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Objectives: This study aimed to explore whether the type of iron preparation used to treat postpartum anaemia affects the incidence of postpartum depression and whether the risk of postpartum depression is higher in postpartum patients with anaemia who were adequately treated compared to the general postpartum population. Study design: Single-center, open-label, randomized trial. Women were allocated to receive intravenous ferric carboxymaltose, intravenous ferric derisomaltose or oral ferrous sulphate. Intravenous iron was given in one or two doses, while ferrous sulphate as two 80 mg tablets once daily. Primary outcome was postpartum depression measured by Edinburgh Postnatal Depression Scale (EPDS) six weeks postpartum. Haematological parameters were analyzed as secondary outcomes. Kruskal-Wallis test was used for group comparison (p

Background: With the successful development and introduction of vaccines to protect against COVID-19 disease, the pandemic is expected to end. The success of a vaccination programme depends on the uptake rates in the Slovenian population and especially among healthcare workers (HCWs), who are at higher risk of infection. Recently, several studies have examined the readiness of different population groups worldwide to be vaccinated. This study compares COVID-19 vaccination intentions between lay people and HCWs, and relationships between socio-demographic characteristics, attitudes and beliefs about COVID-19 vaccination, and vaccination intentions reported in the early stages of epidemics. Methods: A cross-sectional study based on an online survey was performed in Slovenia between 13 and 14 March 2020, when the epidemic was officially announced in the country. Data from 2,494 eligible respondents were analysed. Results: The study has shown that 33.2% of all respondents expressed the intention to get vaccinated against COVID-19 disease. This intention was expressed slightly more frequently among HCWs (38.9%) than among lay respondents (30.3%). Men compared to women, older and younger HCWs compared to middle-aged adults, and university graduates compared to HCWs with lower levels of education were more likely to get vaccinated against the disease. More HCWs than lay respondents believed that the COVID-19 vaccine would be safe and effective, and they were also more in favour to support vaccination of high-risk groups than mandatory vaccination of the general population. Conclusion: It is critical to communicate the importance of vaccination against COVID-19 appropriately and on a sound scientific basis through various health education programmes and the media, as only one-third of respondents and less than a half of HCWs indicated that they would be willing to get vaccinated once a vaccine is available.

COVID-19 vaccination acceptance among healthcare workers (HCWs) is very important to control the pandemic and to ensure the safety of HCWs and patients. As psychological factors may affect the decision to be vaccinated, the aim of this study was to investigate the influence of psychological factors on vaccination acceptance in different phases of the COVID-19 pandemic. A cross-sectional study using a web-based survey was conducted among HCWs in Slovenia at the beginning of the pandemic (N = 851), one month later (N = 86), and one year later (N = 145) when vaccines were already available. The results showed that the influence of psychological factors (anxiety, psychological burden, perceived infectability, and germ aversion) was specific for each survey period. At the beginning of the pandemic, vaccination intention was positively associated with anxiety. In the third survey period, anxiety was not exposed as a predictive factor for vaccination intention. However, comparison of vaccination status among groups with different levels of anxiety revealed an interesting distinction within those in favour of vaccination; in the group with minimal levels of anxiety, there was a relatively high share of respondents that were already vaccinated, whereas in the group with severe anxiety, most individuals intended to be vaccinated but hesitated to take action.

The bond between a mother and a child starts to develop before birth, increases with the gestational age of the child and is related to the quality of postpartum mother–infant interaction. Even though the expression maternal-fetal or prenatal attachment is commonly used to describe the parent's emotions, behaviors and perceptions that are related to the fetus, its use seems to be unsuitable. Considering Bowlby's and Ainsworth's theory of attachment, the relationship between mother and her unborn child is guided by the caregiving system. The purpose of this article is to lay out the dilemmas about the terminology, to present different definitions, measurements and variables, related to the relationship between the mother and her fetus. This relationship is a predictor of various maternal and child outcomes postnatally, which is why the goals of future investigation should be directed towards greater clarity in conceptualization, definition and measurement of the concept, and in exploration of the risks and mediating factors.

V okamžiku, kdy žena zjistí, že je těhotná, se její život v mnoha ohledech změní, protože se začne přizpůsobovat dítěti ve svém těle. Přeje si dobře se cítit, v bezpečí dosáhnout stanoveného termínu a porodit zdravé dítě. Průzkum jsme prováděli u 163 těhotných žen na konci druhého trimestru těhotenství. Článek představuje vztah mezi sportovní aktivitou a duševním stavem během těhotenství. Srovnávali jsme dvě skupiny žen – ženy s pravidelnou tělesnou aktivitou (PTA) a ženy s nízkou úrovní tělesné aktivity (NTA) – a zkoumali vztah mezi tělesnou aktivitou a duševním stavem. První část výzkumu se zaměřovala na tělesnou aktivitu, a to zvláště na její četnost, formu a typ. Skupina PTA sestávala z 69 těhotných žen, které se pravidelně věnují organizovaným sportovním aktivitám ve sportovních střediscích nebo které jsou tělesně aktivní neorganizovaně třikrát až čtyřikrát za týden. V potaz jsme brali aktivity trvající 30 a více minut. Skupina NTA sestávala z 94 těhotných žen, které se tělesným aktivitám věnují pouze příležitostně nebo které nejsou tělesně aktivní. Druhá část výzkumu týkajícího se duševního stavu těhotných žen obsahovala 45 položek, které se týkaly jejich duševního stavu. U každé položky ženy určovaly svůj duševní stav na pětistupňové škále (nikdy, málo, občas, často, skoro pořád). Z celkového počtu mělo 20 položek prevalenci pozitivního duševního stavu a 25 prevalenci negativního duševního stavu. U obou skupin jsme analyzovali duševní stav a vztahy mezi pravidelnou sportovní aktivitou a nízkou sportovní aktivitou a duševním stavem v druhém trimestru, kdy jsou těhotné ženy nejčastěji a nejsnáze tělesně aktivní. Pomocí faktorové analýzy jsme prokázali, že u skupiny PTA je prvním eliminovaným faktorem faktor spojený s pozitivními emocemi, což vysvětluje 23,51 % variance z celkových 34,91 % vysvětlené variance. Těhotné ženy skupiny PTA tedy svůj stav defi novaly většinou jako pozitivní, s následujícími emocemi: uvolněný, spokojený, příjemný, nepesimistický, přitažlivý, hrdý a šťastný. U skupiny NTA byl prvním eliminovaným faktorem faktor spojený s negativními emocemi, což vysvětluje 19,45 % variance z celkových 34,68 % vysvětlené variance. Tato skupina těhotných žen defi novala svůj stav většinou jako negativní, s následujícími opakujícími se emocemi: melancholický, napjatý, vznětlivý, depresivní a nervózní. Zjištěná fakta ukazují, že pravidelná sportovní aktivita prospívá duševnímu stavu a duševnímu zdraví těhotných žen. The moment a woman fi nds out that she is pregnant, her life changes in many aspects as she starts to adjust to the baby growing in her body. Her wish is to feel well, to safely reach the due date and give birth to a healthy child. We conducted a survey among 163 pregnant women at the end of the second trimester of their pregnancies and this article presents the relationship between their sport activity and their state of mind during pregnancy. Two groups of pregnant women, namely those who were regularly physically active (RPA) and those with a low level of being physically active (LPA) were compared and the relationship between their level of sport activity and their state of mind was established. The first part of the inventory focused on sport activity, namely – the frequency, forms and types of their sport activities. The RPA group consisted of 69 pregnant women who regularly engage in organised sport activities at sport centres or are physically active 3 to 4 times a week in an unorganised way. Activities which lasted for 30 minutes or more were considered. The LPA group consisted of 94 pregnant women who were physically active only occasionally or were physically inactive. The second part of the inventory investigating pregnant women's state of mind included 45 items which probed into their state of mind; for each item the study subjects defined their psychological state of mind on a five degree scale (never, rarely, sometimes, often, nearly always). Of all items, 20 had a prevalence of a positive state of mind and 25 a prevalence of a negative state of mind. In both groups, the state of mind of the women was analysed and relationships were established between regular sport activity and a low level of sport activity and the state of mind of the women in the second trimester, which is the time when pregnant women are most frequently and most easily physically active. By using a factor analysis we proved that, in the RPA, the first factor to be eliminated is the one associated with positive emotions, explaining 23.51 percent of the variance of the total 34.91 percent of the explained variance. Hence, the RPA pregnant women defined their state of mind as being mostly positive, with the following emotions: relaxed, satisfied, agreeable, not pessimistic, attractive, proud and happy. In the LPA group, the first eliminated factor was the one associated with negative emotions, explaining 19.45 percent of the variance of the total 34.68 percent of the explained variance. This group of pregnant women defined their state of mind mostly as negative, with the following recurring emotions: melancholic, tense, irritable, depressed and nervous. The findings show that regular sport activity benefits the psychological state of mind and the mental health of pregnant women.