Zapotrzebowania Kobiet Z Województwa Zachodniopomorskiego Na Usługi Okołoporodowe Świadczone Przez Położne Oraz Stopień Znajomości Przez Środowisko Medyczne Ustawowych Kompetencji Zawodowych Polskich Położnych

Abstract

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.

Midwife’s professional functions prescribed by the law

“…• selection of wound healing methods if a midwife completed a specialist course or a qualification course or has a title of a nursing specialist, if the program of the course or specialization included the content of education in this field or has a master's degree in midwifery, • performing endotracheal intubation in the states of sudden health risk if a midwife completed the qualification course in the field of anaesthetic nursing and intensive care in obstetrics and gynecology, • administration of blood products, recombinant concentrates of clotting factors and desmopressin, in the states of sudden health risk, form, apart from functions related to patient care, functions for their own development through participation in various forms of education, as well as through lifelong learning [16][17][18].…”

Knowledge of women receiving healthcare services on the tasks of midwife working in the primary health care

“…Fryc underlies that there is a huge need to educate patients as well as medical environment on the subject of midwives' competences that are widely described in many legislative documents. Doctors, nurses or physiotherapists knowing the range of services provided by primary health care midwives would more often refer women directly to them to be taken care of in various moments of their lives [11].…”

“…Fryc podkreśla, że istnieje duża konieczność edukowania pacjentów, ale także środowiska medycznego na temat kompetencji położnych, szeroko opisywanych w wielu dokumentach ustawodawczych. Lekarze, pielęgniarki czy fizjoterapeuci, znając zakres usług świadczonych przez położne POZ, znacznie częściej kierowaliby kobiety bezpośrednio pod ich opiekę, wspomagając pacjentki w różnych momentach ich życia [11].…”