Cieľom štúdie bolo zistiť skúsenosti žien s podporou kontaktu koža na kožu (skin to skin contact; SSC) po pôrode a vnímanie jej súvislosti s dojčením. Výskumný súbor tvorilo 212 žien po prirodzenom pôrode. Na zber výskumných údajov bol použitý dotazník. Zistili sme podporu SSC po pôrode podľa odporúčaných postupov u 41,03 % žien a čiastočnú podporu SSC (menej ako 45 min) u 37,73 % žien. Pozitívnu súvislosť podpory SSC po pôrode na priebeh dojčenia uviedlo 89,65 % žien s podporeným SSC podľa odporúčaných postupov a 77,5 % žien s čiastočne podporeným SSC. Po odchode z nemocnice dojčilo viac žien s podporeným SSC podľa odporúčaných postupov oproti ženám s čiastočne podporeným SSC a oproti ženám s nepodporeným SSC (89,65 % vs. 86,25 % vs. 59,99 %). Lepšie hodnotenie skúsenosti s dojčením sme zaznamenali u žien, ktoré mali SSC podľa odporúčaných postupov ako u tých, ktoré mali SSC podporený čiastočne a ako u tých, ktoré SSC nemali podporený (94,28 % vs. 86,25 % vs. 24,43 %). Zistili sme, že ženy vnímajú SSC ako prospešný v kontexte dojčenia. Sestry/ pôrodné asistentky podporou SSC po pôrode podľa odporúčaných postupov môžu významne prispieť k úspešnému dojčeniu.
The aim of the study was to explore women's experiences with skin-to-skin contact (SSC) support after childbirth and how they perceive its connection to breastfeeding. The research sample consisted of 212 women who had a natural childbirth. A questionnaire was used to collect research data. We found postpartum SSC support according to recommended practices in 41.03% of women and partial SSC support (less than 45 min) in 37.73% of women. Positive association of postpartum SSC support on breastfeeding progress was reported by 89.65% of women with supported SSC as per recommended practices and 77.5% of women with partially supported SSC. After leaving the hospital, a higher percentage of women who received supported SSC according to recommended practices breastfed compared to those with partially supported SSC and those with unsupported SSC (89.65% vs. 86.25% vs. 59.99%). We observed a better rating of the breastfeeding experience among women who had SSC in line with recommended practices compared to those with partially supported SSC and those without supported SSC (94.28% vs. 86.25% vs. 24.43%). We found that women perceive SSC as beneficial in the context of breastfeeding. Nurses/midwives can significantly contribute to successful breastfeeding by providing SSC support according to recommended procedures.
BACKGROUND: Maternal-fetal attachment might be associated with maternal mental health issues, but previous results have been inconsistent, particularly regarding prenatal anxiety. We compared maternal-fetal attachment between pregnant women with and without symptoms of antenatal depression and anxiety. Additionally, we examined the relationships between prenatal depressive and anxiety symptoms, psychosocial stress, and maternal-fetal attachment. METHODS: We conducted a cross-sectional study involving a sample of 2,233 pregnant women. The data were collected between March 2021 and March 2023 at outpatient clinics in the Czech Republic. We used self-report questionnaires to assess symptoms of prenatal depression (Edinburgh Postnatal Depression Scale, EPDS), anxiety (Perinatal Anxiety Screening Scale, PASS), psychosocial stress (Prenatal Psychosocial Profile, PPP), and maternal-fetal attachment (Prenatal Attachment Inventory - Revised, PAI-R). RESULTS: Women without symptoms of antenatal depression had higher total scores on the PAI-R (U = 336,357; p = .013) and on the PAI-R Interaction subscale (U = 322,913; p < .001), suggesting a higher quality of maternal-fetal attachment than women with symptoms. No other significant associations were found between antenatal depression, anxiety and the PAI-R subscales scores. CONCLUSIONS: Our results suggest that women experiencing increased depressive, but not anxiety, symptoms in pregnancy, have a poorer quality of attachment to their child, although the effect size is small. Consequently, treating prenatal depression in women could have a positive effect on maternal-fetal attachment.
- MeSH
- Depression * psychology MeSH
- Adult MeSH
- Pregnancy Complications * psychology MeSH
- Humans MeSH
- Maternal-Fetal Relations * psychology MeSH
- Young Adult MeSH
- Object Attachment MeSH
- Cross-Sectional Studies MeSH
- Stress, Psychological psychology MeSH
- Pregnancy MeSH
- Anxiety * psychology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
Bonding je charakterizovaný ako vzťah, ktorý upevňuje citovú väzbu medzi matkou a novorodencom, podporuje adaptáciu, termoreguláciu a imunitu novorodenca.
Bonding is characterized as a relationship that strengthens the emotional bond between mother and newborn, promotes adaptation, thermoregulation and immunity of the newborn. The aim of the study was to conduct a systematic collection and quantitative analysis of bonding data. To determine whether there is a statistically significant relationship between bonding and full breastfeeding of newborns at discharge to home care. We used document content analysis method (n = 1 650) and correlation analysis method to collect data. In the set of newborns born in 2023, we identified the implementation of bonding in 1 282 newborns (77,7 %). At discharge to home care, 65,3 % of newborns were fully breastfed (n = 1 078). The results of the analysis confirmed statistical significance between bonding and full breastfeeding of newborns (r = 0.9178).
- Keywords
- bonding,
- MeSH
- Breast Feeding psychology MeSH
- Lactation MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Object Attachment MeSH
- Mother-Child Relations * MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Female MeSH
Úvod: Podpora kontaktu koža na kožu (skin-to-skin contact, SSC) medzi matkou a dieťaťom po pôrode by mala byť pre množstvo preukázaných benefitov v pôrodniciach štandardom. Cieľom štúdie bolo zistiť podporu kontaktu koža na kožu a začiatky dojčenia v slovenských pôrodniciach. Metodika: Bol zvolený dizajn prierezovej kvantitatívnej štúdie. Použili sme neštandardizovaný dotazník vlastnej konštrukcie. Výskumnú vzorku tvorilo 427 respondentiek s priemerným vekom 30,01 (± 4,70). Na analýzu údajov bola použitá deskriptívna štatistika. Výsledky: Na základe výsledkov je možné konštatovať, že viac ako polovica slovenských pôrodníc iba čiastočne dodržiava, alebo nedodržiava odporúčané postupy, ktoré sú založené na dôkazoch. K samoprisatiu dieťaťa k prsníku došlo iba u 18,74 % žien. Zistili sme, že výlučne dojčilo viac žien s podporeným SSC oproti ženám s čiastočne podporeným SSC a oproti ženám s nepodporeným SSC (69,61 % vs 52,23 % vs 8,98 %). Záver: Zistili sme neuspokojivú úroveň podpory SSC po pôrode v našich pôrodniciach, ktorá si vyžaduje zlepšenie zo strany pôrodných asistentiek/ sestier.
Introduction: Supporting skin-to-skin contact (SSC) between mother and child after birth should be standard in maternity hospitals due to the many proven benefits. The aim of the study was to determine the support of skin- -to-skin contact and the beginnings of breastfeeding in Slovak hospitals. Methodology: A cross-sectional quantitative study design was chosen. We used a non-standard questionnaire of our own construction. The research sample consisted of 427 female respondents with an average age of 30.01 (± 4.70). Descriptive statistics were used to analyze the data. Results: Based on the results, it can be concluded that more than half of Slovak maternity hospitals only partially follow or do not follow the recommended procedures that are based on evidence. Self-attachment of the child to the breast occurred only in 18.74% of women. We found that more women with supported SSC were exclusively breastfeeding compared to women with partially supported SSC and compared to women with unsupported SSC (69.61% vs 52.23% vs 8.98%). Conclusion: We found an unsatisfactory level of postnatal SSC support in our maternity wards, which requires improvement by midwives/ nurses.
- Keywords
- bonding, samopřisátí, kůže na kůži kontakt, skin-to-skin,
- MeSH
- Breast Feeding MeSH
- Infant, Newborn MeSH
- Hospitals, Maternity MeSH
- Postnatal Care methods MeSH
- Object Attachment MeSH
- Surveys and Questionnaires MeSH
- Mother-Child Relations MeSH
- Check Tag
- Infant, Newborn MeSH
- Geographicals
- Slovakia MeSH
The bacterial origin of mitochondria has been a widely accepted as an event that occurred about 1.45 billion years ago and endowed cells with internal energy producing organelle. Thus, mitochondria have traditionally been viewed as subcellular organelle as any other - fully functionally dependent on the cell it is a part of. However, recent studies have given us evidence that mitochondria are more functionally independent than other organelles, as they can function outside the cells, engage in complex "social" interactions, and communicate with each other as well as other cellular components, bacteria and viruses. Furthermore, mitochondria move, assemble and organize upon sensing different environmental cues, using a process akin to bacterial quorum sensing. Therefore, taking all these lines of evidence into account we hypothesize that mitochondria need to be viewed and studied from a perspective of a more functionally independent entity. This view of mitochondria may lead to new insights into their biological function, and inform new strategies for treatment of disease associated with mitochondrial dysfunction.
- MeSH
- Genes, Bacterial * MeSH
- Humans MeSH
- Mitochondria * MeSH
- Quorum Sensing MeSH
- Virion MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Infant attachment remains virtually unexplored in former Eastern Bloc countries. The dimensional approach to infant attachment, which could ease common obstacles in cross-cultural attachment research, necessitates more empirical support. This study explores infant attachment in the Czech Republic, a post-communist country with a unique family policy, using both the categorical and the dimensional models. It also compares the Czech infant attachment distribution to infant attachment distributions in other countries and compares infant attachment distributions in European countries to the Baltimore study sample. In the Strange Situation Procedure, forty-nine (74 %) out of sixty-six mother-infant dyads (35 boys, M = 13.8, SD = 0.9) received the B classification. Despite the generous family policy and cultural emphasis on close mother-infant relationships, the Czech distribution of insecure categories did not differ from the Baltimore study sample. Out of other post-communist countries, only the infant attachment distribution in former East Germany differed from the Czech and the Baltimore study samples due to a lower proportion of type B and a higher proportion of type A infants. There were also more type A infants in the Italian sample. Interactive behavior scales accurately predicted attachment categories in 91 % of cases. Contact-maintenance and proximity-seeking scales substantially improve the assessment of insecure resistant behavior. Our findings support the universality and normativity of attachment and the utility of the dimensional approach.
- MeSH
- Infant Behavior MeSH
- Infant MeSH
- Humans MeSH
- Mothers * MeSH
- Object Attachment MeSH
- Mother-Child Relations * MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
- MeSH
- Humans MeSH
- Object Attachment * MeSH
- Psychophysiologic Disorders etiology therapy MeSH
- Psychotherapy, Group MeSH
- Parent-Child Relations MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Mammals have a symbiotic relationship with various microorganisms called microbiota throughout their lives. These microorganisms are known to affect the host's physiology, health, and even mental balance. The development of the gut microbiota is regulated by a complex interaction between host and environmental factors, including diet and lifestyle. Herein, it is aimed to elucidate the differences in the gut microbiota of rats living in urban and rural habitats. The taxonomic changes in the gut microbiota of wild rats belonging to Rattus rattus species caught from urban and rural areas of Western Anatolian (Bilecik province) were examined comparatively by 16S rRNA next-generation sequencing technique. Laboratory rats were used as reference animals. The alpha diversities were found lower in the rural rats with respect to the urban rats, whereas the highest alpha diversity was calculated for laboratory rats. The lower Firmicutes to Bacteroidetes ratios (F/B ratio) were accounted for both rural and laboratory rats compared with urban rats. The Proteobacteria to Actinobacteria ratio (P/A ratio) was lower for rural rats, but higher for laboratory rats, compared with urban rats. The heatmap analyses of taxonomic units in the microbiota of each group demonstrated distinct patterns at the species and genus levels. The study provided metagenomic data on the gut microbiota of rats residing in urban and rural habitats, offering a different perspective on future environmental biomonitoring studies.
- MeSH
- Rats MeSH
- Metagenome MeSH
- Metagenomics MeSH
- Microbiota * MeSH
- RNA, Ribosomal, 16S genetics MeSH
- Mammals genetics MeSH
- Gastrointestinal Microbiome * genetics MeSH
- Animals MeSH
- Check Tag
- Rats MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH