No abstract

Introduction. Historically, perimenopausal period was thought to be associated with mood disorders. Despite many studies, the relationship between menopause and depressed mood has not been fully explained.Aim. The objective of the study was analysis of the level of intensity of depression among women at perimenopausal age according to sociodemographic characteristics.Material and methods. The study covered 268 perimenopausal women who reported to outpatient departments in the city of Lublin. The criteria for the qualification of women into the study group were: age 45-55 years, lack of mental disorders and lack of diseases requiring hospitalization during the period of study. The study was conducted with the method of a diagnostic survey with the use of the Beck Depression Inventory (BDI) and a questionnaire designed by the authors in order to collect demographic data.Results. The mean BDI values obtained in the presented study according to respondents' age and monthly income showed the lack of depression or mild depression in the group of the women examined. In addition, the mean level of depression according to marital status confirmed the lack of depression in the group of married women, whereas mild depression in the group of those who were single.Conclusions. Analysis of the results of the study indicated that age and marital status were not related with the respondents' level of depression. Women who possessed a university education had a lower level of depression, compared to those who had elementary/elementary vocational or secondary school education level. Women whose material standard was higher had a lower level of depression. Women who have a poor material standard and lower level of education should be covered by a special psycho-prophylactic care.

Introduction. Pregnant women often create their own image of a child. The ultrasound is able to model and modify this picture. The image of the unborn child develops along with the process of creating the space for the baby on the psychological and emotional level and is continued after the delivery.Aim. The authors of the study made an attempt to evaluate the influence of fetal sex determination during ultrasound in pregnancy on emotional and 'practical' experiencing late pregnancy -after the 28 th week of its duration. Material and methods. The study included 200 pregnant women. Qualification criteria for the research was the declared awareness of fetal sex confirmed by ultrasound. Among others, factors influencing decision to determine fetal sex, emotional bond with the unborn child after identifying the sex, as well as preparation for birth regarding prognosticated sex were assessed.Results. Nearly all pregnant women wanted to find out the fetal sex, usually claiming that they did so out of curiosity. After they did it, about 2/3 of them stated that the emotional bond with the baby increased and the vast majority of women started preparing layettes for their future babies.Conclusions. Determination of fetal sex during ultrasound improves the relationship between the mother and her future baby. It also enables the woman to prepare for childbirth considering its sex by the purchase of clothes, pram and preparation of layette or baby's room.

The successful outcome of twin gestation after the endoscopic metroplasty of uterus septus class Va was described. Authors described and discussed the technical details of diagnosis and treatment of this rare malformation. Five months after treatment the patient spontaneously became pregnant. The pregnancy was determined as dizygotic twins. The cesarean section was performed in the 36th week of gestation because of growth arrest of one fetus and two healthy newborns were delivered.

Introduction. HPV infection is one of the most common type of sexually transmitted infections and it is a significant epidemiological problem all over the world. The risk of infection persistence and its progression to pathological, precancerous lesions depends on HPV type. Vaccinations against HPV virus are one of the elements of the prophylactic program and allow for early detection of cervical cancer. Aim. Aim of the study was analysis of awareness of problems of human papillomavirus infections and cervical cancer prevention, including vaccinations against HPV among female students commencing studies in Lublin. Material and methods. The research group included 400 women selected at random, all starting their studies at five universities in Lublin. The research group was supposed to show some general knowledge of the problem of cervical cancer among young women. It was also to define how many of them benefited from the prophylaxis of getting a vaccination against HPV. The scientific tool was individually elaborated survey questionnaire. Obtained study results were then subject to statistical analysis. Results. The majority of respondents were not vaccinated against HPV – only 2.5% of the surveyed confirmed that they had been vaccinated. The surveyed students most frequently evaluated their knowledge on prevention of HPV cervical cancer as poor. The surveyed who admitted having information about HPV and cervical cancer prophylaxis during their classes at school significantly more frequently had high level of knowledge than women who claimed not to obtain such information at school (p=0.002). Conclusions. It might make sense to conduct planned comparative studies in the centers practicing population vaccinations among girls aged 12-13 and not practicing such primary prophylaxis with cytological follow-ups. It may allow to elaborate the effective model of cervical cancer prophylaxis based on early educational activities, both on primary and secondary prophylaxis.