{"title":"Comparison of USG-MRI and post-natal results of Cases with anomalies detected in fetal CNS examination.","authors":"Zafer Bütün, Masum Kayapınar, Gökalp Şenol","doi":"10.5603/gpl.101730","DOIUrl":"https://doi.org/10.5603/gpl.101730","url":null,"abstract":"<p><strong>Objectives: </strong>Magnetic resonance imaging (MRI) imaging can be useful when fetal central nervous system (CNS) anomalies are detected by ultrasound (USG). This study aims to compare the findings from USG and MRI with post-natal results in cases of fetal CNS anomalies.</p><p><strong>Material and: </strong>METHODS: This is a retrospective/prospective study that analyzed the records of 55 pregnant women who underwent both fetal MRI and USG and whose birth results were obtained due to suspected CNS abnormalities between 2020 and 2023.</p><p><strong>Results: </strong>Pearson correlation analysis and Blant-Altman analysis showed that USG and MRI results of right lateral ventricle measurement were more similar compared to left lateral ventricle measurement. When the cut-off value for lateral ventricle measurement was 10 mm, there was a difference in the USG and MRI results of only 1 pregnant woman in the right lateral ventricle USG-MRI comparison, whereas no difference was observed in 9 pregnant women in the left lateral ventricle analysis. One pregnant woman with healthy USG results was found to have corpus callosum hypoplasia by MRI and one pregnant woman with posterior fossa anomaly by USG had healthy MRI results. All other measurements showed similar results between USG and MRI.</p><p><strong>Conclusions: </strong>Fetal MRI, when performed with appropriate indications in selected cases evaluated by USG, is useful for measuring the lateral ventricles and detecting various CNS anomalies. The advancing technology of USG and MRI devices, along with the experience of the physicians interpreting these examinations, will always be important.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katarzyna A Urbańska, Beata M Naworska, Karolina Bednarz, Szymon Stojko, Agnieszka B Drosdzol-Cop
{"title":"Life satisfaction and self-efficacy of nurses and midwives in caring for newborns with lethal anomalies.","authors":"Katarzyna A Urbańska, Beata M Naworska, Karolina Bednarz, Szymon Stojko, Agnieszka B Drosdzol-Cop","doi":"10.5603/gpl.104634","DOIUrl":"https://doi.org/10.5603/gpl.104634","url":null,"abstract":"<p><strong>Objectives: </strong>The nursing and midwifery professions are potential influences on life satisfaction and self-efficacy, especially in obstetric settings dealing with fetal demise or severe congenital anomalies. This study aimed to assess how sociodemographic factors (e.g., workplace, marital status, financial situation, occupation, and tenure) and specific job exposures (frequency of neonatal death and caregiving for newborns with lethal defects) impact life satisfaction and self-efficacy among nurses and midwives. The study further explored the role of employer-provided psychological support in influencing job satisfaction and self-efficacy.</p><p><strong>Material and methods: </strong>A diagnostic survey with a custom questionnaire, supplemented by the General Self-Efficacy Life satisfaction and self-efficacy (GSES) and Satisfaction with Life Scale (SWLS), was conducted in level II and III referral centers in Poland's Silesian region in 2023. Participants included nurses and midwives in various neonatal and obstetric departments. Statistical analyses encompassed descriptive statistics, chi-square tests, and Spearman correlations, with significance set at p < 0.05.</p><p><strong>Results: </strong>A majority of participants reported moderate to high life satisfaction (41.7%) and self-efficacy (59.0%). Key factors impacting life satisfaction included marital status, financial situation, education, tenure, and caregiving frequency for newborns with lethal defects. High self-efficacy was significantly associated with job satisfaction, tenure, and workplace environment but was unaffected by marital status, financial situation, or psychological support.</p><p><strong>Conclusions: </strong>The findings highlight the emotional burden on nurses and midwives in neonatal care. Enhanced psychological support, stress-coping training, and policy adjustments are recommended to support this workforce. Further studies should broaden regional scope and examine links between life satisfaction, self-efficacy, and job satisfaction.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanna Dancewicz, Anita Kwiatkowska, Joanna Gebarowska, Carlo Bienkowski, Maria Pokorska-Spiewak
{"title":"The attitudes of pregnant or breastfeeding polish women towards COVID-19 vaccinations: a cross-sectional survey study.","authors":"Hanna Dancewicz, Anita Kwiatkowska, Joanna Gebarowska, Carlo Bienkowski, Maria Pokorska-Spiewak","doi":"10.5603/gpl.103797","DOIUrl":"https://doi.org/10.5603/gpl.103797","url":null,"abstract":"<p><strong>Objectives: </strong>Pregnant women are at higher risk of severe course of COVID-19. The vaccination against COVID-19 is recommended in pregnant and breastfeeding women. The aim of the study was to assess the attitude towards vaccination against COVID-19 among Polish pregnant or breastfeeding women.</p><p><strong>Material and methods: </strong>A cross-sectional survey study was performed from April 20th, 2021, to October 23rd, 2021, using an online questionnaire distributed via social media. Women who weren't Polish or didn't live in Poland were excluded from the study.</p><p><strong>Results: </strong>The study group consisted of 662 women. Their median age was 32.5 years (interquartile range IQR: 27.25-33.75 years). Most of the women lived in acity with over 500000 inhabitants (333/662, 50.30%), were in a relationship (658/662, 99.40%), had higher education (559/662, 84.44%), were currently employed (326/662, 49.25%), but not in a medical field (574/662, 86.71%). Willingness to be vaccinated was expressed in 231/662 (34.89%) of the surveyed women. A positive attitude towards vaccinations was more common among women working in the medical field (p = 0.006679), with higher education (p = 0.000054), who trusted their doctors (p = 0.003900), thought that vaccines against COVID-19 were effective (p < 0.00001), and those afraid of COVID-19 (p < 0.00001).</p><p><strong>Conclusions: </strong>The study showed that only one third of the surveyed women wanted to be vaccinated against COVID-19. Women working in the medical field, with higher education, who trusted their doctors, thought that vaccines against COVID-19 were effective, and those afraid of COVID-19 were more prone to be vaccinated against COVID-19 with recommended vaccines. Educational role of healthcare workers might be crucial for increasing the COVID-19 vaccine coverage in pregnant and breastfeeding women.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adrianna Zahorowska, Adrianna Cwiertnia, Aleksandra Winter, Natalia Wolkowska, Katarzyna Maksym, Sylwia Dzidek, Hanna Jasiak-Jozwik, Piotr Tousty, Martyna Drzycimska, Magdalena Bednarek-Jedrzejek, Ewa Kwiatkowska, Andrzej Torbe, Sebastian Kwiatkowski
{"title":"Understanding caesarean section indications in Poland: trends and analysis.","authors":"Adrianna Zahorowska, Adrianna Cwiertnia, Aleksandra Winter, Natalia Wolkowska, Katarzyna Maksym, Sylwia Dzidek, Hanna Jasiak-Jozwik, Piotr Tousty, Martyna Drzycimska, Magdalena Bednarek-Jedrzejek, Ewa Kwiatkowska, Andrzej Torbe, Sebastian Kwiatkowski","doi":"10.5603/gpl.101867","DOIUrl":"https://doi.org/10.5603/gpl.101867","url":null,"abstract":"<p><strong>Objectives: </strong>The rate of caesarean sections has increased noticeably worldwide in recent years. Many efforts are being made to understand this phenomenon, one of which is to analyse the changing indications for caesarean deliveries over the years. To analyse and compare the indications for caesarean section over 3 years (2020-2022) and to identify the trends for the increasing caesarean section rate.</p><p><strong>Material and methods: </strong>All women who delivered in the Department of Obstetrics and Gynaecology of the University Clinical Hospital in Szczecin were included in the analysis between January 2020 and December 2022. We analysed outcomes of 6870 deliveries both vaginal and via caesarean section. The indications for caesarean section were analysed and the results were compared to the results of the study conducted at the same centre between 2014 and 2018.</p><p><strong>Results: </strong>There were 3661 CS (53.29%) and 3309 vaginal deliveries (46.71%). 50.61% first time mothers (primipara) delivered with caesarean section. The most common obstetric indication for caesarean section was previous lower segment caesarean section 671 (19.65%) and the most common non-obstetric indication was psychological disorder 524 (50.68%).</p><p><strong>Conclusions: </strong>Based on the results of this study, we observed a persistently high rate of caesarean sections. Caesarean section is still a significant obstetric problem, especially among first-born women. There is a need to look for ways to reduce the caesarean section rate to the recommended 15-20%.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wei Lian Feng, Xiu Jing Xie, Jian Jiang, Tian An Jiang
{"title":"Logistic regression analysis of ultrasound features for predicting borderline ovarian tumours in young women aged ≤ 40 year.","authors":"Wei Lian Feng, Xiu Jing Xie, Jian Jiang, Tian An Jiang","doi":"10.5603/gpl.99589","DOIUrl":"https://doi.org/10.5603/gpl.99589","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the ability of sonographic characteristics to distinguish borderline ovarian tumours (BOT) from benign and malignant tumours in young women by using logistic regression analysis.</p><p><strong>Material and methods: </strong>147 patients with ovarian masses were analysed retrospectively. We recorded and compared the available preoperative serum CA125 and CA199 levels, ultrasound and pathological findings from patient records to distinguish BOT from benign and malignant tumours using single-factor and multiple stepwise logistic regression analyses.</p><p><strong>Results: </strong>Seventy-six women aged ≤ 40 years diagnosed with BOT, 31 women with malignant tumours, and 40 women with benign cystadenomas were included. The significant features identified in the single-factor analysis were CA125 and CA199 levels, tumour size, multilocularity, presence of solid components within cysts, colour Doppler flow, presence of microcystic pattern (MCP), and proportion of the maximum solid area covering < 50% of the inner surface within the cyst (p < 0.05). The latter two ultrasound features were identified as independent predictors for differentiating BOT from benign and malignant tumours in the logistic regression analysis. The area under the receiver operating curve (AUC) was 0.893 and 0.904, respectively. The corresponding sensitivity, specificity, positive predictive value, and negative predictive value were 84.2%, 89.5%, 94.1%, and 73.9%, respectively, while the corresponding values were 93.4%, 76.3%, 88.7%, and 85.3%, respectively.</p><p><strong>Conclusions: </strong>Combining both ultrasonic features of the microcystic pattern and the proportion of the maximum solid area covering < 50% of the inner surface within the cystic region appears to be the optimal method for characterizing BOT.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal and neonatal outcomes in dichorionic diamniotic twin pregnancies: a comparison between assisted reproductive technology and spontaneous conception.","authors":"Gizem Berfin Uluutku Bulutlar, Eralp Bulutlar, Büşra Parlak Somuncu, Çetin Kılıççı, Pınar Kumru","doi":"10.5603/gpl.103514","DOIUrl":"https://doi.org/10.5603/gpl.103514","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate and compare maternal and neonatal outcomes in dichorionic diamniotic (DCDA) twin pregnancies conceived via assisted reproductive technology (ART) versus those conceived spontaneously (SC).</p><p><strong>Material and methods: </strong>This single-center, retrospective cohort study included 852 DCDA twin pregnancies, with 591 conceived spontaneously (SC group) and 261 conceived via ART (ART group). Maternal and neonatal outcomes were extracted from the hospital's automation system and analyzed using statistical methods, including chi-square and Mantel-Haenszel chi-square tests, to account for potential confounding factors.</p><p><strong>Results: </strong>Our findings indicate that ART twin pregnancies have significantly poorer outcomes compared to SC twin pregnancies. The risk of cerclage application is 12.6 times higher in the ART group. Furthermore, ART pregnancies exhibit a 19.2-fold increased risk of intrahepatic cholestasis of pregnancy (ICP). The rates of preterm birth, including late preterm, moderate preterm, very preterm, and extremely preterm, are significantly higher in the ART group. Moreover, ART pregnancies are associated with higher incidences of very low birth weight (VLBW), NICU admissions, and neonatal death. The ART group also experiences significantly higher rates of gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), postpartum hemorrhage, and cesarean section, with postpartum atony occurring 4 times more frequently.</p><p><strong>Conclusions: </strong>Maternal and neonatal outcomes in ART-conceived DCDA twin pregnancies are markedly worse compared to those conceived spontaneously. The observed disparities underscore the necessity for intensive monitoring and tailored management strategies in ART twin pregnancies. Further research is essential to uncover the mechanisms driving these adverse outcomes.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postpartum emotional disorders - a narrative review.","authors":"Roza Motyka, Urszula Sioma-Markowska","doi":"10.5603/gpl.104124","DOIUrl":"https://doi.org/10.5603/gpl.104124","url":null,"abstract":"<p><p>Emotional disorders during pregnancy and the postpartum period affect many women worldwide and present a significant challenge in perinatal care. The first year after childbirth is particularly demanding for a woman's emotional well-being, asitismarked by profound physical, emotional, and social changes. The aim of this article is to review and compare the latest data on the prevalence, risk factors, and treatment options for baby blues and postpartum depression. For this purpose, the electronic databases - including PubMed, NLM, MDPI, Europe PMC, and Google Scholar - were searched for recent English-language articles with full-text availability. The search terms included: postpartum depression, baby blues, maternity blues, postpartum depression prevalence, postpartum depression risk factors, postpartum depression treatment, online psychotherapy, and postpartum depression covid. The review was compiled and evaluated using SANRA (Scale for the Assessment of Narrative Review Articles).</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vitamin D and calcium levels related to bone mineral density during pregnancy and postpartum.","authors":"Wiktor Wojczakowski, Konrad Futyma","doi":"10.5603/gpl.102995","DOIUrl":"https://doi.org/10.5603/gpl.102995","url":null,"abstract":"<p><p>Bone mineral density (BMD) is crucial for bone strength, with even a modest decrease significantly elevating fracture risk. Calcium imbalance during pregnancy contributes to BMD loss, as maternal stores are mobilized to support fetal skeletal development. Vitamin D deficiency exacerbates this issue, with prevalence rates alarming in various populations. Supplementation with vitamin D and calcium aims to mitigate BMD decline; however, optimal dosing and efficacy remain debated. Studies utilizing innovative diagnostic tools like radiofrequency echographic multi spectrometry (REMS) and quantitative ultrasonometry (QUS) shed light on BMD changes during pregnancy, offering safer alternatives to traditional methods such as dual-energy X-ray absorptiometry (DEXA), prohibited during pregnancy due to fetal radiation risks. Despite methodological challenges, research reveals significant BMD reductions during pregnancy, particularly in weight-bearing bones. In conclusion, maintaining maternal bone health during pregnancy and postpartum is critical, requiring comprehensive monitoring and support. Further research is needed to elucidate optimal strategies for preserving BMD throughout the reproductive lifespan, reducing fracture risk and enhancing maternal well-being.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Piotr Olcha, Lukasz Nowakowski, Lechoslaw Putowski, Iwona Radzik, Michal Ciebiera
{"title":"A multiple male and female pregnancy in a patient with stage IV endometriosis undergoing single embryo transfer after IVF-ICSI.","authors":"Piotr Olcha, Lukasz Nowakowski, Lechoslaw Putowski, Iwona Radzik, Michal Ciebiera","doi":"10.5603/gpl.100073","DOIUrl":"https://doi.org/10.5603/gpl.100073","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}