Background: The purpose of the study was to assess the level of such psychosocial resilience resources as self-efficacy, dispositional optimism, and health locus of control in pregnant women with obesity with threatened premature labor. Methods: The study was performed in the years 2017–2020 in a group of 328 pregnant women hospitalized due to threatened preterm labor and diagnosed with obesity before the pregnancy. The following instruments were applied: the Life Orientation Test, the Generalized Self-Efficacy Scale, and the Multidimensional Health Locus of Control Scale. Results: Obese pregnant women with threatened premature labor have a moderate level of generalized self-efficacy (28.02) and a moderate level of dispositional optimism (16.20). Out of the three health locus of control dimensions, the highest scores were recorded in the “internal control” subscale (26.08). Statistically significant predictors for the self-efficacy variable model included: satisfactory socio-economic standing (ß = 0.156; p = 0.004), being nulliparous (ß = –0.191; p = 0.002), and the absence of comorbidities (ß = –0.145; p = 0.008). Higher levels of dispositional optimism were found in women who were married (ß = 0.381; p = 0.000), reported a satisfactory socio-economic standing (ß = 0.137; p = 0.005), were between 23 and 27 weeks pregnant (ß = –0.231; p = 0.000), and had no comorbidities (ß = –0.129; p = 0.009). Conclusions: Generalized self-efficacy in obese women with threatened preterm labor is associated with satisfactory socio-economic standing, being nulliparous, and the absence of chronic disease. Dispositional optimism in obese pregnant women with threatened preterm labor is determined by their marital status, socio-economic standing, gestational age, and the absence of comorbidities.

StreszczenieSposób odżywiania się kobiet w ciąży wpływa zarówno na rozwój płodu znajdującego się w łonie matki, jak i na zdrowie dziecka już po urodzeniu. Modyfikacja diety w czasie ciąży wiąże się ze zwiększeniem zapotrzebowania organizmu matki nie tylko na energię w postaci podstawowych składników odżywczych, takich jak białka, tłuszcze i węglowodany, ale również na składniki mineralne i witaminy, m.in. kwas foliowy, żelazo, witaminę A. Wyniki najnowszych badań pokazują, że zarówno niedożywienie organizmu matki, jak i spożywanie nadmiernej ilości pokarmów przez kobietę podczas 9 miesięcy ciąży niesie za sobą szkodliwe skutki dla rozwijającego się płodu. Nieprawidłowe żywienie może sprzyjać wystąpieniu poronienia, wad wrodzonych lub przedwczesnego porodu, ale też zwiększać zagrożenie pojawienia się dolegliwości zdrowotnych, takich jak otyłość czy cukrzyca, w starszym wieku. W związku z powyższym ważną rolę w pracy położnych oraz ginekologów odgrywa promocja zdrowego odżywiania wśród kobiet w okresie koncepcyjnym i w czasie ciąży. Dieta może przyczynić się do prawidłowego rozwoju płodu i zmniejszyć ryzyko rozwoju chorób w wieku dorosłym.

Aesthetic gynecologic surgery is gaining popularity among women and physicians. Aesthetic genital surgery for women encompasses both minimally invasive and open surgical procedures. Cosmetic genital procedures for women described in this article include perineoplasty, vaginoplasty, vaginal rejuvenation, labiaplasty, G-spot enlargement, Bartholin gland surgery, clitoral hoodoplasty, clitroplasty, hymenoplasty, and mons pubis plastic surgery. Based on a review of the literature for each procedure, the article discusses procedural methods and techniques, indications for implementation, potential consequences and side effects of the procedure, nursing implications, patients' motives for undergoing the procedure, and positions of scientific institutions relative to the procedure.

Aesthetic gynecologic surgery is gaining popularity among women and physicians. Aesthetic genital surgery for women encompasses both minimally invasive and open surgical procedures. Cosmetic genital procedures for women described in this article include perineoplasty, vaginoplasty, vaginal rejuvenation, labiaplasty, G-spot enlargement, Bartholin gland surgery, clitoral hoodoplasty, clitroplasty, hymenoplasty, and mons pubis plastic surgery. Based on a review of the literature for each procedure, the article discusses procedural methods and techniques, indications for implementation, potential consequences and side effects of the procedure, nursing implications, patients' motives for undergoing the procedure, and positions of scientific institutions relative to the procedure.

Aim. The aim of this paper is to present alternative ways for women with uterine factor infertility to achieve motherhood. Material and methods. Analysis of professional literature including the issues of surrogate motherhood, uterine transplantation and ectogenesis. Results. The infertility caused by uterine factor affects 3-5% of women in the world. There are also women who wish to conceive a baby out of their own genetic material, despite having a structurally abnormal uterus or lacking this organ altogether. Due to considerable advancements in reproductive medicine, the needs of such women can now be met via extracorporeal fertilisation and embryo implantation into the uterine cavity of another woman – surrogacy, or in special cases, via uterus transplantation. Another controversial concept is ectogenesis, i.e. technology which would allow for the growth of human embryos outside the mother’s body in an artificial uterus. The surrogate is considered when treatment and other reproduction methods have not worked well. This procedure is legal and accepted in some countries, while in others it is strongly opposed. Summary. There is growing demand for accurate and modern diagnostic and therapeutic methods allowing for successful reproduction. The proposed solutions may seem unreal, but the results of the research carried out to embody them seem to be promising.