BACKGROUND: Inflammatory bowel diseases (IBD), comprising ulcerative colitis and Crohn's disease, have a profound impact on people's lives. This study aims to investigate the perceived impact of IBD on sexual life and family planning to enhance understanding of the interplay between IBD, sexuality, intimacy and family planning to foster a better quality of life for those living with the condition. MATERIALS AND METHODS: The study used the qualitative DIPEx method (Database of Personal Experiences of Health and Illness) developed by the Health Experiences Research Group at the University of Oxford, standardized for the Czech Republic. Semi-structured interviews with 36 participants (19 with Crohn's disease, 17 with ulcerative colitis) were conducted, employing open coding and thematic analysis. The maximum variation sampling was utilized, considering various factors, such as disease stage, medications, treatments, age, age at diagnosis and sociodemographic characteristics. RESULTS: Five main topics emerged: sexual activity, body image and discomfort, partner relationships, family planning, and the role of gastroenterologists in family planning decisions. Participants' perceptions of sexuality varied, with some experiencing reduced sexual activity during acute phases of the disease. IBD had contrasting effects on partner relationships, and family planning was an important concern, with women valuing support and collaboration with their gastroenterologists in making pregnancy decisions. Information dissemination and open communication from professionals are highly needed. CONCLUSIONS: This is the first study concerning the sexuality and family planning of people with IBD in the Czech Republic. It highlights the need for information and open communication from professionals.
- MeSH
- Crohnova nemoc * psychologie MeSH
- dospělí MeSH
- idiopatické střevní záněty psychologie MeSH
- kvalita života * MeSH
- kvalitativní výzkum * MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- představa o vlastním těle psychologie MeSH
- senioři MeSH
- sexualita psychologie MeSH
- sexuální chování * psychologie MeSH
- sexuální partneři psychologie MeSH
- služby plánování rodičovství * MeSH
- ulcerózní kolitida * psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
INTRODUCTION: Despite the interconnectedness of the European Union, there are significant variations in pregnant women's legal status as migrants and therefore their ability to access maternity care. Limited access to maternity care can lead to higher morbidity and mortality rates in migrant women and their babies. This study aimed to investigate and compare maternal health access policies and the context in which they operate across European countries for women who have migrated and are not considered citizens of the host country. METHODS: The study adopted a mixed-methods research design exploring policies on migrant women's access to maternity care across the migration regimes. Data were extracted from legal documents and research reports to construct a new typology to identify the inclusiveness of policies determining access to maternity care for migrant women. RESULTS: This study found inconsistency in the categorisation of migrants across countries and significant disparities in access to maternity care for migrant women within and between European countries. A lack of connection between access policies and migration regimes, along with a lack of fit between policies and public support for migration suggests a low level of path dependency and leaves space for policy innovation. DISCUSSION: Inequities and inconsistencies in policies across European countries affect non-citizen migrant women's access to maternity care. These policies act to reproduce structural inequalities which compromise the health of vulnerable women and newborns in reception countries. There is an urgent need to address this inequity, which discriminates against these already marginalised women.
- MeSH
- lidé MeSH
- novorozenec MeSH
- osoby s přechodným pobytem a migranti * MeSH
- porodnictví * MeSH
- služby zdravotní péče o matku * MeSH
- těhotenství MeSH
- zdravotní politika MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
Background: Primigravidas are at high risk of experiencing emotional disorders, stress, anxiety, and depression, which can lead to fetal neglect and a lack of adequate pregnancy care. This may result in problems with fetal growth and development, low birth weight, and even infant death. A strong maternal-fetal attachment significantly influences pregnancy care practices. However, there is no prenatal attachment education program included in routine education. Aim: This study aimed to explore healthcare workers' perspectives on the need to develop a prenatal attachment education package for pregnant women in public health centers. Methods: This qualitative study was conducted among eight healthcare workers from eight public health centers in Bantul, Yogyakarta, Indonesia; a regency with the seventh highest infant death rate in the country. Inclusion criteria included healthcare workers in maternity and child health units who resided in Bantul and agreed to participate. Purposive sampling was used to recruit the participants. Data collection was conducted through focus group discussion (FGD) with an interview guide. The FGD data were transcribed and analyzed using NVivo 12 Pro International software. Results: The findings identified 216 codes, 16 categories, and 4 themes, including (1) pregnancy education program, (2) maternal-fetal attachment education program, (3) pregnancy emotional management program, and (4) husband support education program. Conclusion: This study identified four themes and sixteen categories that underscore the need for further research to develop guidelines, materials, and media for prenatal attachment education packages.
- MeSH
- gravidita MeSH
- lidé MeSH
- maternofetální vztahy psychologie MeSH
- příprava pro nastávající rodiče * MeSH
- služby zdravotní péče o matku organizace a řízení MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- těhotenství psychologie MeSH
- vzdělávání pacientů jako téma MeSH
- Check Tag
- lidé MeSH
- těhotenství psychologie MeSH
- ženské pohlaví MeSH
- Geografické názvy
- Indonésie MeSH
Migrant women have a greater potential to experience limits when using maternity care than non-migrant women; therefore, they have a greater risk of vulnerability. Vulnerability and barriers to maternity care have the potential to erode trust, which is an important aspect of maternity care in general. In this exploratory qualitative study, we analyzed factors influencing trust in interactions between migrant women and healthcare professionals in maternity care. In total, 71 in-depth interviews were conducted with migrant women and healthcare professionals in the Czech Republic. Migrant women generally trust medical care, and healthcare professionals trust the capacity of women's bodies and their expertise. Unfortunately, in relation to women giving birth, healthcare professionals do not see the importance of building or strengthening trust but appreciate obedience, no matter what it is based on. In this context, healthcare professionals are limited by the routinization of care and a lack of time. Consequently, migrant women have a higher probability of being excluded from maternal care as active agents, which increases their vulnerable position.
Normání Daniela
156 stran : ilustrace ; 21 cm
Sborník a zpráva z kongresu, který se zaměřil na různé zdravotní, právní a etické otázky související s náhradním mateřstvím v Česku. Určeno odborné veřejnosti.
- MeSH
- asistovaná reprodukce etika zákonodárství a právo MeSH
- klinická etika MeSH
- náhradní matky zákonodárství a právo MeSH
- reprodukční práva MeSH
- služby v oblasti reprodukčního zdraví MeSH
- zákonodárství lékařské MeSH
- Publikační typ
- kongresy MeSH
- sborníky MeSH
- zprávy MeSH
- Geografické názvy
- Česká republika MeSH
OBJECTIVE: Access to family planning services is a human right that plays an essential role in society's health, particularly women's health. The COVID-19 pandemic has affected all aspects of human life including access to family planning services. Accordingly, the main goal of this study was to explore the experiences of women and service providers from the main challenges and obstacles of access to family planning services and abortion services in Bangladesh, Iran, and the Netherlands during the COVID-19 pandemic. METHODS: In this qualitative study, the data were collected through online, telephone, or in-person semi-structured interviews with key informants. Participants selected by purposive sampling method. The participants included women aged 15 to 49 (n = 63) and service providers (n = 54) in the 3 abovementioned countries. These individuals were included from October 2020 until December 2020. Conventional thematic analysis was employed to analyze the collected data. RESULTS: The main extracted themes were challenges (reduction of referral; disruption of access to services; insufficient knowledge; worries among staff; rising prices; and unavailability of some contraceptives), measures (time extension and visit scheduling; telephone, online, and door to door services; and support of the media) and recommendations (health facility improvements; free, online, and closer services; and ongoing trainings and awareness campaigns). CONCLUSION: The COVID-19 pandemic has affected family planning and reproductive health services in different ways and has uncovered existing inequalities in access to these services. However, in Iran, the reported challenges were also rooted in new population policies that have further limited access to family planning and abortion services.
- MeSH
- COVID-19 * epidemiologie MeSH
- indukovaný potrat * MeSH
- lidé MeSH
- pandemie MeSH
- služby plánování rodičovství metody MeSH
- těhotenství MeSH
- Check Tag
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Bangladéš MeSH
- Írán MeSH
- Nizozemsko MeSH
Iran has witnessed three major reversals of population policies since their inception in the 1960s. In response to a rapid decline in fertility to very low levels, the latest policy shift has led to the development of legislation that aims to encourage marriage and fertility, particularly the "Youthful Population and Protection of the Family" law approved in 2021. This study reviews the changes in population policy and their interrelations with fertility trends, focusing mainly on the shift towards pronatalist policies since 2005, and accompanying restriction of reproductive health and family planning services. Combining international and national sources, we position the new pronatalist drive in the country within the broader trend of government attempts to reverse fertility decline and promote conservative family values. Our study has three main aims. (1) We provide an overview of fertility trends, policy discourses and policy shifts in the context of the changes in the societal and political structures of Iran during the last half a century. (2) We highlight and discuss the most problematic features of the new Family Law, especially the legislation pertaining to maternal and reproductive health, access to abortion and contraception, and incentives supporting earlier marriage and higher fertility. (3) We discuss the likely consequences of the new legislation for maternal and child health and sexual and reproductive rights, for women in general, and the country's socio-economic disparities. As well as violating reproductive rights, the new policy is unlikely to achieve its aim of initiating a sustained rise in fertility in Iran.
- MeSH
- dítě MeSH
- fertilita * MeSH
- lidé MeSH
- reprodukční práva * MeSH
- služby plánování rodičovství MeSH
- těhotenství MeSH
- veřejná politika MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Írán MeSH
Úvod: Článek zkoumá vztahy mezi udržitelností, lidskou populací a reprodukční etikou, protože jak cíle udržitelnosti, tak populační otázky obojí implikují konkrétní etické závazky. Materiál a metodika: Práce je založena na kritické analýze současné vědecké a filozofické literatury na téma udržitelnosti, populace a reprodukční etiky. Výsledky: Udržitelnost, tak jak je vyjádřena v Cílech udržitelného rozvoje OSN, je koncept, jehož cílem je ochránit životní prostředí, posilovat lidské společenství a podporovat prosperitu; jinými slovy, vytvářet svět, ve kterém budou moci všichni vzkvétat a prospívat. Nicméně, lidstvo se pohybuje velkou rychlostí opačným směrem. Primárním důvodem je neudržitelná velikost lidstva a jím podmíněná neudržitelná lidská ekonomická aktivita. Dlouhodobá udržitelnost je dosažitelná, ale vyžaduje udržitelnou lidskou populaci, což jsou podle posledních studií zhruba tři miliardy lidí. Dosažení této velikosti populace vyžaduje zacílení na všechny čtyři realizovatelné pilíře populačního růstu. Dostupnost antikoncepce, vzdělání a emancipace žen jsou nejlepší prevencí pro (1) neplánovaná/nechtěná těhotenství a (2) vynucenou plodnost. Je však nutné zaměřit se i na (3) populační moment a (4) chtěnou plodnost. Závěr: Poslední dvě jmenované mohou být úspěšně adresovány pomocí podpory reprodukční etiky malých rodin, ideálně etiky jednoho dítěte jako nové globální normy.
Introduction: The paper explores the links between sustainability, population and reproductive ethics, because sustainability goals and population matters both imply ethical commitments. Materials and methods: This article is based on a critical analysis of current scientific and philosophical literature on sustainability, population and reproductive ethics. Results: The idea of sustainability, as enshrined in the United Nations Sustainable Development Goals, is a concept whose goal is to protect the environment, strengthen human communities and foster prosperity; in other words, to create a world in which all can thrive and prosper. However, humanity is moving quickly in the opposite direction. The main causes of unsustainability are excessive human numbers and the excessive human economic activity to which they lead. Sustainability is achievable, but it requires a sustainable human population. According to the latest studies, that is somewhere around three billion humans. Reaching this goal requires targeting all four reachable roots of the population’s growth. Supportive measures, such as voluntary family planning, education and empowerment, combat (1) unwanted fertility and (2) coerced fertility. However, (3) population momentum and (4) wanted fertility also must be addressed. Conclusion: The latter two can be approached through promotion of reproductive ethics of small families, ideally one-child families, as a new global ethical norm.
- MeSH
- fertilita MeSH
- lidé MeSH
- reprodukční chování * MeSH
- rozmnožování etika MeSH
- služby plánování rodičovství etika MeSH
- trvale udržitelný rozvoj * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
BACKGROUND: Many women experience giving birth as a negative or even as a traumatic event. Birth space and its occupants are fundamentally interconnected with negative and traumatic experiences, highlighting the importance of the social space of birth. AIM: To explore experiences of women who have had a negative or traumatic birth to identify the value, sense and meaning they assign to the social space of birth. METHODS: A feminist standpoint theory guided the research. Secondary discourse analysis of 51 qualitative data sets/transcripts from Dutch and Czech Republic postpartum women and 551 free-text responses of the Babies Born Better survey from women in the United Kingdom, Netherlands, Belgium, Germany, Austria, Spain, and the Czech Republic. FINDINGS: Three themes and associated sub-themes emerged: 1. The institutional dimension of social space related to staff-imposed boundaries, rules and regulations surrounding childbirth, and a clinical atmosphere. 2. The relational dimension of social space related to negative women-healthcare provider interactions and relationships, including notions of dominance, power, authority, and control. 3. The personal dimension of social space related to how women internalised and were affected by the negative social dimensions including feelings of faith misplaced, feeling disconnected and disembodied, and scenes of horror. DISCUSSION/CONCLUSION: The findings suggest that improving the quality of the social space of birth may promote better birth experiences for women. The institutional, relational, and personal dimensions of the social space of birth are key in the planning, organisation, and provision of maternity care.
