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Publikace informuje o průběhu a prostředí porodu a o potřebách rodící ženy. Určeno odborné veřejnosti.
- MeSH
- matky psychologie MeSH
- porod MeSH
- těhotné ženy psychologie MeSH
- zdraví matek MeSH
- zdravý životní styl MeSH
- Konspekt
- Gynekologie. Porodnictví
- NLK Obory
- gynekologie a porodnictví
- NLK Publikační typ
- informační publikace
Aim: The aim of the research was to find significant factors that influence womenʼs satisfaction with childbirth. Design: A cross-sectional study design was chosen. Methods: The Czech version of the Birth Satisfaction Scale - Revised, supplemented with demographic questions and questions related to the process of childbirth, was used for data collection. The online questionnaire was completed by 870 women who met the inclusion criteria for the study. Results: Several statistically significant results were found: womenʼs satisfaction with childbirth increases with increasing age (p < 0.05), secondary / multipara women are more satisfied with the experience of childbirth than primipara women (p < 0.05), and the experience of spontaneous vaginal birth leads to higher satisfaction than operative birth (p < 0.05). The term of delivery, place, and perception of pain during delivery also influence womenʼs satisfaction with birth (p < 0.05). Conclusion: The midwifeʼs duty in caring for the woman is not only to ensure safety but also to promote the emergence of a positive and satisfying experience. Situations such as acute operative delivery or preterm birth are unavoidable in obstetrics. However, respectful care and emotional support provided during labor can develop womenʼs ability to perceive control over the situation, cope with labor pain and prevent negative experiences.
Aim: The centralization of Finnish maternity services can mean longer journeys when women are in labor. The aim of this study was to describe women's experiences of having an unplanned out-of-hospital delivery (OHD) and to produce a deeper understanding of how to support them when this happens. Design: Qualitative descriptive study design with narrative inquiry method. Methods: Individual interviews were carried out with 15 women who had an unplanned OHD and the data were analyzed using a narrative method. Results: Three narratives described the women's experiences of an unplanned OHD with a common plot being their sense of control. In the first narrative, a sense of control was maintained; in the second, the sense of control fluctuated; and the third narrative centered on a loss of control. All the narratives were related to the women's experiences of what was happening to their body, the people around them during delivery, and the situation after the childbirth. Conclusion: Having an unplanned OHD forced women to reconsider their preconceptions and expectations of childbirth and focus on how to handle the situation at hand. A key factor was the sense of control they felt while giving birth, which should be considered a core principle in maternity care practices, from antenatal care to delivery.
- MeSH
- lidé MeSH
- místo porodu * MeSH
- nástup porodu psychologie MeSH
- porod psychologie MeSH
- průzkumy a dotazníky MeSH
- psychické bezpečí * psychologie MeSH
- těhotné ženy psychologie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- pozorovací studie MeSH
OBJECTIVE: To ascertain and explore the views of women and their partners, giving birth in the Czech Republic, of the level of respectful or disrespectful care provided during pregnancy and early labour. DESIGN: Ethical approval was granted for a descriptive, online anonymous survey of 65 questions, with quantitative and qualitative responses. SETTING: The Czech Republic.The survey was completed by 8,767 women and 69 partners in 2018. MEASUREMENTS AND FINDINGS: Descriptive statistics and thematic analysis were used to present results. The majority of women were aged 26-35 years. Most had birthed in one of 93 hospitals, with 1.5% home births. Almost 40% never had an abdominal examination.in pregnancy. Quantitative data analysis revealed that less than half were given information on place of birth, or how to keep labour normal or non-interventionist. Almost 60% did not get information on positions for birth. Most (68%) commenced labour naturally, 25% had labour induced, 40% of them before term, and 7% had an elective caesarean section; 55% stated they had not been given any choice in the decision. Over half of those who had a membrane sweep said permission had not been sought. Half (54%) only had 'checking' visits from the midwife in labour. KEY CONCLUSIONS: Findings reveal a lack of information-giving, discussion and shared decision-making from healthcare professionals during pregnancy and early labour. Some practices were non-evidenced-based, and interventions were sometimes made without consent. IMPLICATIONS FOR PRACTICE: The examples of disrespectful care described in this study caused women distress during childbirth, which may result in an increased fear of childbirth or an increase in free-birthing.
- MeSH
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- porodní děj psychologie MeSH
- postoj zdravotnického personálu MeSH
- průzkumy a dotazníky MeSH
- těhotenství MeSH
- těhotné ženy psychologie MeSH
- uznání * MeSH
- vedení porodu psychologie MeSH
- vztahy mezi zdravotnickým pracovníkem a pacientem MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Cíl: Cílem této studie bylo prozkoumat u těhotných žen míru strachu, deprese, stresu a úzkosti spojených s pandemií, a to v různých trimestrech v období po pandemii, a určit jejich souvislost s psychickou odolností. Metody: Do studie bylo zařazeno celkem 250 žen, z toho 125 těhotných a 125 zdravých kontrol. Ženy byly dále rozděleny do tří skupin podle trimestru těhotenství. K měření deprese, úzkosti, stresu a psychické odolnosti byla použita škála deprese, úzkosti a stresu (DASS-21 – Depression Anxiety Stress Scale 21), škála strachu z epidemie (EDAS – Epidemic Disease Anxiety Scale) a zkrácená škála psychické odolnosti (SPRS – Short Psychological Resilience Scale). Výsledky: Těhotné ženy měly významně vyšší celkové skóre DASS-21 [19 (4–42) ], oproti zdravým kontrolám [11 (1–42) ], p = 0,001. Prevalence deprese, úzkosti a stresu u těhotných byla 23,2 %, 44 % a 20 % oproti 12,8 %, 31,2 % a 9,6 % u zdravých kontrol. Celkové skóre DASS-21 bylo nejvyšší v I. trimestru (21,2 ± 5,8) a III. trimestru (22,8 ± 8,9) a nejnižší v II. trimestru (16,1 ± 6,9). U DASS-21 byla zaznamenána pozitivní korelace s celkovým skóre EDAS a se subškálou vnímání pandemie. Celkové skóre SPRS mělo negativní korelaci s úzkostí, stresem a celkovým skóre DASS-21. Závěr: V období po pandemii byla u těhotných žen zaznamenána vyšší míra deprese, úzkosti, stresu a strachu z pandemie než u netěhotných žen. U těhotných žen byla zjištěna negativní korelace mezi psychickou odolností a depresí, úzkostí či stresem. Tyto závěry svědčí o tom, že pandemie negativně ovlivňuje mentálního zdraví těhotných žen a rovněž ukazují důležitost služeb poskytujících psychickou podporu při ochraně jejich duševního zdraví.
Aims: The aim of this study was to investigate the levels of pandemic-related fear, depression, stress and anxiety in pregnant women in different trimesters after the pandemic and to examine their relationship with psychological resilience. Methods: A total of 250 women were included in the study, including 125 pregnant women and 125 healthy controls. The participants were divided into three groups according to their trimester of pregnancy. The Depression-Anxiety-Stress Scale 21 (DASS-21), the Epidemic Disease Anxiety Scale (EDAS) and the Short Psychological Resilience Scale (SPRS) were used to measure depression, anxiety, stress and psychological resilience. Results: Pregnant women had significantly higher DASS-21 total scores [19 (4–42) ] than healthy controls [11 (1–42) ], P = 0.001. The prevalence of depression, anxiety and stress was 23.2%, 44% and 20% respectively in pregnant women compared to 12.8%, 31.2% and 9.6% in healthy controls. DASS-21 total scores were highest in the 1st (21.2 ± 5.8) and 3rd (22.8 ± 8.9) trimesters and lowest in the 2nd (16.1 ± 6.9) trimesters. The DASS-21 total score was positively correlated with the EDAS total score and the pandemic perception subscale. SPRS total score was negatively correlated with anxiety, stress and DASS-21 total score. Conclusion: Pregnant women experienced higher levels of depression, anxiety, stress, and pandemic anxiety than non-pregnant women in the post-pandemic period. Psychological resilience was negatively associated with depression, anxiety, and stress in pregnant women. These findings indicate that the pandemic negatively affects the mental health of pregnant women and the importance of providing psychological support services to protect their mental health.
- MeSH
- COVID-19 psychologie MeSH
- duševní zdraví MeSH
- lidé MeSH
- pandemie * MeSH
- průzkumy a dotazníky MeSH
- psychická odolnost MeSH
- strach psychologie MeSH
- těhotné ženy * psychologie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
- Geografické názvy
- Turecko MeSH
OBJECTIVE: To assess risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic using Mind-COVID, a prospective cross-sectional study that compares outcomes in middle-income economies and high-income economies. METHODS: A total of 7102 pregnant women from 12 high-income economies and nine middle-income economies were included. The web-based survey used two standardized instruments, General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). RESULT: Pregnant women in high-income economies reported higher PHQ-9 (0.18 standard deviation [SD], P < 0.001) and GAD-7 (0.08 SD, P = 0.005) scores than those living in middle-income economies. Multivariate regression analysis showed that increasing PHQ-9 and GAD-7 scales were associated with mental health problems during pregnancy and the need for psychiatric treatment before pregnancy. PHQ-9 was associated with a feeling of burden related to restrictions in social distancing, and access to leisure activities. GAD-7 scores were associated with a pregnancy-related complication, fear of adverse outcomes in children related to COVID-19, and feeling of burden related to finances. CONCLUSIONS: According to this study, the imposed public health measures and hospital restrictions have left pregnant women more vulnerable during these difficult times. Adequate partner and family support during pregnancy and childbirth can be one of the most important protective factors against anxiety and depression, regardless of national economic status.
- MeSH
- COVID-19 * epidemiologie psychologie MeSH
- deprese etiologie MeSH
- dítě MeSH
- internet MeSH
- komplikace těhotenství * epidemiologie psychologie MeSH
- lidé MeSH
- pandemie MeSH
- prospektivní studie MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- SARS-CoV-2 MeSH
- těhotenství MeSH
- těhotné ženy psychologie MeSH
- úzkost etiologie MeSH
- úzkostné poruchy epidemiologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: Our study (part of multicentric "MindCOVID") investigates risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic in the Czech Republic. MATERIAL AND METHODS: The study used a prospective cross-sectional design. Data was collected using an online self-administered questionnaire. Standardized scales, general anxiety disorder (GAD)-7 and patient health questionnaire (PHQ)-9 were administered online. Multivariate regression analysis was employed to evaluate the relationship between sociodemographic, medical and psychological variables. RESULTS: The Czech sample included 1830 pregnant women. An increase of depressive and anxiety symptoms measured by PHQ-9 and GAD-7 in pregnant women during the COVID-19 pandemic was associated with unfavorable financial situation, low social and family support, psychological and medical problems before and during pregnancy and infertility treatment. Fear of being infected and adverse effect of COVID-19, feeling of burden related to restrictions during delivery and organization of delivery and feeling of burden related to finances were associated with worse anxiety and depressive symptoms. CONCLUSIONS: Social and emotional support and lack of financial worries are protective factors against mood disorders in pregnant women in relation to COVID-19 pandemic. In addition, adequate information about organization of delivery and additional support from healthcare professionals during the delivery are needed. Our findings can be used for preventive interventions, given that repeated pandemics in the future are anticipated.
- MeSH
- COVID-19 * epidemiologie psychologie MeSH
- deprese diagnóza MeSH
- lidé MeSH
- pandemie prevence a kontrola MeSH
- prospektivní studie MeSH
- průřezové studie MeSH
- SARS-CoV-2 MeSH
- těhotenství MeSH
- těhotné ženy psychologie MeSH
- úzkost diagnóza MeSH
- Check Tag
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Disgust is an essential part of the behavioral immune system, protecting the individual from infection. According to the Compensatory Prophylaxis Hypothesis (CPH), disgust sensitivity increases in times of immunosuppression, potentially including pregnancy. We aimed to replicate a previous study observing longitudinal changes in disgust sensitivity in pregnant women. Additionally, for the first time, we explored how recent health problems influence these changes. To do this, we obtained disgust sensitivity measures from 94 women in each trimester and in early postpartum. In contrast to the original study, where disgust sensitivity was highest in the first trimester, we found that overall and animal reminder disgust increased across pregnancy and after birth. In line with the CPH, women who were recently sick in the first trimester had elevated disgust sensitivity at that time. Although disgust sensitivity was significantly higher in the second trimester and postpartum period compared to the first trimester in mothers pregnant with a male fetus, the overall results regarding the effect of fetus sex on disgust sensitivity were mixed. It seems that changing levels of disgust sensitivity during pregnancy and postpartum result from a suite of physiological and psychological changes that occur during this sensitive period of a woman's life.
- MeSH
- lidé MeSH
- odpor * MeSH
- poporodní období MeSH
- porod MeSH
- těhotenství MeSH
- těhotné ženy psychologie MeSH
- trimestry těhotenství MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Cieľom výskumu bolo zistiť, aké faktory ovplyvňujú spokojnosť žien s pôrodom. Výskum mal zmiešaný dizajn a zber dát prebehol prostredníctvom administrácie dvoch online dotazníkov 158 ženám v tehotenstve a následne 3–8 týždňov po ich pôrode. Kvalitatívna časť výskumu pozostávala z jednej otázky ohľadne zážitku z pôrodu. Zistili sme, že spokojnosť s pôrodom pozitívne ovplyvňovala dĺžka kontaktu koža na kožu s bábätkom po pôrode (rs = 0,453, p < 0,000) a negatívne väčšie množstvo intervencií (rs = –0,498, p < 0,000) a pôrodníckeho násilia (r s = –0,298, p < 0,000). Pomocou tematickej analýzy sme identifikovali štyri témy: Priebeh pôrodu, Objektívne okolnosti pôrodu, Pozitívne aspekty pôrodu a Negatívne aspekty pôrodu. V závere môžeme konštatovať, že ženy si želajú pôrod s čo najnižším počtom intervencií keď sa cítia rešpektované a podporované. Ak sú intervencie nutné, je pre ne dôležité, aby im boli komunikované vopred a aby mali dosť času na informované rozhodnutie.
The aim of the study was to find out which factors influence women ́s birth experience. A mixed design research was performed using two questionnaires; first questionnaire was filled out by women during pregnancy and the second one by the same women 3-8 weeks postpartum. The qualitative part of the research consisted of one open-ended question about the birth experience. We found that the number of birth interventions (rs = -0.498, p < 0.000), and the amount of obstetric violence (rs = -0.298, p < 0.000) negatively influenced birth satisfaction and skin-to-skin contact after birth positively influenced birth satisfaction (rs = 0.453, p < 0.000). Using thematic analysis, we identified four topics: Course of birth, Objective birth circumstances, Positive aspects of birth and Negative aspects of birth. We can conclude that women wish to give birth naturally with the least possible number of interventions, feeling respected and supported. If the interventions are necessary, it is important that they are explained properly and that women have enough time to make an informed decision.
