RESUMEN
OBJECTIVES: Hypothermia is an established method of treating severe forms of perinatal hypoxia in newborns. Some of them develop neonatal encephalopathy, which is associated with high morbidity and mortality. Therefore, prophylaxis of this pathology is important as well as determining environmental factors in mothers of newborns affected by this pathology. The aim of the study was to assess of selected environmental factors in mothers of newborns qualified for hypothermia. MATERIAL AND METHODS: The material consisted of 102 subjects, including 51 mothers of newborns with hypoxic-ischemic encephalopathy referred for hypothermia treatment (group I) and 51 mothers of newborns without signs of hypoxia (group II). The case-control study was carried out in the third level reference centre. It is 1 of 20 centers of therapeutic hypothermia for newborn in Poland. Data was collected based on a data collection sheet. Study groups were compared in terms of demographic and environmental data. The odds ratio (OR) was determined and the logistic regression analysis of univariate and multivariate regression was used to determine the probability of the need for hypothermia in the study group. RESULTS: The groups did not differ in terms of age, BMI and place of living. The need to use hypothermia increased in pregnant women living together with their parents (OR = 6.8, 95% CI: 2.4-19.6) also in case of exposure to factors at the workplace, i.e., noise (OR = 4.1, 95% CI: 1.1-15.5). CONCLUSIONS: Based on the results of our case-control study we postulate to pay attention during preconception care to proper preparation for pregnancy especially in younger women exposed to nuisance in the work environment and at home. In this area postulated activities should include education programs, in close cooperation occupational medicine practitioners and obstetricians even before the conception as a part of pre-conception counseling. Int J Occup Med Environ Health. 2023;36(1):59-68.
Asunto(s)
Hipotermia Inducida , Hipotermia , Hipoxia-Isquemia Encefálica , Humanos , Recién Nacido , Femenino , Embarazo , Estudios de Casos y Controles , Hipotermia/complicaciones , Hipotermia/terapia , Madres , Hipoxia-Isquemia Encefálica/complicaciones , Hipoxia-Isquemia Encefálica/terapia , Hipotermia Inducida/métodosRESUMEN
La última década ha traído modificaciones importantes en la atención perinatal en Polonia con los cambios propuestos por la OMS. Sin embargo, la introducción de cualquier cambio se enfrenta a obstáculos inherentes a las actitudes de las mujeres, así como la reticencia del personal. Objetivo principal: Conocer la opinión de las habitantes de las aldeas en cuanto a la atención perinatal se refiere y evaluar determinados aspectos de la calidad de la atención obstétrica. Metodología: La muestra fue de 250 residentes seleccionadas al azar de la región de Podkarpacie (Polonia), entre 18 y 60 años de edad que tenían al menos un hijo. Se realizó un cuestionario original llevándose a cabo el estudio en 2010. Resultados y conclusión principal: Aquellas mujeres cuyos nacimientos fueron menos intervenidos evaluaron mejor los servicios obstétricos. Un aspecto significativo fue la comodidad y seguridad, gracias a la continuidad de la atención prestada por el mismo equipo terapéutico
The last decade has brought significant changes in perinatal care in Poland with the changes proposed by the WHO. However, the introduction of any changes has been facing obstacles inherent in the attitudes of both women, as well as the routine approach of staff. Objective: To learn about the inhabitants of the village of perinatal care and the evaluation of selected aspects of quality of obstetric care. Methods: The sample consisted of 250 randomly selected residents of Podkarpacie region (Poland), aged 18-60 years of age, with at least one child. Original questionnaire was conducted by the study taking place in 2010. Results and Conclusions: Those women, whose births were less surgery, had the best evaluation of obstetric services. A significant aspect of obstetric care which is the comfort and security of labor in the hospital, thanks to the continuity of care provided by the same therapeutic team