of an emotional mother-baby bond formation reaches a prenatal period, so the childbirth is the next step in develop of this bond, in which a midwife takes an active participation. The mother-baby bond during the labour is being created on the basis of satisfying the baby's needs, which are: breast sucking, ensuring a proper temperature and protection against stimuli such as: bright light, noise and rapid touch. An immediate "skin to skin" postpartumcontact is a situation that allows mother and child to interact and results in satisfying the newborn's needs. Presence of postpartum "skin to skin" contact along with an accompanying person presence, a labour traumatisation are an important determinats of emotional bond formation. A midwife by performing her occupational duties -marked in the Regulation of the Minister of Health dated on 20 th of September 2012 regarding the standards of conduct and the medical procedures in the provision of health services in the field of perinatal care to a women in physiological pregnancy, physiological childbirth, perineum and taking care of the newborn -affects the development of the emotional bond between mother and child during childbirth.Nursing Topics 2015; 23 (1): ...
Background: Polish perinatal care is facing a high, ever-increasing cesarean section (CS) rate that is currently at 43%. Crucially, reports have revealed that the attitudes, experiences, and skills of clinicians directly contribute to this elevated CS rate. Methods: This cross-sectional study, which included 748 Polish medical students, aimed to identify medical students’ attitudes regarding birth methods. A descriptive questionnaire was distributed via the academic email addresses of surveyed medical students. Group comparisons were performed using Welch’s t-test for continuous data or a Chi-squared test for categorical data. We also used the Mann–Whitney U test and Kruskal–Wallis H test. Results: Midwifery students (96.2%) were the most unified group of students, with most agreeing that VB (vaginal birth) presents a safer option for women at low risk for VB-related complications vs. cesarean section. Of Medical Faculty students, 68% believed that fewer complications typically occur during vaginal birth than during CS. Students in their final vs. initial years of study furthermore considered VB more beneficial for women than CS. Conclusions: An important factor identified at the individual clinician level is the presence of leadership and executive support. For medical students, we can interpret this as support from their trainers and supervisors.
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