Introduction: Working with bereaved parents is an immense challenge for professionals in the field of perinatal care and requires a high level of knowledge and skill. This article aims to evaluate the effectiveness of the Perinatal Loss Care blended educational programme. Methods: An evaluative assessment was carried out using a scored questionnaire to gather pre- and post-programme data. Participants were medical and healthcare professionals (n=200) who participated in the programme voluntarily (the Medical Professional/Motivated group and the Others group) or were selected by their employer and for whom attendance was mandatory (the Medical Professional/Non/Motivated group). Results: Participants' perception of their own knowledge and understanding of perinatal bereavement care was significantly higher on completion of the educational programme, proving its effectivity. There was a statistically significant effect on overall score in individual groups of respondents, as well as the whole set (p<0.001), with post-intervention scores higher than pre-intervention scores. No statistically significant differences in overall score were detected before participation in the educational programme in individual groups (p=0.204). Participants from the Medical Professional/Non/Motivated group achieved lower post-intervention scores to a significantly greater extent (p<0.05) and more often perceived the educational programme as being "very difficult" (χ2=20.66, df=6, P<0.01) compared to other groups. Conclusions: The educational programme was assessed as effective. Care of bereaved parents has its specifics and healthcare professionals should possess a basic knowledge of how to provide sensitive care during this time.

• Publikační typ
• časopisecké články MeSH

A trend of the shortening duration of pregnancies carried to term has been observed in several countries and represents a growing public health concern. This paper describes the trend in the Czech Republic and shows its relation to the changing demographic structure of mothers and the organisation of maternity care. Data from the birth register are used and supplemented with information about the capacity of maternity care (number of beds at maternity clinics, number of obstetricians and midwives). Logistic regression is used to estimate the odds of 37 to 39 vs 40+ completed weeks of gestation. The results show that the average gestational age at term decreased by 2.1 days between 2000 and 2013. The odds of 37 to 39 weeks of gestational duration increased, mainly due to the reduction in the number of beds at maternity clinics (adjusted odds ratio of 1.51). The effects of the number of health care staff members were weaker. The number of midwives positively influenced gestational duration, while the number of obstetricians had a negative effect. Maternal demographic structure cannot explain the trend. A likely explanation is the increased use of planned early term caesarean sections.

• MeSH
• babictví MeSH
• dospělí MeSH
• gestační stáří * MeSH
• hodnocení výsledků zdravotní péče MeSH
• indukovaný porod * MeSH
• lidé MeSH
• logistické modely MeSH
• lůžková kapacita nemocnice MeSH
• mladý dospělý MeSH
• porod v termínu * MeSH
• registrace MeSH
• služby zdravotní péče o matku MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

BACKGROUND: Most of the research about immigrants' birth outcomes comes from countries with high numbers of immigrants. This article provides evidence from the Czech Republic, a country with a short immigration history and a small immigrant population. Two hypotheses are tested: the immigrant disadvantage hypothesis and the healthy immigrant hypothesis. METHODS: Live singleton births in 2013-14 from the national birth register are analysed. The odds of low birth weight (LBW) among the native population and five immigrant groups are compared using logistic regression. Control variables include maternal age, parity, education and marital status, paternal immigrant status, age and education. RESULTS: All immigrant groups, except for Slovaks, showed smaller odds of LBW than native mothers. Adjusted odds ratios for non-Slovak immigrants range between 0.52 and 0.65. Furthermore, maternal immigrant status interacts with education. There is a wide educational gradient in LBW among Czech and Slovak mothers with low education representing a large disadvantage. Such pattern is not present among other ethnic groups. This makes the outcomes of Czech and Slovak mothers less favourable. Native mothers and immigrants with higher level of education show more similar outcomes. Paternal immigrant status does not have a net effect on LBW when maternal ethnicity is taken into account. CONCLUSIONS: Results provide evidence for the healthy immigrant effect. The favourable outcomes of non-Slovak immigrants seem to result from a combination of two factors, health selection of immigrants and relatively high prevalence of LBW in the native population caused by adverse outcomes of mothers with low education.

• MeSH
• dospělí MeSH
• emigranti a imigranti statistika a číselné údaje   MeSH
• lidé MeSH
• manželský stav MeSH
• matky * MeSH
• mladý dospělý MeSH
• novorozenec s nízkou porodní hmotností * MeSH
• novorozenec MeSH
• parita MeSH
• registrace statistika a číselné údaje   MeSH
• rizikové faktory MeSH
• stupeň vzdělání MeSH
• věk matky MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• novorozenec MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

This article explores the impact of the post-socialist transformation of Czech society on the health of newborns from different socioeconomic groups. The authors used six different measures of child health—various constructs based on birth weight, length of gestation, and vitality—as dependent variables and the mother's educational attainment as the key predictor. They used birth certificate data on all singleton births in 1990, 1992, 1994, 1996, 1998, 2000, 2002, 2004 and 2007 (N=912 591). They estimated a series of random-intercept multi-level models and report the observed trends in health inequality by maternal education. The analysis consistently and persistently showed large gaps in health between children born to mothers with elementary education on the one hand and all other children on the other hand. While the trends are not entirely congruent across all measures of child health, the authors found more evidence of growing inequality than of declining or stable inequality. Inequality grew most in the 1990s and then stabilised or even declined. They offer two tentative explanations for observed growth in inequality: the selective adjustment hypothesis and the selective childlessness hypothesis.

• MeSH
• epidemiologické studie MeSH
• financování organizované MeSH
• interpretace statistických dat MeSH
• lidé MeSH
• pediatrie MeSH
• porodnost trendy   MeSH
• sociální podmínky statistika a číselné údaje   MeSH
• socioekonomické faktory MeSH
• statistika jako téma MeSH
• stupeň vzdělání MeSH
• těhotenství MeSH
• veřejné zdravotnictví statistika a číselné údaje   MeSH
• výsledek těhotenství MeSH
• Check Tag
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Geografické názvy
• Česká republika MeSH

• MeSH
• dítě MeSH
• kojenecká mortalita dějiny   trendy   MeSH
• lidé MeSH
• novorozenec s nízkou porodní hmotností MeSH
• novorozenec MeSH
• porod MeSH
• porodní hmotnost MeSH
• porodnost trendy   MeSH
• socioekonomické faktory MeSH
• statistika jako téma MeSH
• stupeň vzdělání MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• novorozenec MeSH
• ženské pohlaví MeSH