Grażyna Bączek
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Hanna Golubińska
Ewa Dmoch-Gajzlerska
Z Zakładu Dydaktyki Ginekologiczno-Położniczej Warszawskiego Uniwersytetu Medycznego
Położna środowiskowo-rodzinna, praktyka indywidualna w Lipnie
Z Zakładu Dydaktyki Ginekologiczno-Położniczej Warszawskiego Uniwersytetu Medycznego

Abstract

The purpose of the work: an attempt to diagnose the nature and frequency of emerging health problems in mothers and children during labour or post-natal period and to define the role of the family - midwife in their diagnosis and troubleshooting.

Material and method: a survey of the Diagnostic Test method using standardized questionnaire survey, carried out in a group of 100 women. Supplementary methods were observation and interview conducted during to visits.

Results: Most of the examined persons showed the correct status in the general parameters (temperature, pulse, blood pressure) and obstetric. Most of the identified problems were in the process of lactation. Nearly half (41%) has assessed its lactation as insufficient, only one-third considered it correct. Only 21% argues that there are no problems with breast. Others declare their pain (39%) and wounds (35%). Only 41% of women were breastfeeding on demand. In 61% of neonates was observed abnormal breast sucking. Analysis of physical activity for women has revealed that more than half (61%) suffers from limitations in operating. A similar percentage of breastfeeding mothers saying that they do not have time for themself.

Conclusions: 1. the most common problems concern the process of lactation. 2. in spite of the prenatal education and support during postnatal visits, still too few women breastfeeding in an environmentally sound manner. 3. the family-midwife is the first person who is able, at the time of postnatal visits, to resolve the problems of health of the mother and child, plan, implement and assess the ways of their solution.

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