Introduction: The midwife’s profession has evolved across the ages to become – in the vast majority of countries, including Poland – an independent medical occupation. The aim of this thesis was to define how big is the social demand for perinatal servises given by midwifes among women from Zachodniopomorskie province and investigate the knowledge base of medical staff in Zachodniopomorskie province in regard to the midwife’s rights and duties resulting from Polish law.Material and methods: Research was carried out from 1.10.2009 to 30.06.2010. It included 115 active midwifes in the city of Szczecin and beyond it (Zachodniopomorskie province). Additionally, 40 doctors, 99 nurses and 1 master of physiotherapy took part in the survey (all of them based in Zachodniopomorskie province). Research was also conducted among 150 women from the same province. The survey was presented in the form of a questionnaire. Since the available literature did not include a standardized research tool which could be used to achieve appointed goals a new method was devised. Results were subjected to mathematical and statistical analysis.Conclusions: After the compilation of results presented in this paper the following conclusions were made: 1. Some of the medical personnel who participated in the survey do not perceive midwifes as independent medical practitioners. 2. Most midwifes are aware of their rights and obligations outlined in Polish legislation. In their opinion the lack of independence in their profession is caused by unclear clauses and paragraphs in Polish law. The women who participated in the survey showed an interest in services provided by midwifes. 3. They stated that there is a common need for this kind of service. There are grounds to intensify the promotion of midwifery as an independent occupation.
Wstęp. Przez lata wskazania do cięcia cesarskiego uległy wyjątkowo licznym modyfi kacjom. Cel. Celem pracy było poznanie opinii kobiet na temat cięcia cesarskiego na życzenie. Materiał i metody. Badaniu poddano 156 kobiet będących w okresie połogu, metodą sondażu diagnostycznego, techniką ankietyzacji z wykorzystaniem narzędzia badawczego, jakim była ankieta własna złożona z 22 pytań. Wyniki. Spośród 156 ankietowanych kobiet tylko 28,4% wolałoby rodzić poprzez cięcie cesarskie, zaś 60,6% wybrałoby poród drogami i siłami natury. Zwolenniczek cięcia cesarskiego na życzenie było łącznie aż 44% i pochodziły one ze wsi. Ponad połowa respondentek (zwolenniczki cięcia cesarskiego) uważała, że poród brzuszny jest bezpieczniejszy zarówno dla matki, jak i dziecka. Wnioski. Według większości kobiet każda ciężarna/rodząca, jako 1. istota autonomiczna, powinna mieć prawo decydowania o sposobie, jakim chce urodzić własne dziecko, dlatego też w Polsce lekarz ginekolog-położnik powinien wykonywać cięcie cesarskie na prośbę i życzenie pacjentki. Mieszkanki wsi częściej uważały, że lekarz ginekolog-po-2. łożnik powinien wykonywać cięcie cesarskie na życzenie i same wołałyby rodzić w ten sposób. Respondentki, które wolałyby rodzić poprzez cięcie ce-3. sarskie, znamiennie częściej uważały, że ta forma porodu jest bezpieczniejsza zarówno dla matki, jak i dziecka, co świadczy o niedostatecznym poziomie wiedzy i błędnych przekonaniach reprezentowanych przez opinię publiczną. Kobiety posiadały niski poziom wiedzy o powikłaniach 4. związanych z operacją cięcia cesarskiego. SŁOWA KLUCZOWE: cięcie cesarskie bez wskazań medycznych, cięcie cesarskie na życzenie.
Introduction. Preventive vaccinations are the most effective and the cheapest method of fi ghting and preventing infectious diseases. They preclude the development of complications and limit the spread of infections. Over the years, there has been a signifi cant development and growth in disease prevention due to the implementation of preventive vaccination plans, both recommended and compulsory. Aim. The aim of the study was to examine parents' opinions on the refusal of preventive childhood vaccines. Material and methods. The study covered 100 patients of the obstetric ward at the Independent Public Complex of Healthcare Facilities 'Zdroje' in Szczecin. The diagnostic survey method in the form of authors' self-designed questionnaire was used in the study. The results were prepared using the R program, version 3.4.3. R Core Team (2017). Results. Among 100 respondents, only 12.0% think that preventive vaccinations of children are unnecessary. The study shows that 32.0% of parents are not familiar with the obligatory vaccination calendar. Most respondents do not carry out any additional recommended vaccinations on their children (61.0%). More than half of the respondents (60.0%) are afraid of preventive vaccinations. A slight majority of the respondents buy vaccines instead of using the reimbursed vaccinations (52.0%). The main sources of parents' knowledge on the issue of preventive vaccinations are doctors, nurses, midwives and the Internet (81.0% each). Most respondents (53.0%) think that there should be penalties for guardians who do not vaccinate their children. Conclusions. 1) The level of parents' knowledge on infectious diseases and the rationale of vaccinating children is deteriorating due to the infl uence of unreliable sources of information, 2) The Internet is an important source of knowledge on the issue of vaccinations, 3) It is advisable to intensify and concentrate the efforts of healthcare professionals in having reliable and accurate knowledge on preventive vaccinations that they convey to parents.
Introduction:Breastfeeding is the optimal method of feeding children during the first period of their life. The correct management of lactation is essential for proper breastfeeding initiation which would be continued long enough. Many factors have a huge impact on lactation, among others mode of delivery, parturition, hospital procedures and practices, such as suctioning the airway, 'skin to skin' contact, feeding the baby, and the competent support of the staff. The aim of the study was to analyze the impact of selected procedures related to childbirth and post-natal care, as well as hospital practices on lactation. Materials and methods:The study involved 145 women who gave birth in the Department of Foetal Medicine and Gynaecology Pomeranian Medical University in Szczecin located in Police, West Pomeranian Province in Poland. The research was carried out by a diagnostic survey with a self-authorship questionnaire. Conclusions: 1. Some hospital practices, such as suctioning the airway, short 'skin to skin' contact after cesarean delivery, and complementary feeding of a newborn baby with a bottle had negative impact on maintaining lactation. 2. Complementary feeding of an infant with a bottle was a frequent hospital practice. As the procedure has an adverse impact on lactation, breastfeeding should be replaced by complementary feeding in an alternative way only in justified cases. 3. Most of the patients who obtained support during lactation were breastfeeding exclusively. Competent assistance in initiating and maintaining lactation is the responsibility of the medical personnel, thus there is a necessity for their permanent development, and a constant need to modify hospital practices to ones that affect lactation favourably. Keywords: lactation; breastfeeding; hospital procedures. ABSTRAKT Wstęp:Karmienie piersią jest optymalnym sposobem żywie-nia dzieci w pierwszym okresie ich życia. Prawidłowe postę-powanie w laktacji jest podstawą właściwego jej rozpoczęcia oraz skutecznego karmienia, które będzie odpowiednio długo kontynuowane. Ogromny wpływ na proces laktacji ma wiele czynników, m.in. rodzaj porodu, przebieg porodu, procedury i praktyki szpitalne takie jak odśluzowanie, kontakt skóra do skóry, dokarmianie dziecka, kompetentna pomoc personelu. Celem pracy była analiza wpływu wybranych procedur związa-nych z porodem i opieką po porodzie oraz praktyk szpitalnych na proces laktacji. Materiały i metody: Badaniem objęto 145 kobiet, które urodziły dziecko w Klinice Medycyny Matczyno-Płodowej i Ginekologii Pomorskiego Uniwersytetu Medycznego w Szczecinie mieszczącej się w Policach, w województwie zachodniopomorskim.Badania przeprowadzono metodą sondażu diagnostycznego, za pomocą kwestionariusza ankiety własnego autorstwa. Wnioski: 1. Niektóre praktyki szpitalne, takie jak odśluzowanie, krótki kontakt skóra do skóry po cięciu cesarskim i dokarmianie noworodków za pomocą butelki, wpływały negatywnie na zachowanie laktacji. 2. Dokarmianie noworodków za pomocą butelki stanowiło częstą praktykę szpitalną. J...
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