The COVID-19 pandemic has increased risk of disturbances in the functioning of everyday life, directly or indirectly has influenced the risk of mental disorders in the most vulnerable populations, including pregnant women. The aim of this study was to analyze adverse mental health effects in the pregnant population during the COVID-19 pandemic, investigate risk factors for adverse mental health outcomes, identify protective factors, and create practical implications for clinical practice, bearing in mind the need to improve perinatal mental healthcare during such pandemics. Qualitative research was conducted in the electronic databases PubMed and Web of Sciences for the keywords COVID-19, pregnancy, depression, anxiety, and telemedicine for relevant critical articles (n = 3280) published from 2020 until October 2021, outlining the outcomes of control studies, meta-analysis, cross-sectional studies, face-to-face evaluation survey studies, remotely administered survey studies, and observational studies regarding the main topic; all were evaluated. Mental health problems among pregnant women linked to the COVID-19 pandemic, in most cases, show symptoms of depression, anxiety, insomnia, and PTSD and may cause adverse outcomes in pregnancy and fetus and newborn development, even at later stages of life. Therefore, useful implications for clinical practice for improving the adverse mental health outcomes of pregnant women associated with the COVID-19 pandemic are highly desirable. Our research findings support and advocate the need to modify the scope of healthcare provider practice in the event of a disaster, including the COVID-19 pandemic, and may be implemented and adopted by healthcare providers as useful implications for clinical practice.
After the events of 9/11, many police-responders developed post-traumatic stress disorder (PTSD) and were potentially vulnerable to developing depression and/or anxiety; in addition, nearly half of police with probable PTSD had comorbid depression and anxiety. Having in mind that victims who experience the effects of terrorism are exposed to high levels of psychological damage, we thus aimed to determine how sequelae of a terrorist act directly and indirectly affect victims. Quantitative synthesis findings were concluded on the basis of 200 records that met the inclusion criteria out of a total of 650. We grouped the patients according to their level of exposure to the WTC terrorist attack on 11 September 2001. The Level I group included individuals who had experienced the traumatic event and/or those who had observed the attack. The Level II group consisted of rescuers and/or persons who cleaned up debris in the area after the attack. The Level III group comprised the victims’ families. Our research enabled us to create a profile for those who were most vulnerable to mental disorders after the WTC terrorist attack. Patients who had survived the terrorist attack and/or those who had observed the incident exhibited fewer traumatic symptoms and a lower percentage of suicidal thoughts in comparison to individuals who had worked as rescuers or cleaning staff in the area after the attack. The number of symptoms rose along with increased contact time with the stressor. The dominant symptom was the triad of intrusion, avoidance, and hyperarousal. The findings may confirm the positive effect of protracted court cases in legal proceedings for compensation on the maintenance and development of psychopathology. Our research may contribute to a better understanding of the consequences of terrorism outcomes on the human psyche and be used in the development of standards for dealing with victims of terrorism’s impact.
Introduction: The climacteric period is the time during which women exit the reproductive period and enter a stage of diminishing reproductive ability. Purpose: This study was conducted to evaluate menopausal symptoms, depression, and quality of life in pre- and postmenopausal women living in two different countries. Materials and methods: The study sample comprised a total of 499 pre- and postmenopausal women between the ages of 40 and 65 living in Turkey and Poland. The data in this descriptive and comparative study were collected using a descriptive questionnaire, the Kupperman Index, the Beck Depression Inventory, and the WHOQOL-BREF Scale. Results: The mean depression scores of Turkish and Polish women were higher in the postmenopausal period (p<0.01). The mean depression scores were higher in the premenopausal period in Turkey, whereas they were higher in the postmenopausal period in Poland (p<0.01). When all the subdimensions of quality of life were compared between the two countries, psychological health, social relationships, and environment scores were found to be lower in Poland than Turkey (p<0.01). Conclusions: The menopausal period is affected by the lifestyles and cultures of women. For this reason, healthcare personnel who can reach individuals more easily in daily practice, should take cultural differences into account when providing care to women in the climacteric period. This will help to improve their quality of life during this period. Keywords: Menopause, quality of life, menopausal symptoms, depression
Purpose:To present the results of research and evaluation study of the legal regulations and rules directly linked and connected to midwives' scope of practice and provide a response on how the professional population of midwives can act as adequate and independent medical providers in the threat of a mass terrorist attack and/or a life-threatening mass disaster event. Materials and methods: The data derives from the Supreme Chamber of Nurses and Midwives in Poland; National Council of Nurses and Midwives in Poland; Gazette of the Republic of Poland, Journal of Laws; curriculum outlines for professional midwifery higher education in Poland; scientific literature, scientific recommendations. The qualitative research method to the data sources in 2018 were used. Results: In the event of a mass terrorist attack and/or a life-threatening mass disaster, the possibility of a pregnant, birthing or postpartum woman and her newborn obtaining proper medical attention from a midwife is questionable. Conclusions:The threat of terrorism in the European Union has grown. A new implications are necessary for policy and practice to keep midwives in their profession to provide adequate quality and quantity of health care in event of a mass terrorist attack and/or a life-threatening mass disaster. In our study we found: a terrorist threat as a gap in the teaching of obstetrics and midwifery; restricted availability of pharmacological agents for use by non-military midwives in event of a terrorist attack and/or a life-threatening mass disaster; lack of authorizations under a midwife license to perform PCD and /or PMCD.
On October 9-10, 2017, the International Scientific Conference „Polish, European and Global Nursing” was held in Warsaw, Poland. The main organizer of the conference was the National Council of Nurses and Midwives in Warsaw. The event was an excellent opportunity to seriously discuss the situation of nurses and midwives and other topics in a large group of experts, pondering such issues as how to restore the dignity and prestige of the profession, and also how to initiate a discussion on the psychological and psychiatric consequences of a terrorist attack on the human body.
The National Council of Nurses and Midwives organized the Polish National Conference under the Honorary Patronage of the Minister ofHealth on “Occupational Safety for Nurses and Midwives,” held in Warsaw on September 10 –11, 2018. The main issues that were addressed concerned the following: Mental and health disorders in shift work; Aggression towards nurses and midwives; The effect of shift work on nurses’ health and functioning; Occupational biological hazards and risk of exposure to biological materials for nurses and midwives; Occupational causes and injuries for nurses and midwives; Occupational ergonomics for nurses and midwives.
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