Opieka okołoporodowa w Polsce po transformacji ustrojowej – między medykalizacją a demedykalizacją?

Doroszewska, Antonina

doi:10.17951/i.2016.41.2.47

Cited by 7 publications

(7 citation statements)

References 4 publications

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“…A high rate of medicalization in obstetrics, e.g. an increased percentage of cesarean sections, poses a threat to the professional position of midwives because medical care plays a greater role in such cases 21 . Chakrabory et al 22 reported an alarming shortage of midwives whose services were crucial to meeting the health needs of women and children.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of women in Poland on the profession and competences of a midwife

Wyrębek,

Klimanek,

Misztal

et al. 2024

Eur J Midwifery

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INTRODUCTION The profession of a midwife, despite its long tradition in Poland, is still not widely known in the society. Both in terms of the competencies and roles, it is often confused with other medical professions such as nurses or gynecologists. In this study, we assessed the knowledge of women in Poland on the profession of a midwife. The aim of the research project was to obtain detailed data on the knowledge of women regarding the specific professional competencies of midwives. METHODS The study used the method of a cross-sectional survey. A survey of 1134 adult Polish women was conducted. A 20-item questionnaire was developed with fourteen of the questions being based on the midwife’s professional competencies. The study was conducted in 2019 and the questionnaire was distributed through various social groups for Polish women. RESULTS Knowledge about the professional competencies of midwives increases proportionally to the level of the education of the respondents, their age and the scope of cooperation with midwives. The most well-known forms of midwifery were those related to lactation education (78.7%) and puerperal care (78.9%). The lowest rates, among other results, were prescribing drugs (23.1%) and collecting samples for cervical cytology (24.4%). CONCLUSIONS The profession of a midwife in Poland is insufficiently popularized. Competencies shared with doctors require more dissemination. It is worth paying particular attention to the promotion of the profession in younger age groups, so that women can use their knowledge at subsequent stages of their lives.

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Section: Discussionmentioning

confidence: 99%

Knowledge of women in Poland on the profession and competences of a midwife

Wyrębek,

Klimanek,

Misztal

et al. 2024

Eur J Midwifery

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“…Nevertheless, the demand for epidurals is high. Based on information collected from over 8000 women who gave birth in 2017 and 2018, 23.7% of women in Poland received an epidural [ 67 ] and more may have wanted it—13% of women declared that they were not given an epidural even though they requested it.…”

Section: Discussionmentioning

confidence: 99%

“…In Poland, c-section rates rose rapidly in the last decade from below 20% in 2007 to 39.3% in 2017 [ 28 ]. This is one of the highest c-section rates among OECD countries, despite many improvements over this time to Polish hospitals and very good standards of perinatal care [ 67 ]. Our study is among the first population-based studies of the mode of birth in Poland and shows that lack of continuous personal support and the use of epidurals both increase the odds of a c-section over vaginal birth.…”

Section: Discussionmentioning

confidence: 99%

Emotional factors, medical interventions and mode of birth among low-risk primiparous women in Poland

Nenko

Kopeć-Godlewska

Towner

et al. 2023

Evolution, Medicine, and Public Health

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Background and Objectives Birth is a critical event in women’s lives. Since humans have evolved to give birth in the context of social support, not having it in modern settings might lead to more complications during birth. Our aim was to model how emotional factors and medical interventions relate to birth outcome in hospital settings in Poland, where c-section rates have doubled in the last decade. Methodology We analyzed data from 2363 low-risk primiparous women who went into labor with the intention of giving birth vaginally. We used a model comparison approach to examine the relationship between emotional and medical variables and birth outcome (vaginal or c-section), including sociodemographic control variables in all models. Results A model with emotional factors better explained the data than a control model (ΔAIC = 470.8); women with continuous personal support during labor had lower odds of a c-section compared to those attended by hospital staff only (OR = 0.12, 95% CI = 0.09 - 0.16). A model that included medical interventions also better explained the data than a control model (ΔAIC = 133.6); women given epidurals in particular had an increased odds of a c-section over those who were not (OR = 3.55, 95% CI = 2.95 - 4.27). The best model included variables for both the level of personal support and the use of epidural (ΔAIC = 598.0). Conclusions and implications Continuous personal support during childbirth may be an evolutionarily informed strategy for reducing complications, including one of the most common obstetrical complications in modern hospital settings, the c-section.

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“…Since the political transformations in 1989, many changes have taken place in Poland's perinatal care system (Doroszewska, 2016).…”

Section: Polish Perinatal Care Contextmentioning

confidence: 99%

‘Do we need doulas…?’ – Perspectives of maternity care managers on the role of doulas in Poland

Wójcik‐Brylska,

Pawlicka,

Tataj‐Puzyna

et al. 2023

Nursing Open

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AimThe purpose of this study was to analyse perinatal care managers' perspectives on the role of doulas in Poland and to consider how managers' perspectives might affect the opportunities for doulas to practice in individual hospitals.DesignThis is a qualitative descriptive study.MethodThe total of 17 hospitals was selected for the study. Semi‐structured interviews were conducted with 11 manager staff members.ResultsThree groups of facilities were identified: ‘0’ (n = 6) – refused to give interviews, ‘A’ (n = 8) – marginal experience in working with doulas, and ‘B’ (n = 3) – regular experience in working with doulas. The hospitals from Group A showed indifference towards working with doulas. Group B declared a positive attitude towards such cooperation. Attitudes towards doulas vary among executives and are related to the frequency of doula‐assisted births. Our results indicate factors that may influence the attitude of medical staff towards doulas and which may contribute to improve future initiatives meant to facilitate collaboration between midwives and doulas.Patient or Public ContributionThis study explored the lived experiences of perinatal care managers.

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Opieka okołoporodowa w Polsce po transformacji ustrojowej – między medykalizacją a demedykalizacją?

Cited by 7 publications

References 4 publications

Knowledge of women in Poland on the profession and competences of a midwife

Knowledge of women in Poland on the profession and competences of a midwife

Emotional factors, medical interventions and mode of birth among low-risk primiparous women in Poland

‘Do we need doulas…?’ – Perspectives of maternity care managers on the role of doulas in Poland

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