Research shows that people with cystic fibrosis are more prone to suffer from psychological problems than healthy people; thus, the outbreak of the COVID-19 pandemic in Poland could have had an impact on their mental health. To assess this impact, we examined the mental health of patients before and during the pandemic. Survey participants were asked to fill in questionnaires that consisted of Beck Depression Inventory (BDI), 12-Item General Health Questionnaire (GHQ-12) and Cystic Fibrosis Questionnaire-Revised (CFQ-R; for the purpose of the study, an emotional functioning domain was used) during their hospital visits. A total of 81 patients took part in the study: 39 before the COVID-19 pandemic (BP) and 42 during the COVID-19 pandemic (DP). Patients’ medians were lower for the BDI, GHQ-12 and higher for the emotional domain of CFQ-R during the pandemic (3, 6, 75 vs. 4, 10, 73.33). Fewer patients felt that their mental health had deteriorated during the pandemic (Δχ2 = 7.723; p = 0.005), and GHQ-12 scores were lower in the DP group (Z = −3.044; p = 0.002). No significant differences were found between groups in terms of experiencing depressive symptoms (Δχ2 = 1.036; p = 0.309). It was found that patients with cystic fibrosis from our study group not only maintained but also improved their mental health state during the COVID-19 pandemic.
The lactation process in primiparas in early postpartum period depending on the mode of delivery. Wyniki. Położnice po porodach siłami natury wcześniej rozpoczynają karmienie piersią i częściej uważają je za udane (p < 0,001). Niemal wszystkie pierwiastki po cięciu cesarskim podawały dzieciom mleko modyfikowane (p < 0,001), a dokarmianie rozpoczynały wcześniej niż położnice po porodach naturalnych (p < 0,001). Brak problemów z karmieniem piersią deklarowało 15% kobiet po porodzie naturalnym i jedynie 4% położnic po cięciu cesarskim. Wnioski. Sposób ukończenia ciąży ma wpływ na przebieg laktacji. U pierwiastek po cięciu cesarskim częściej występowały problemy z karmieniem piersią niż u położnic, które rodziły siłami natury. Słowa kluczowe: pierwiastka, poród siłami natury, cięcie cesarskie, laktacja ABSTRACT THE LACTATION PROCESS IN PRIMIPARAS IN EARLY POSTPARTUM PERIOD DEPENDING ON THE MODE OF DELIVERY. THE MODE OF DELIVERY AND THE LACTATION PROCESSAim. The aim of the study was to determine the relationship between the mode of delivery and the course of lactation in primiparas in early postpartum period. Material and methods. The research was conducted amongst 200 primiparas including 100 after vaginal delivery and 100 after cesarean section. The study was conducted with the method of diagnostic survey with the author's original questionnaire as a research tool.Results. The women after vaginal delivery initiate breastfeeding earlier and more often find it successful (p < 0.001). Almost all the primiparas after cesarean delivery formula-fed their newborns (p < 0.001) and they started supplementary formula feeding earlier in comparison to women who had vaginal delivery (p < 0.001). Problem-free breastfeeding was declared by 15% of the respondents after vaginal delivery and 4% of those who had a cesarean section.Conclusions. The mode of delivery influences the lactation process. The primiparas after cesarean delivery had problems with breastfeeding more often than those after vaginal birth.
Introduction: The rate of caesarean sections in Poland is constantly increasing. In Poland, the selection of the mode of delivery does not depend on the woman's will; however, the preferences of childbearing women are shaped by their knowledge and beliefs related to the labour. The preferences of nurses and midwives may be shaped by the specificity of the work performed by them. Aim of the study: An analysis of the preferences related to the mode of delivery among occupational groups of nurses and midwives. Material and methods: The studies were carried out among 202 nurses and midwives using the diagnostic poll method and the survey questionnaire technique. Our own survey questionnaire and the Self-report Labour Anxiety Questionnaire (KLP II) were used.Results: The conducted studies demonstrated that 88.12% of midwives, compared to 75.25% nurses, prefer vaginal delivery. Midwives significantly more frequently (p = 0.005) than nurses indicated vaginal delivery as safer for the mother and for the child, and as allowing for faster recovery to normal physical fitness. For the nurses and midwives opting for the caesarean section, the most significant reasons were anxiety about perineal injuries and concern about the child's health. The midwives, more frequently than nurses, declared the selection of non-pharmacological methods of alleviating pain. Conclusions: The practiced profession influences the decisions related to the preferred mode of delivery and to the interventions applied during labour. Labour anxiety is a feature that is more frequent among nurses.
The aim of this study was to investigate the severity of chronic vulvar pain in women with vulvodynia and its impact on their health-related quality of life (QL). The study group consisted of 76 women aged 19 to 58. The study was carried out using the diagnostic survey method, i.e., (1) the questionnaire technique, comprising (A) the author’s questionnaire (76 questions) and (B) the WHOQOL-BREF questionnaire, and (2) the VAS. When analyzing the severity of vulvar pain on the VAS, the highest proportion of women rated it at level 6 (23.68%). This was significantly determined by certain personal characteristics (age < 25 years old) and sociodemographic characteristics (marital status: unmarried women, divorcees, widows; high school education), each at p < 0.05. Vulvodynia causes a significant deterioration (64.47%) in QL, which is mainly caused by a reduction in the ability to perform activities of daily living (27.63%) and a decrease in sexual satisfaction (27.63%). The level of stress significantly exacerbates pain (p < 0.05). The severity correlates significantly (p < 0.05) and negatively (r < 0) with QL perception, which was rated worst in the physical domain. The use of treatment resulted in a significant improvement in the physical and psychological domains (p < 0.05), and the latter was particularly influenced by physiotherapy (p < 0.05).
Aim. The aim of the study was to evaluate the quality of life of women with pelvic organ prolapse during the postmenopausal period.Material and methodology. The study group consisted of 45 patients of the Department of Gynecology and Oncology at the University Hospital in Cracow The study was conducted as a diagnostic survey using the following survey techniques: author's questionnaire and the Short Form of Health Status Questionnaire (SF-36v2).Results. The results showed that the respondents rated their quality of life as lower than the norm set by the authors of the SF-36v2 questionnaire. A statistically significant (p<0.05) correlation between the age of the subjects and the quality of life was found.Conclusions. The quality of life of the women with the pelvic organ prolapse was low. The reason of the subjective assessment of quality of life was age. The most common symptom associated with pelvic organ prolapse was feeling the urge to urinate.
Introduction. Providing lactation care and promoting breastfeeding are indispensable tasks of a midwife. Natural feeding can create numerous problems, which means that the constant updating and expanding knowledge and competence of midwives in the matter of lactation is included in the role of a midwife. It can also be an interesting career path. Aim. The aim of the work is to present the opportunities for professional development of a midwife in the field of lactation in Poland as part of postgraduate education. Conclusions. Lactation Educator – a specialist course organised by the Centre for Postgraduate Training of Nurses and Midwives “Education and Support of Women in Lactation” which enables to work as a lactation educator. Certified Lactation Consultant – a course organized by the Lactation Science Centre “Problems in lactation”. The title of Certified Lactation Consultant confirms that the midwife has acquired the appropriate knowledge and skills to professionally and responsibly conduct specialist lactation counselling. International Certified Breastfeeding Lactation Consultant (IBCLC) – IBCLC has the appropriate knowledge of and skills in supporting nursing women, confirmed by an international examination entitled to work in the field of lactation worldwide.
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