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Introduction . Genital herpes is one of the most common sexually transmitted viral diseases and the most common cause of mucous membrane ulcerations in the genital area. The number of sexually transmitted infections caused by herpes virus (HSV), especially by HSV-1, is increasing. In the Polish population, there are no precise and current epidemiological data on herpes virus infections, especially in the anogenital area. A major problem concerns HSV infections in pregnancy, which are connected with the risk of in-utero and perinatal virus transmission. Herpes simplex virus infection in pregnancy threatens the life and health of an infant. Objective . To obtain information regarding the occurrence of herpes simplex in people of reproductive age as well as the assessment of knowledge on HSV infection and transmission, especially in pregnancy. Material and methods. Two hundred people (133 women and 67 men) aged 18–35 years, attending a dermatological clinic in the first half of 2014 with typical dermatological diseases, took part in the study. The subjects filled in the questionnaire including information on age, occurrence of erosions, scabs in the facial and genital area, diagnosis of oral and genital herpes virus infection, information given by the medical staff on the herpes infection, treatment with oral antivirus drugs, danger of herpes infection in pregnancy and risk of transmission of the HSV virus to fetuses and newborns. Results . Among the 200 people who took part in the study, 27% indicated the occurrence of herpes or recurring lesions in the form of vesicles and scabs on the border of skin and mucous membranes; in 1.5% of them genital herpes was diagnosed. Only 12% of investigated persons were treated with antiviral medicines. Sixty-eight percent of subjects stated that HSV is an infectious disease, 16% claimed that it is non-infectious, and a similar number did not know if it is an infectious disease or not. Only half of the studied group answered that it is dangerous for pregnant women and newborns, and 86% had never received sufficient information on herpes virus infection from medical staff. Conclusions . Our results confirm the lack of sufficient knowledge on HSV infection, especially in pregnancy, and the necessity of educating patients.

Genital herpes is one of the most common sexually transmitted viral diseases and the most common cause of mucosal erosions and ulcerations in the genital area. According to epidemiological data, the infection caused by genital herpes virus is common in developing countries. The number of sexually transmitted infections is increasing, and infections caused by herpes simplex virus 1 (HSV-1) in the genital area are becoming more common. In Poland there are no current epidemiological data on these infections. Genital herpes infection is dangerous for pregnant women, who can transmit it to infants. There is a significant risk of primary infection in pregnant women, transmitted by their seropositive partners. The early diagnosis and treatment are of utmost importance. The effective method of prevention and treatment is aciclovir, which in numerous studies was proven to be safe in pregnancy. In the article, the course of infection, treatment and prevention, especially in pregnant women and newborns, are discussed.

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Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginekologia i Perinatologia Praktyczna is the property of VM Medica-VM Group (Via Medica) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Genetic, endocrine and immunological disorders, anatomical defects in the reproductive tract, certain chronic diseases, toxic substances, or advanced age of the mother are most cited among the main causes of pregnancy loss at various stages. However, the cause of miscarriage or preterm labor in some cases remains unclear. Determination of the etiology about these clinical conditions may reduce the rate of reproductive failure. Similarly, the etiology of other obstetric disorders, such as preeclampsia or postpartum hemorrhage, has not been fully explained. One of the postulated and still under-researched causes of these disorders may be dysbiosis within the reproductive tract. A disturbed microbial balance is not always associated with the presence of an acute infection with clear clinical symptoms. Dysbiosis in conjunction with other pathophysiological factors may increase the risk of the mentioned clinical conditions. The aim of this paper is to show the information indicating the existence of a correlation between dysbiosis and an increase in the risk of obstetric disorders. Further analysis is also required to clarify the mechanism of the effect of dysbiosis on the disruption of metabolic and biochemical processes within the reproductive system during pregnancy.

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Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Advances in Hygiene & Experimental Medicine / Postepy Higieny i Medycyny Doswiadczalnej is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction and purpose. Preserving fertility is crucial for cancer patients, aligning with advancements in oncology. As survival rates improve, addressing treatment-related late effects gains importance. Many young patients, aware of therapy toxicity, consider future conception chances, impacting treatment decisions. With a trend toward delayed childbirth and a growing population facing unplanned family planning disruptions, the demand for fertility preservation is expected to rise. This paper provides a brief review of available methods for preserving fertility in cancer patients. State of knowledge. Freezing semen in liquid nitrogen vapor is a standard method for preserving reproductive potential in male cancer patients. Shielding during total-body radiation limits testicular volume reduction, indicating less damage to the germinal epithelium. Hormone suppression treatments are not protective in male cancer patients. Oocyte and embryo cryopreservation are considered secure methods before anticancer treatments, with oocyte cryopreservation being preferred for post-pubertal women. Ovarian tissue cryopreservation remains an alternative method without preliminary treatment, suitable when time is insufficient for ovarian stimulation. Ovarian transposition beyond the intended radiation area, performed laparoscopically, can retain ovarian function. GnRH agonist administration before and during chemotherapy aims to minimize the likelihood of premature ovarian insufficiency. Summary. Advancements in fertility preservation for cancer patients, ranging from traditional cryopreservation to innovative methods like ovarian tissue preservation, highlight a commitment to empowering individuals facing cancer diagnoses. Ongoing research expands possibilities, ensuring a diverse range of strategies that offer tangible and hopeful prospects at the intersection of cancer and reproductive health.

The paper summarizes the recommendations of the Hereditary Angioedema Section of the Polish Society of Allergology regarding the management of this disease in a view on up-to-date data. Its classification, pathomechanism, clinical picture and diagnosis were discussed. The principles of treatment and prevention of edema attacks and disease monitoring were presented. Characteristic features related to the course and management during pregnancy and in the pediatric group of patients were mentioned. [ABSTRACT FROM AUTHOR]

Introduction and purpose: Inositol exists in the form of nine isomers, two of which are dominant - myo-inositol (MI) and D-chiro-inositol (DCI). It is a naturally occuring sugar involved in many biological pathways. Due to its insulin-sensitizing, anti-inflammatory and antioxidant properties, inositol has been suggested as a novel treatment agent in prevention and treatment of reproductive disorders. The paper presents currently available data regarding the impact of oral supplementation of inositol for fertility of women and men, reproductive outcomes among subfertile women with polycystic ovarian syndrome (PCOS) and its effectiveness on preventing and treating gestational diabetes mellitus (GDM). Material and methods of research: The search was conducted using PubMed and Google Scholarship databases available to November 2023. Results: Although the evidence is still insufficient, it is suggested that inositol may be beneficial for subfertile women, also those undergoing assisted reproductive techniques and in vitro fertilization. Moreover inositol can positively influence sperm quality. Myoinositol supplementation was also effective and safe for pregnant women with GDM and their children. In these women lower HOMA-IR (Homeostatic Model Assessment – Insulin Resistance) and reduction of fetal macrosomia were observed. Myoinositol also seems to be favorable for overweight or obese women in GDM prevention and treatment. Current findings indicate the positive impact for hormonal changes and restoration in menstrual cyclicity in women with PCOS, improving reproductive disorders in these patients. Conclusions: Overall, although findings are encouraging, further trials for this promising intervention are still required to support oral supplementation of inositol.

Introduction and purpose: The COVID-19 pandemic has significantly affected the health, life and quality of life of many people around the world. It caused huge changes in the daily functioning of entire societies. Pregnant women are a unique group of people who are particularly at risk. They are accompanied by fear for their health, but also fear of the impact of the disease on their offspring. The pandemic has also caused new challenges for mothers-to-be that have not occurred so far. In this paper, we would like to present the current state of knowledge on the impact of SARS-CoV-2 infection on the risk of developing pre-eclampsia. State of knowledge: We analyzed studies showing the impact of COVID-19 infection on the health of pregnant women, especially on the risk of developing pre-eclampsia. Data from many studies are contradictory. Some studies do not indicate a significant impact of coronavirus infection on the development of pre-eclampsia. Some of them confirm a higher incidence of pre-eclampsia in pregnant women with confirmed COVID-19 infection. Conclusions: Despite the experience gained, there are still many unknowns. Thanks to research, we have more and more knowledge about the course of COVID-19 in pregnant women and its impact on their lives. Many observations are still needed to formulate clear conclusions about the impact of COVID-19 on the risk of developing pre-eclampsia. It is also necessary to continue to educate women, encourage compliance with the recommendations of doctors and the World Health Organization to prevent the spread of coronavirus.

Copyright of Polish Nursing / Pielegniarstwo Polskie is the property of Poznan University of Medical Sciences Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Erythema nodosum is the most common form of panniculitis in the paediatric population. It is manifested by painful tumours in shades of red within the subcutaneous tissue, most often within the lower legs. Mild, non-specific systemic symptoms may occur. The course of erythema nodosum is associated primarily with local pain, sometimes implying motor disorders. Erythema nodosum may be primary or secondary as a manifestation of a systemic disease, medication or pregnancy. Although the course is often self-limiting, detecting erythema nodosum requires a systematised diagnosis of potential causative diseases. A detailed medical history and physical examination are vital in this process. Treatment of erythema nodosum most often consists of administering analgesics and anti-inflammatory drugs. Proper causal treatment of the primary disease is more important. The paper presents a case of a teenage girl with an intense course of erythema nodosum, in whom two probable causes of its occurrence were found.

Cytomegalovirus is one of the most widespread DNA viruses, with 90% of women of childbearing age in Poland infected with it. Infection poses a risk to the mother as well as the fetus, as the virus can cross the placenta and damage the fetus. The purpose of this paper is to review scientific publications from 2017-2022, which describe the course of cytomegalovirus infection in pregnant women, the risks to the mother and fetus associated with the infection, methods of diagnosing the infection in the pregnant woman and the fetus, as well as treatment of cytomegalovirus infection and directions for vaccine research. The most common complications of congenital cytomegalovirus infection include hearing loss, mental developmental delays and miscarriage. The infection can be detected in the pregnant woman by immunological testing, while polymerase chain reaction is used in the fetus and newborn. Early detection of infection in a pregnant woman allows the implementation of treatment which includes ganciclovir, valganciclovir, acyclovir and valacyclovir. A vaccine against cytomegalovirus has not been developed. Particularly important in the prevention of infection is to conduct educational activities regarding the routes of transmission of the virus and the consequences of congenital infection for the fetus. Cytomegalovirus infections among pregnant women. It is important to monitor fetal development and possibly diagnose for congenital CMV infection in case of abnormalities, and the best diagnostic method is polymerase chain reaction testing. For the treatment of congenital CMV infection, acyclovir and valacyclovir are preferred, and therapy should be implemented for specific indications. Attention should be paid to educating women about infections caused by cytomegalovirus.

Pregnancy is a major life change for many women. The related biological changes, especially complications in its course and in the course of delivery, carry a risk of developing a variety of psychological problems and mental disorders. However, their treatment is challenging due to the teratogenic effects of most psychoactive drugs and specific requirements for entering different psychotherapeutic programs. Mental disorders during pregnancy are undoubtedly an important issue for both gynecology and psychiatry. There is still a discussion considering the question whether psychotherapy during pregnancy is safe, although no scientifically valid data contradicting the safety of psychotherapy during pregnancy has been published so far. Together with psychotherapy - as a treatment of choice - clinicians approve some other relatively safe treatment methods for psychiatric disorders in pregnant women. Light therapy, limited pharmacotherapy, ECT are included. The goal of this paper is to review current opinions of clinicians and researches concerning possibilities, indications and outcome of psychological treatments as a way to help pregnant women who suffer from different psychiatric conditions, and also because this subject is not yet present in Polish psychiatric journals. [ABSTRACT FROM AUTHOR]

Along with the increasing number of reported cases, multiple sclerosis, one of the main causes of disability among young adults, is nowadays an increasingly common health problem. Considering the fact that it occurs mainly between 20 and 40 years and affects women more often, the question of the impact of the disease on pregnancy becomes obvious. In view of the wide selection of drugs for various purposes and often highly individualized forms of therapy, it seems also important to determine the safety profile of these agents in relation to the health of the pregnant woman and the fetus. All of this is a significant challenge for neurologists and obstetricians and is the subject of many research and studies. The awareness of society, especially women, in the face of the growing problem seems to be equally important. This paper summarizes the current state of knowledge on these issues.

Preeklamsja, która dotyczy 2-5% ciężarnych, jest jedną z głównych przyczyn matczynej i perinatologicznej zacho-rowalności i śmiertelności. Współcześnie uznawaną teorią dotyczącą patogenezy stanu przedrzucawkowego jest hi-poteza zaburzeń w krążeniu matczyno-płodowym. W celu prognozowania wystąpienia stanu przedrzucawkowego po-szukuje się nieinwazyjnych metod diagnostycznych mogą-cych określić zwiększone ryzyko zachorowania. Badania dotyczące identyfikacji wczesnych markerów biochemicz-nych, opracowania algorytmu postępowania lub testu skri-ningowego trwają od wielu lat. Niniejsza praca przedsta-wia aktualny przegląd piśmiennictwa dotyczący osiągnięć w diagnostyce stanu przedrzucawkowego w ciąży. Preeclampsia, which affects 2-5% of pregnancies, is one of major causes of maternal and perinatal morbidity and mortality. Nowadays the leading hypothesis of pathogenesis of preeclampsia is the theory of dysfunction in maternal-fetal circulation. The aim of early identification of preeclampsia is to find non-invasive diagnostic methods that can determine the higher risk of morbidity rate. Research on early identification of biochemical markers, algorithm development or screening test is underway for many years. This paper presents a review of the literature on current developments in diagnostics ofpreeclampsia in pregnancy. [ABSTRACT FROM AUTHOR]

Introduction: Toxoplasmosis is a disease caused by Toxoplasma gondii protozoan. Toxoplasmosis is particularly dangerous for the foetus and any infection, regardless of the period of pregnancy, may cause disorders in the extra-fetal life. The paper assesses the knowledge of women about toxoplasmosis infection, basic definitions and prophylactic measures. Aim: The aim of the study was to investigate the level of knowledge of women about Toxoplasma gondii infection, as well as the basic preventive actions. Material and method: The study was conducted in the period from February to June 2016 by means of a diagnostic survey. 63 women aged 20 and over took part in the survey. The tool used in the study was a questionnaire. The most numerous group were the respondents aged 20-29 years and the least aged 40-49 years. The research results were developed in Microsoft Excel and Statistica 13.1. Results: The analysis of the collected data shows that women with higher and secondary education have the greatest knowledge of both defining and basic preventive measures. Conclusions: The level of women's knowledge about Toxoplasma gondii infections varies according to the education of the respondents. The knowledge about basic preventive measures that can significantly reduce the serious consequences of Toxoplasma gondii infections for the developing fetus should be disseminated.

Epilepsy is the most common neurological disorder in pregnant women. Epileptic seizures can be dangerous both for the mother and the foetus. Most pregnant women with epilepsy must use antiepileptic drugs. The aim of the treatment is to gain optimal seizure control while minimising the risk to the foetus (a potential teratogenic effect of antiepileptic drugs). The physiological changes in the pregnant woman’s body may affect the effectiveness of these agents. As pregnancy progresses, their serum concentrations decrease due to the increase in extracellular fluid volume, impaired intestinal absorption, increased renal clearance and enhanced hepatic metabolism. This is true for most antiepileptics, both old and new. Particularly significant fluctuations of serum concentrations are observed for new antiepileptics. The level of lamotrigine and levetiracetam decreases in the third trimester of pregnancy by even 50%, and the level of oxcarbazepine falls by 30–40%. The dosage of antiepileptic drugs should depend primarily on the clinical picture, and it is helpful to determine their serum levels during pregnancy. It is recommended to test the concentration of antiepileptic drugs before pregnancy, at the beginning of each trimester, during the last month of pregnancy and during the eighth week after delivery. The paper presents two cases of pregnant women who experienced a decrease in the level of new-generation antiepileptic drugs during pregnancy. The knowledge about the levels of these drugs was a valuable guide for optimising treatment.

Epilepsy is one of the most frequent diseases of the central nervous system and affects about 50 million people in the world. It is a heterogeneous disease entity associated with various clinical manifestations and coexisting symptoms (such as neurodevelopmental disorders), resulting in different response to medication and different prognosis. Clinical evidence points to the existence of epilepsy and epilepsy syndromes dependent on sex. Female and male sex hormones affect the brain convulsion threshold. Catamenial epilepsy is a well-known example here, in which the neurohormonal mechanisms dependent on the menstrual cycle affect the occurrence of convulsions. Progesterone is an anticonvulsant hormone, while oestrogens can be both pro- and anticonvulsant, depending on the physiological state. Unlike in the case of progesterone, the influence of the potential convulsion threshold modulation of testosterone is complex. In animal models, but also in clinical trials, testosterone intensifies the occurrence of convulsions through its metabolism to oestrogens. The paper presents the effects of antiepileptic drugs on the offspring of mothers with epilepsy (congenital malformations, lower birth weight, and neurodevelopmental disorders). Aggregate data indicate the highest teratogenicity of the exposure to valproic acid and other antiepileptics used in polytherapy. Other factors may also influence foetal development: severity of epilepsy itself, the type of seizures, mother’s intelligence quotient and socioeconomic status as well as the exposure to toxic agents (including alcohol and other stimulants). The optimal selection of antiepileptic drugs should be sought even before the planned pregnancy in the care of women at childbearing age suffering from epilepsy.

Psoriasis is one of the most common skin disease, affecting 1.5-3% population, with chronic course and complex clinical picture. It is characterized by abnormal epidermis proliferation, immunological disturbances with predominance of Th1 response activity and complex pathogenesis. Among many factors inducing the disease development hormonal disorders are mentioned. Half of all patients with psoriasis are females diagnosed mostly within childbearing period of their life. It is stated that pregnancy, puerperium, menstruation and menopause modulate a natural course of psoriasis. Based on current literature search, we evaluated in this paper the role of sex hormones in pathogenesis of this dermatosis. [ABSTRACT FROM AUTHOR]

Eating disorders represent a serious and complex health and social problem which is encountered by many medical professionals in their practice, including by family doctors. An increasing number of individuals are affected by these disorders. The media, which promote slim figure as fashionable or perfect, are a contributing factor. Pregnant women are a group which is especially vulnerable to eating disorders. Their bodies are subject to dynamic changes; as a result, these are often far from the widely promoted ideal. Malnutrition in women planning to conceive a child and in pregnant women is a risk factor for abnormal course of pregnancy and poor health status of the newborn child. Therefore, it is important for women who are planning pregnancy to change their lifestyle and follow the rules of appropriate, balanced diet. The aim of the paper was to review the available publications on pregorexia, i.e. an eating disorder which involves self-starvation and/or inducing vomiting during pregnancy. The article presents the current recommendations concerning body mass of a woman during pregnancy and the consequences of pregorexia for the mother and the unborn child as well as discussing the role of medical professionals regarding this non-specific eating disorder. Based on the available sources it may be concluded that there is a need for wider education concerning diet and physical activity provided by medical professionals to higher-risk groups. Early intervention by an interdisciplinary therapeutic team contributes to better treatment results with appropriate health education being of key importance.

Copyright of Modern Nursing & Health Care / Wspolczesne Pielegniarstwo i Ochrona Zdrowia is the property of Wydawnictwo Continuo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gdańska Agnieszka, Ślężyńska Marzena, Wiśniewska Danuta. Czynniki warunkujące aktywność fizyczną oraz jej oddziaływanie w okresie ciąży = Factors affecting the physical activity and its effect during pregnancy. Journal of Education, Health and Sport. 2016;6(9):699-711. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.159210 http://ojs.ukw.edu.pl/index.php/johs/article/view/3893 https://pbn.nauka.gov.pl/sedno-webapp/works/750420 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.09.2016. Revised 24.09.2016. Accepted: 24.09.2016. Czynniki warunkujące aktywność fizyczną oraz jej oddziaływanie w okresie ciąży Factors affecting the physical activity and its effect during pregnancy Agnieszka Gdańska Akademia Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach Katedra Nauk Fizjologiczno-Medycznych, Zakład Biochemii Marzena Ślężyńska Akademia Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach Zakład Rekreacji Fizycznej, Katedra Rekreacji Danuta Wiśniewska Akademia Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach Katedra Teorii i Metodyki Wychowania Fizycznego, Zakład Korekcji Wad Postawy Streszczenie Aktywność fizyczna w czasie trwania ciąży korzystnie wpływa na poprawę wydolności układu krążenia, funkcje układu mięśniowo-szkieletowego, układu trawiennego oraz procesów metabolicznych [8]. Ćwiczenia fizyczne mogą powodować krótko i długotrwałe korzyści dla matki i rozwijającego się płodu. Dlatego aktualne trendy w opiece nad kobietami ciężarnymi polegają na propagowaniu aktywności fizycznej w różnym stopniu przez cały okres ciąży [10]. Cel badań. Celem badań była analiza czynników, które warunkowały na ograniczenie, rozpoczęcie lub kontynuowanie wysiłku fizycznego w czasie ciąży. Jednocześnie porównywano oddziaływanie aktywności fizycznej na przebieg ciąży, porodu oraz ogólny stan zdrowia i samopoczucia. Materiał i metody badań. Badaniami objętych zostało 50 kobiet w wieku 15-55 lat mieszkających w powiecie Wodzisław Śląski. W badaniach wykorzystano autorski kwestionariusz. Wszystkie kobiety uczestniczące w badaniach były matkami i przebyły poród. Wyniki badań. Wśród 50 ankietowanych dominowały kobiety w przedziale wieku 20-29 lat. Większość badanych (68%) deklarowała, że wykonywały ćwiczenia fizyczne w czasie ciąży, ale zaledwie 16 kobiet (32%) oświadczyło, że ciąża wyzwoliła motywację do aktywności fizycznej. Co trzecia kobieta (32%) deklarowała, że niezależnie od trymestru na aktywność fizyczną w trakcie ciąży przeznaczała tygodniowo 1-2 godz. Podobnie niemal co trzecia respondentka (30%) wyrażała opinię o korzystnym oddziaływaniu ruchu w trakcie ciąży na poród. Wnioski. Aktywność fizyczna w czasie ciąży pozwalała zachować prawidłową masę ciała, poprawiała nastrój psychiczny oraz skuteczne przeciwdziałała dolegliwościom związanym z ciążą. W związku z powyższym powinno się propagować aktywność fizyczną w okresie ciąży, szczególnie jeżeli nie ma przeciwwskazań lekarskich. Słowa kluczowe: aktywność fizyczna, ciąża, rekreacja, poród, ból, samopoczucie Abstract Physical activity during pregnancy is useful for improving cardiovascular efficiency, musculoskeletal system, digestive system and metabolic processes [8]. Exercise can bring short and long-term benefits for women and the developing fetus, therefore, the current trends in the care of pregnant women seek to promote physical activity throughout pregnancy [10]. Aim of the study The aim of the study was to analyze the factors that affect the limitation, of exercise during pregnancy. Comparing the impact of physical activity on pregnancy, childbirth, and overall health and well-being. Material and methods The study included 50 women age 15-55 years living in the district Wodzislaw Slaski. The study has been carried out with the use of the authorial questionnaire-survey. All women participating in the study were mothers and gone through childbirth. Results Among the 50 surveyed dominated women between 20-29. The majority of respondents (68%) declared that they performed physical exercise during pregnancy, but only 32% women stated that the pregnancy triggered motivation for physical activity. Every third woman (32%) declared that regardless of trimester they were exercise during pregnancy and devoted to that activity 1-2 hours per week. 30% of respondents declared positive impact of physical activity during pregnancy to childbirth. Conclusions Physical activity during pregnancy allow to maintain normal weight, improved mood, mental and effectively counteract the discomfort associated with pregnancy. Therefore physical activity should be more popularized during pregnancy especially if there is no medical contraindications. Keywords: physical activity, pregnancy, recreation, childbirth, pain, mood

Stadnicka Sabina Katarzyna, Bień Agnieszka, Gdańska Paulina, Piechowska Joanna. Poronienie i ciąża obumarła w aspekcie prawa – udział położnej w opiece nad pacjentką w sytuacji utraty ciąży = Miscarriage and pregnancy degenerated in terms of law - part midwife in the care of the patient in case of pregnancy loss. Journal of Education, Health and Sport. 2016;6(9):379-390. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.62008 http://ojs.ukw.edu.pl/index.php/johs/article/view/3841 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2016. Revised 25.08.2016. Accepted: 06.09.2016. Poronienie i ciąża obumarła w aspekcie prawa – udział położnej w opiece nad pacjentką w sytuacji utraty ciąży Miscarriage and pregnancy degenerated in terms of law - part midwife in the care of the patient in case of pregnancy loss Sabina Katarzyna Stadnicka, mgr położnictwa, doktorantka, Katedra i Zakład Pielęgniarstwa Pediatrycznego, Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie Agnieszka Bień, dr n. med., adiunkt, Zakład Podstaw Położnictwa, Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie Paulina Gdańska, mgr psychologii, I Katedra i Klinika Położnictwa i Ginekologii Warszawskiego Uniwersytetu Medycznego Joanna Piechowska, mgr położnictwa, doktorantka, Zakład Podstaw Położnictwa, Wydział Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie Streszczenie Niekorzystne zakończenie ciąży ma charakter niezwykle złożony i delikatny. Utrata ciąży na skutek poronienia jest wydarzeniem biomedycznym wywierającym ogromny wpływ na funkcjonowanie psychiczne. Nowe Rozporządzenie Ministra Zdrowia z dnia 1 grudnia 2015r. wprowadza dokładnie określone standardy postępowań okołoporodowych w opiece nad pacjentkami w sytuacji niepowodzeń położniczych. Celem publikacji jest pokazanie istotności wprowadzenia standardów. Odpowiedni przekaz niepomyślnych wiadomości, poprawna komunikacja a także udzielenie wsparcia może załagodzić psychologiczne skutki niepomyślnej sytuacji. Słowa kluczowe: ciąża, poronienie, strata, przepisy prawa, zdrowie psychiczne Abstract Unfavorable termination of pregnancy is a very complex and delicate. Pregnancy loss due to miscarriage is an event biomedical exerting a huge influence on the functioning of mental health. The new Minister of Health of 1 December 2015. introduces precisely defined standards proceedings perinatal care for female patients in an obstetric failures. The aim of the publication is to show the significance of the introduction of standards. The corresponding message bad news, the correct communication and assistance can alleviate the psychological effects of unfavorable situation. Key words: pregnancy, miscarriage, loss, law, mental health

Lyoshenko I. A., Tarabrin O. A., Kirpichnikova K. P., Sukhanov A. A. The state of hemostasis in pregnant women with hydramnion. Journal of Education, Health and Sport. 2016;6(5):149-156. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.51381 http://ojs.ukw.edu.pl/index.php/johs/article/view/3517 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.04.2016. Revised 29.04.2016. Accepted: 12.05.2016. UDC: 616-00 5.1: 616-006.6 The state of hemostasis in pregnant women with hydramnion I. A. Lyoshenko, O. A. Tarabrin, K. P. Kirpichnikova, A. A. Sukhanov Odessa National Medical University, Odessa, Ukraine Authors: Lyoshenko Irina Anatoliyivna - maternity home №2 Odessa, anaesthesiologist, t. 0679378848, e-mail: irenodessa5555@gmail.com Tarabrin Oleg Oleksandrovych - MD, prof., Head of the department of anaesthesiology and Intensive care of ONMedU, Odessa Regional Clinical Hospital, t. 7500372 Kirpichnikova Katerina Petrovna, Ph. D., Department of anaesthesiology and Intensive care of ONMedU Sukhanov Aleksey Aleksandrovich, Ph. D., Department of anaesthesiology and Intensive care of ONMedU Abstract Purpose. To determine the state of various stages of hemostasis in pregnant women with hydramnion as a risk factor for premature detachment of the placenta. Results. There was investigated the state of hemostasis in pregnant women with hydramnion by low piezoelectric thromboelastography (LPTEG) and standard coagulogram. According to the LPTEG results this group of women was found to have increased plasma coagulation potential manifested in elevated constant thrombin activity (TAC) by 76.8%, the intensity of coagulation drive (ICD) by 74.9%, maximum clot density (MA) by 16.8%, shortening of coagulation time (T3) by 7.8% and inhibition of fibrinolysis manifested by decrease in retraction intensity and clot lysis (RICL) by 67.7% (p

Stadnicka Grażyna, Łepecka-Klusek Celina, Pawłowska-Muc Agnieszka Konstancja, Pilewska-Kozak Anna Bogusława. Wpływ aktywności fizycznej w okresie ciąży na przebieg porodu = The influence of physical activity during pregnancy on childbirth. Journal of Education, Health and Sport. 2015;5(9):505-514. ISSN 2391-8306. DOI10.5281/zenodo.31300 http://dx.doi.org/10.5281/zenodo.31300 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%289%29%3A505-514 https://pbn.nauka.gov.pl/works/631372 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 26.08.2015. Revised 05.09.2015. Accepted: 22.09.2015. Wpływ aktywności fizycznej w okresie ciąży na przebieg porodu The influence of physical activity during pregnancy on childbirth Grażyna Stadnicka1, Celina Łepecka-Klusek2, Agnieszka Konstancja Pawłowska-Muc3, Anna Bogusława Pilewska-Kozak2 1 Samodzielna Pracownia Umiejętności Położniczych, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie, ul. Staszica 4/6 2 Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie, Al. Racławickie 23 3 Ośrodek Kształcenia Podyplomowego Pielęgniarek i Położnych Radomski Szpital Specjalistyczny im. dr Tytusa Chałubińskiego w Radomiu, ul. Lekarska 4 Adres do korespondencji Grażyna Stadnicka Samodzielna Pracownia Umiejętności Położniczych, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny 10-081 Lublin, ul. Staszica 4/6; e-mail:grazyna.stadnicka@umlub.pl Streszczenie Aktywność fizyczna w czasie ciąży poprawia ogólną kondycję fizyczną i zapobiega dolegliwościom tego okresu. Celem pacy była ocena profilu społeczno-demograficznego kobiet rodzących oraz wpływu aktywności fizycznej w okresie ciąży na przebieg porodu. Materiał i metoda. Badania przeprowadzono wśród 150 rodzących. Narzędzie badawcze stanowiła ankieta własnego autorstwa, skala Borga oraz skala oceny bólu VAS. Wyniki. Badane były w wieku 19-41 lat, średnia wieku wynosiła 28.7±5.3 lat. Najczęściej podejmowaną przez respondentki aktywnością fizyczną był spacer (n=29; 38.15%), fitness (n=21; 27.63%), joge (n=14; 18.42%), pilates (n=25; 32.89%).Korzystanie z aktywności ruchowej przez kobiety w ciąży było zależne od: wykształcenia (p=0.031), miejsca zamieszkania (p=0.13), statusu zawodowego (0.004) oraz wieku (p=0.042) badanych. Aktywności fizyczna w okresie ciąży miała znamienny statystycznie wpływ na sposób ukończenia ciąży (p=0.024) i wystąpienie samoistnej czynności skurczowej (p=0.001) oraz bliski istotności statystycznej wpływ na częstość uszkodzenia krocza podczas porodu (0.049). Wnioski. Aktywność fizyczna podczas ciąży nie ma wpływu na częstotliwość okołoporodowych urazów kanału rodnego, w tym nacinania krocza. Natomiast warunkuje wystąpienie samoistnych skurczów porodowych, lepszą tolerancję bólu i wysiłku podczas porodu oraz zmniejsza liczbę cięć cesarskich. Słowa kluczowe: ciąża, aktywność fizyczna, poród. Abstract Physical activity during pregnancy, which improves overall physical condition and prevents many ailments of pregnancy. The aim of the study was the analysis of the profile of women and the influence of activity during pregnancy on childbirth Material and method. The research was conducted among 150 women. The study has been carried out with the use of the authorial questionnaire-survey, Borga Scale and Visual Analogue Scale. Statistical analysis was performed with the use of the computer program IBM SPSS Statistics version 21. Results. The women were at the age of 19-41years. The average age of the participants equalled 28.7±5.3. The most common physical activity undertaken by the pregnant was: walking (n=29; 38.15%), fitness (n=21; 27.63%), yoga (n=14; 18.42%), pilates (n=25; 32.89%). Physical activity during pregnancy was dependent on education (p=0.031), place of residence (p=0.13), employment status (0.004) and age (p=0.042) women surveyed. Physical activity during pregnancy influence the method of child delivery (p = 0.024), the occurrence of spontaneous uterine contractions (p = 0.001) and damage to the perineum during childbirth (0049). Conclusions. Physical activity during pregnancy significantly determines the occurrence of spontaneous uterine contractions of childbirth, better tolerance of pain and effort during labor and reduces the frequency of perinatal injuries birth canal, including cutting perineum Key words: pregnancy, physical activity, labor.

Pawłowska-Muc Agnieszka Konstancja, Łepecka-Klusek Celina, Pilewska-Kozak Anna Bogusława, Stadnicka Grażyna. Używki w ciąży – alcohol = Stimulants in pregnancy – alcohol. Journal of Education, Health and Sport. 2015;5(8):385-394. ISSN 2391-8306. DOI10.5281/zenodo.29606 http://dx.doi.org/10.5281/zenodo.29606 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%288%29%3A385-394 https://pbn.nauka.gov.pl/works/614390 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 22.07.2015. Revised 24.08.2015. Accepted: 24.08.2015. Używki w ciąży - alkohol Stimulants in pregnancy - alcohol Pawłowska-Muc Agnieszka Konstancja1, Łepecka-Klusek Celina2, Pilewska‑Kozak Anna Bogusława2, Stadnicka Grażyna3 [1] Ośrodek Kształcenia Podyplomowego Pielęgniarek i Położnych Radomski Szpital Specjalistyczny im. dr Tytusa Chałubińskiego w Radomiu, ul. Lekarska 4 2 Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej Uniwersytet Medyczny w Lublinie, Al. Racławickie 23 3 Samodzielna Pracownia Umiejętności Położniczych Uniwersytet Medyczny w Lublinie, ul. Staszica 4/6 1 Postgraduate Training Centre for Nurses and Midwives, Dr Tytus Chałubiński Specialist Hospital in Radom, ul. Lekarska 4 2 Department and Clinic of Gynaecology and Gynaecological Endocrinology, School of Health Studies, Medical University of Lublin, Al. Racławickie 23 3 Independent Obstetric Skills Workshop, Medical University of Lublin, ul. Staszica 4/6 Adres do korespondencji: mgr piel. Agnieszka Konstancja Pawłowska-Muc Ośrodek Kształcenia Podyplomowego Pielęgniarek i Położnych Radomski Szpital Specjalistyczny im. dr Tytusa Chałubińskiego w Radomiu, ul. Lekarska 4 tel. 48 3615616; fax: 48 3615437 e-mail: agmich@vp.pl Używki w ciąży - alkohol Streszczenie Wprowadzenie. Spożywanie alkoholu kobiety w wieku rozrodczym jest problemem wielu krajów świata. Stwarza ono duże zagrożenie dla ich zdrowia prokreacyjnego, prawidłowego przebiegu ciąży, zdrowia noworodka i dziecka w późniejszym okresie jego życia. Cel pracy. Celem pracy było ukazanie skali problemu oraz skutków spożywania alkoholu przez kobiety w okresie ciąży. Skrócony opis stanu wiedzy. Z przeglądu piśmiennictwa wynika, iż skala problemu jest trudna do oszacowania. Negatywnych skutków jest zdecydowanie więcej niż pozytywnych. Dotychczas nie określono jeszcze bezpiecznej dawki alkoholu dla ciężarnych, a kobiet spożywających napoje alkoholowe w tym czasie jest wciąż za duża. Świadomość konsekwencji takich zachowań nie zawsze idzie w parze z całkowitą rezygnacją z picia alkoholu podczas ciąży. Podsumowanie. Istnieje potrzeba większego niż dotychczas angażowania się pracowników medycznych (lekarzy położników i położnych) w działalność nie tylko informacyjną, lecz także edukacyjną i wspierającą. Słowa kluczowe: alkohol, ciąża, płód, zdrowie. Stimulants in pregnancy - alcohol Abstract Introduction. Alcohol consumption by women in the reproductive period is a current problem in many countries around the world. It poses a great threat to their reproductive health, the correct parturition, the health of the newborn and the child in the later part of its life. Aim. It was the aim of this work to present the scale of the problem as well as the results of women’s alcohol consumption during pregnancy. Brief description of the state of the art. The review of the bibliography indicates that the scale of the problem is hard to assess. Negative effects are much more prevalent than the positive ones. A safe unit dose for pregnant women has not yet been established and the number of women consuming alcohol during this period is still too high. The awareness of the consequences of such actions is not always accompanied by complete abstinence from alcohol consumption during pregnancy. Conclusion. This calls for a greater involvement than before on the part of the medical personnel (gynaecologists-obstetricians and midwifes) in the informative but also educational and supportive activities. Key words: ethanol, pregnancy, foetus, health.

Kupriianova Larisa. Immuno-histochemical features of the structure of foetuses' ovarian from the mothers with pregnancy complications. Journal of Education, Health and Sport. 2016;6(11):749-759. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.275714 http://ojs.ukw.edu.pl/index.php/johs/article/view/4244 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.11.2016. Revised 22.11.2016. Accepted: 30.11.2016. UDK: 618.11-053.18-091.8:618.3-06 Immuno-histochemical features of the structure of foetuses' ovarian from the mothers with pregnancy complications Larisa Kupriianova Kharkiv National Medical University, Kharkov, Ukraine Abstract As a material of our research, we took into account foetuses' ovarian at the gestation term from 21 to 42 weeks; and, as a result, all types of material we divided into few groups: foetuses from healthy mothers; foetuses from mothers with pre-eclampsia complications of pregnancy of different stages; foetuses from mothers with pregnancy's complications as a chronical infection. Research methods: organomethrical, histochemical, immuno-histochemical, statistical. As a result of the complex research, in foetuses' ovarian from mothers with pregnancy complications of different types, we can see reducing of indicators of structural and functional activity of organs, increasing of apoptotic index; increasing of endothelin-1 production; decreasing of hormones production. Key words: fetus, pregnancy, pre-eclampsia; infection, ovary.

Kupriianova Larisa. Immuno-histochemical features of the collagen synthesis of foetuses' ovarian from the mothers with pregnancy complications. Journal of Education, Health and Sport. 2016;6(12):929-940. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.292927 http://ojs.ukw.edu.pl/index.php/johs/article/view/4270 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016). 754 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.12.2016. Revised 20.12.2016. Accepted: 25.12.2016. UDK: 618.11-053.18-092.18.018.23:618.3-06 Immuno-histochemical features of the collagen synthesis of foetuses' ovarian from the mothers with pregnancy complications Larisa Kupriianova Kharkiv National Medical University, Kharkov, Ukraine Abstract As a material of our research, we took into account foetuses' ovarian at the gestation term from 21 to 42 weeks; and, as a result, all types of material we divided into few groups: foetuses from healthy mothers; foetuses from mothers with pre-eclampsia complications of pregnancy of different stages; foetuses from mothers with pregnancy's complications as a chronical infection. Research methods: organomethrical, histological, immuno-histochemical, morphometrical, statistical. As a result of the complex research, in foetuses' ovarian from mothers with pregnancy complications of different types, we can see reducing of indicators of structural and functional activity of organs, increasing of collagen type I and III production; decreasing of collagen type IV production. Key words: fetus, pregnancy, pre-eclampsia; infection, ovary.

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Sowa Magdalena, Głowacka-Mrotek Iwona, Wardęcka Paulina, Winnicki Andrzej. Rak piersi w ciąży - odmienności procesu diagnostyki i leczenia = Breast cancer during pregnancy - differences in diagnostic and treatment procedures. Journal of Education, Health and Sport. 2016;6(9):586-596. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.155058 http://ojs.ukw.edu.pl/index.php/johs/article/view/3884 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.09.2016. Revised 24.09.2016. Accepted: 24.09.2016. Rak piersi w ciąży - odmienności procesu diagnostyki i leczenia Breast cancer during pregnancy - differences in diagnostic and treatment procedures Magdalena Sowa1, Iwona Głowacka-Mrotek2, Paulina Wardęcka3, Andrzej Winnicki4 1Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Katedra i Zakład Laseroterapii i Fizjoterapii, Katedra Chirurgii Onkologicznej 2Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Katedra i Klinika Rehabilitacji 3Wojewódzki Szpital Specjalistyczny im. księdza Jerzego Popiełuszki we Włocławku, Oddział Ginekologiczno – Położniczy 4 Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Katedra i Zakład Technologii Postaci Leku Adres do korespondencji: Magdalena Sowa Katedra i Zakład Laseroterapii i Fizjoterapii Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy Ul. Techników 3 85 -801 Bydgoszcz e – mail: magdalena.sowa@cm.umk.pl Streszczenie Wprowadzenie: Rak piersi w ciąży jest rozpoznawany stosunkowo rzadko. W ostatnich dziesięciu latach w Europie można zauważyć wyraźną tendencję do odraczania macierzyństwa wśród młodych kobiet. Obecnie średnia wieku kobiet rodzących pierwsze dziecko wynosi 30 lat. Jednym z czynników ryzyka zachorowania na raka piersi jest wiek. Z uwagi na fakt, iż kobiety coraz później decydują się na macierzyństwo, a średnia wieku występowania raka piersi się obniża, z tą szczególną sytuacją kliniczną lekarzom jak i kobietom przyjdzie się zmagać coraz częściej. Cel pracy:Celem pracy była próba przybliżenia odmienności procesu diagnostyki i leczenia raka gruczołu piersiowego rozpoznanego w ciąży. Rozwinięcie:Z danych epidemiologicznych wynika, iż rak piersi jest najczęściej występującym nowotworem u kobiet ciężarnych.Szczególnie niebezpiecznym jest fakt, iż zmiany fizjologicznie zachodzące w organizmie kobiety już od pierwszych tygodni ciąży, mogą maskować pojawienie się guza i znacznie opóźniać wdrożenie procesu diagnostyki. Choroba nowotworowa rozpoznana w czasie trwania ciąży jest zawsze dramatyczną i ogromnie stresującą sytuacją dla kobiety i jej najbliższych, dlatego proces diagnostyki i leczenia jest silnie zindywidualizowany, zaś maksymalny efekt terapeutyczny z jednoczesną ochroną nienarodzonego dziecka stanowi priorytet działań. Podsumowanie:Decyzje terapeutyczne podejmowane są po uwzględnieniu ogólnego stanu zdrowia pacjentki, stopnia zaawansowania klinicznego nowotworu, wieku ciążowego oraz postulatów samej pacjentki i jej najbliższych.W niniejszej pracy, posługując się metodą analizy piśmiennictwa szczegółowo omówiono odmienności w procesie diagnostyki i leczenia raka piersi u kobiet ciężarnych. Słowa kluczowe: rak piersi, ciąża, diagnostyka, leczenie Breast cancer during pregnancy - differences in diagnostic and treatment procedures Abstract Introduction: Breast cancer during pregnancy is relatively rare. There has been an increasing trend for young women to delay childbearing for the last ten years. Presently the average age of first-time mothers is 30. Age is one of the factors increasing the risk of breast cancer. The defined clinical situation will appear more often considering the fact that women delay their motherhood where as the average age of breast cancer decreases. Objective: The purpose of this article is to present different diagnostic and treatment procedures of breast cancer diagnosed during pregnancy. Main text: The analysis of epidemiological data points the fact breast cancer is the most often appearing one in pregnant women. The fact that physiological changes in females during pregnancy first weeks may mask cancer is particularly dangerous and may essentially delay diagnostic procedures. Cancer diagnosed during pregnancy is always a traumatic and stressful situation for a woman and her family that is why its diagnostic and treatment procedures are considerably individualized whereas the maximum terapeutical effect with the protection of an unbornchild is the priority of activities. Summary: Therapeutic decisions are made after a review of a health condition of a patient, the extent of spread of cancer, gestational age and demands of the patient and her family. In the article, undertaking a literature review, alternative breast cancer diagnostic and treatment procedures during pregnancy were discussed in details. Key words: brest cancer, pregnancy, diagnostics procedures, treatment

Pudło Hanna, Respondek Malwina. Programowanie żywieniowe - wpływ odżywiania kobiet w ciąży na zdrowie dziecka = Nutritional programming - the impact of nutrition of pregnant women on the health of their children. Journal of Education, Health and Sport. 2016;6(7):589-600. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.59761 http://ojs.ukw.edu.pl/index.php/johs/article/view/3733 https://pbn.nauka.gov.pl/sedno-webapp/works/741379 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.07.2016. Revised 25.07.2016. Accepted: 28.07.2016. Programowanie żywieniowe - wpływ odżywiania kobiet w ciąży na zdrowie dziecka Nutritional programming - the impact of nutrition of pregnant women on the health of their children Hanna Pudło1, Malwina Respondek1 1 Katedra Dietetyki, Wydział Zdrowia Publicznego w Bytomiu, Śląski Uniwersytet Medycznego w Katowicach 1 Department of Dietetics, School of Public Health, Medical University of Silesia in Katowice Słowa kluczowe: ciąża, dieta, programowanie żywieniowe, hipoteza Barkera, przewlekłe choroby niezakaźne. Programowanie żywieniowe to istotna zależność między odżywianiem się kobiet w ciąży, a jakością życia dziecka w przyszłości. Nieprawidłowy bilans energetyczny oraz ilość składników odżywczych w całodziennej racji pokarmowej mogą znacząco wpłynąć na rozwój płodu. Długofalowe badania epidemiologiczne potwierdzają występowanie tzw. “krytycznych okresów” w trakcie rozwoju wewnątrzmacicznego, w których żywienie odgrywa znaczącą rolę. David Barker jako pierwszy opisał zjawisko programowania metabolizmu płodu analizując związek między niską masą urodzeniową a występowaniem chorób sercowo-naczyniowych, insulinooporności, otyłości i cukrzycy typu 2 w wieku dorosłym. Aby wytłumaczyć tą zależność powstało kilka hipotez m.in. “oszczędnego fenotypu” (z ang. thrifty phenotype), która tłumaczy wpływ niedożywienia w okresie ciąży na występowanie zaburzeń funkcjonalnych i strukturalnych komórek beta wysp trzustkowych, nefronów oraz kardiomiocytów. Oporność na insulinę i zaburzenia tolerancji glukozy mogą być programowane podczas tzw. “ratowania płodu” (z ang. fetal salvage). Długotrwały niedobór energii i składników odżywczych prowadzi do zmian adaptacyjnych, które mają na celu dostarczenie glukozy do mózgu kosztem innych organów. Niska masa urodzeniowa postnatalnie doprowadza do wzrastania kompensacyjnego w pierwszych dwóch latach życia, co tłumaczy hipoteza „dogonić wzrost” (z ang. catch-up growth). Natomiast niedobór kwasu foliowego zwiększa ryzyko występowania wad cewy nerwowej u dziecka. Dobrze zbilansowana dieta kobiety ciężarnej może zmniejszyć ryzyko rozwoju chorób i poprawić jakość życia dziecka. Wskazane jest opracowanie programów edukacyjnych na temat wpływu diety na rozwijający się płód. Key words: pregnancy, diet, nutritional programming, Barker hypothesis, chronic diseases. Nutritional programming is an important correlation between nutrition of pregnant women and the quality of children`s life in the future. Abnormal energy balance and amount of nutrients in the daily diet can significantly affect on the development of the fetus. Long-term epidemiological research confirm the occurrence of so called "critical periods" during intrauterine growth, in which nutrition has a significant role. David Barker as a first described the phenomenon of fetus' metabolic programming by analyzing the relationship between low birth weight and the presence of cardiovascular disease, insulin resistance, obesity and diabetes mellitus II in adult life. There are several hypotheses to explain this correlation. One of them is the hypothesis of thrifty phenotype, which explains the impact of malnutrition during pregnancy on the incidence of functional and structural disorders of pancreatic beta cells, cardiomyocytes and nephrons. Insulin resistance and disorders of glucose tolerance can be programmed during "fetal salvage". Long-term deficiency of energy and nutrients leads to adaptive changes that aim to provide glucose to the brain at the expense of other organs. Low birth weight postnatally leads to compensatory growing in the first two years of life, which explains the hypothesis of "catch-up growth". In addition, folic acid deficiency increases the risk of neural tube defects in the child. A well-balanced diet of a pregnant woman can reduce the risk of developing diseases and improve the quality of the child's life. It is indicated to prepare educational programs about the effects of diet on the developing fetus.

Urtnowska Katarzyna, Bułatowicz Irena, Ludwikowski Grzegorz, Zukow Walery. Bezpieczne formy aktywności fizycznej dla kobiet w ciąży = Secure forms of physical activity for pregnant women. Journal of Education, Health and Sport. 2016;6(5):291-297. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.51894 http://ojs.ukw.edu.pl/index.php/johs/article/view/3526 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 25.04.2016. Revised 10.05.2016. Accepted: 18.05.2016. Bezpieczne formy aktywności fizycznej dla kobiet w ciąży Secure forms of physical activity for pregnant women Katarzyna Urtnowska1, Irena Bułatowicz2, Grzegorz Ludwikowski3, Walery Zukow4 1Uczestnik studiów dokotranckich z zakresu Nauk o Zdrowiu; Zakład Medycyny Rozdrodu i Andrologii, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 2Katedra Fizjoterapii - Zakład Fizjoterapii Klinicznej, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 3Zakład Medycyny Rozdrodu i Andrologii, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 4Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy mgr Katarzyna Urtnowska1, dr n. med. Irena Bułatowicz2, dr hab. n. med. Grzegorz Ludwikowski3, dr hab. Walery Zukow4 1Uczestnik studiów dokotranckich z zakresu Nauk o Zdrowiu; Zakład Medycyny Rozdrodu i Andrologii, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 2Katedra Fizjoterapii - Zakład Fizjoterapii Klinicznej, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 3Zakład Medycyny Rozdrodu i Andrologii, Collegium Medicum im. L. Rydygiera w Bydgoszczy Uniwersytet Mikołaja Kopernika w Toruniu 4Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy Słowa kluczowe: ciąża, aktywność fizyczna, sport. Keywords: pregnancy, physical activity, sport. Streszczenie Kobieta spodziewać się dziecka w dzisiejszych czasach ma wiele możliwości podjęcia bezpiecznej formy aktywności fizycznej. Z odrobiną racjonalnego podejścia może kontynuować uprawianie ulubionego sportu, lub uczestniczyć w zajęciach przygotowanych specjalnie dla ciężarnych. Aktywność fizyczna uprawiana regularnie w trakcie ciąży jest kluczowym czynnikiem wpływającym na zdrowie i samopoczucie matki. Ćwiczenia wpływają korzystnie na stan zdrowia poprzez zmniejszenie dolegliwości bólowych kręgosłupa, ogólną poprawę lub brak pogorszenia sprawności fizycznej, zapobieganie nadmiernemu przyrostowi masy ciała i poprawę samopoczucia ciężarnej. Dodatkowym, a zarazem najważniejszym efektem jest zwiększenie wydolności fizycznej niezbędnej do porodu siłami natury i skrócenie czasu jego przebiegu oraz czasu regeneracji organizmu w połogu, a co za tym idzie, szybszy powrót do formy sprzed ciąży. Abstract A women expect a child a child today has a lot of possibilities for secure forms of physical activity. With a bit of rational approach may continue playing your favorite sport, or participate in activities prepared especially for pregnant women. Physical activity practiced regularly during pregnancy is a key factor in the health and well-being of the mother. Exercise influence on health status by reducing the pain of the spine, improve general or no deterioration of physical fitness, prevention of excessive weight gain and improving well being pregnant. Extra and, at the same time, the most important effect is to increase the physical capacity required for the labor forces of nature and shorten its course and recovery time of the organism in the postpartum period, and hence a faster return to pre-pregnancy form.

Manasova Gulsym, Zelinsky Alexandr, Derishov Sergei, Kuzmina Natalia. О влиянии перинатального инфицирования на кальций-фосфорный гомеостаз и структурное состояние костной ткани у беременных = About influence of the perinatal infection on calcium-phosphorus homeostasis and structural condition of bone tissue in pregnant women. Journal of Education, Health and Sport. 2016;6(4):271-280. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.50199 http://ojs.ukw.edu.pl/index.php/johs/article/view/3470 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.03.2016. Revised 17.04.2016. Accepted: 17.04.2016. УДК 618.33-022.7-06: 616.71-008.92 О ВЛИЯНИИ ПЕРИНАТАЛЬНОГО ИНФИЦИРОВАНИЯ НА КАЛЬЦИЙ-ФОСФОРНЫЙ ГОМЕОСТАЗ И СТРУКТУРНОЕ СОСТОЯНИЕ КОСТНОЙ ТКАНИ У БЕРЕМЕННЫХ 1Г. С. Манасова, 2А. А. Зелинский, 2С. В. Деришов, 3Н. В. Кузьмина 1Городской департамент здравоохранения, Одесса 2Одесский национальный медицинский университет 3КУ «Родильный дом №5», г. Одесса Реферат В статье представлены результаты исследования кальций-фосфорного гомеостаза у беременных с верифицированным перинатальным инфицированием (ВПИ) и остеопеническим синдромом. Материалы и методы. В динамике обследовано3 группы беременных: с ВПИ и клиническими и/или ультразвуковими проявленими инфекции (I-A – 192 пациентки), с ВПИ и без каких-либо проявлений инфекции (I-Б - 43); 128 здоровых женщин вошли в группу контроля (II). Содержание общего (Са) и ионизированного кальция (Са ++), фосфора в крови и экскреция Са с мочой определялись фотометрическим методом; состояние костной ткани – методом ультразвуковой денситометрии. Результаты исследования. Выявлено снижение концентрации общего и ионизированного кальция по мере увеличения срока беременности в основной ((1,89 ± 0,03) и (1,67 ± 0,05) ммоль/л) и контрольной ((2,41 ± 0,02) во 2-м, (2,16 ± 0,03)- в 3-ем триместрах (р < 0,001)) группах; у здорових женщин уровень кальция оставался в пределах физиологической концентрации, тогд как при ВПИ снижение его коцентрации было значительным со второго триместра. Изменения МПКТ у 9,78% беременных с ВПИ соответствовали остеопорозу уже при первичном обследовании, а у 71,91% - остеопеническому синдрому (ОПС). В группе контроля ОПС был выявлен только у 23,43% пациенток. Выводы. Концентрация кальция в крови по мере увеличения срока гестации характеризуется снижением и у здоровых беременных и у беременных с ВПИ; при инфицировании его уровень достоверно ниже. Вероятно, повышение потребности организма беременной в кальции при инфицировании не компенсируется физиологическими механизмами адаптации, характерными для здоровых женщин. Снижение МПКТ при ВПИ характеризуется более выраженными и более быстрыми темпами изменений по сравнению с аналогичными показателями в группе у здоровых беременных. Перинатальное инфицирование является одним из факторов риска развития остеопороза у беременных. Ключевые слова: беременность, костная ткань, кальций-фосфорный гомеостаз, инфицирование. About influence of the perinatal infection on calcium-phosphorus homeostasis and structural condition of bone tissue in pregnant women 1Gulsym Manasova, 2Alexandr Zelinsky, 2Sergei Derishov, 3Natalia Kuzmina 1Health Department of the City Council Odessa 2Odessa National Medical University, the Medical Faculty 3Communal Health Protection Institution “Maternity Hospital №5”, Odessa, Ukraine Аbstract The article presents the results of calcium-phosphorus homeostasis study in pregnant women with verified perinatal infection (VPI) and osteopenic syndrome. Materials and methods. 3 groups of pregnant women were examined in dynamics. There were 192 patients with VPI and clinical and/or ultrasound manifestations of infections (I-A), 43 patients had VPI without manifestations of infection (I-B); 128 healthy women constituted the control group (II). The content of general and ionized calcium, phosphorus in blood, and urinarium calcium excretion were defined by photometric method; bone tissue state was examined by ultrasound densitometry. Results. The reduction of total and ionized calcium concentration took place with increasing gestational age ((1,89 ± 0,03) and (1,67 ± 0,05) mmol / l) and control ((2,41 ± 0,02) in the 2nd, (2,16 ± 0,03) - in the 3rd trimester (p

Sergiyenko L. Yu., Yakovtsova I. I., Sokolova S. S., Postnikov V. A. Пассивное табакокурение и редуцированное питание беременных – факторы антенатального программирования отклонений сомато-полового развития и структурно-функциональных нарушений в щитовидной железе потомков = Passive smoking and the reduced feeding of pregnant - factors of antenatal programming deviations of somato-sexual development and the structural and functional disorders of the thyroid gland. Journal of Education, Health and Sport. 2016;6(2):64-76. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.45835 http://ojs.ukw.edu.pl/index.php/johs/article/view/3378 https://pbn.nauka.gov.pl/works/713297 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.01.2016. Revised 12.01.2016. Accepted: 31.01.2016. Пассивное табакокурение и редуцированное питание беременных – факторы антенатального программирования отклонений сомато-полового развития и структурно-функциональных нарушений в щитовидной железе потомков PASSIVE SMOKING AND THE REDUCED FEEDING OF PREGNANT - FACTORS OF ANTENATAL PROGRAMMING DEVIATIONS OF SOMATO-SEXUAL DEVELOPMENT AND THE STRUCTURAL AND FUNCTIONAL DISORDERS OF THE THYROID GLAND Л. Ю. Сергиенко 1, И. И. Яковцова 2, С. С. Соколова 1,2, А. В. Постников 3 L. Yu. Sergiyenko1, I. I. Yakovtsova2, S. S. Sokolova1,2, V. A. Postnikov3 1ГУ «Институт проблем эндокринной патологии им. .В. Я. Данилевского НАМН Украины», Харьков; 2 Харьковская академия последипломного образования, Харьков 3КУОЗ "Областная детская клиническая больница №1" 1 SI “V.Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine”, Kharkiv; 2 Kharkiv Medical Postgraduate Academy; 3Regional Children's Hospital №1 Ukraine, Kharkiv Abstract Today proved that the cause of many diseases are unfavorable conditions for the development of the fetus in the womb, caused by exposure to pregnant the toxicants of exogenous nature, which include nicotine, and a violation of its feeding. However, the literature does not answer the question - what is the impact of smoking on pregnant thyropathies development in the offspring. In an experimental model of the combined effects of passive smoking and to reduce energy intake food rats during pregnancy found that their descendants are characterized by a high percentage of deaths in the first months of life, delay physical and sexual development, and at 6 months of age, one-third of the children observed obesity. At the same time, in the offspring of mothers treated with cigarette smoke and having a reduced power during pregnancy, disturbed the dynamics and character formation histostructure and hormonal activity of the thyroid gland. This characteristic becomes microfollicular type of gland structure with hyperthyroidization during puberty, which is replaced by a hypothyroid state, destruction of the parenchyma, the appearance of lymphoid infiltration. Key words: smoking, pregnancy, thyroid gland, offspring. Реферат Сегодня доказано, что причиной многих заболеваний являются неблагоприятные условия развития плода в утробе матери, вызванные воздействием на беременную токсикантов экзогенной природы, к которым относятся никотин, и нарушением ее питания. Но в литературе нет ответа на вопрос - каково влияние курения беременных на развитие тиреопатий у потомков. На экспериментальной модели комбинированного воздействия пассивного курения и снижения калоража питания крыс в течение беременности установлено, что для их потомков характерны высокий процент гибели в первые месяцы жизни, задержка соматического и полового развития, а в 6-месячном возрасте у трети потомков наблюдается ожирение. Одновременно, у потомков матерей обработанных дымом сигарет и имеющих редуцированное питание при беременности, нарушается динамика и характер формирования гистоструктуры и гормональной активности щитовидных желез. При этом характерным становится микрофолликулярный тип строения железы с гипертиреоидизацией в перипубертатном периоде, которая сменяется гипотиреоидным состоянием, деструкцией паренхимы, появлением лимфоидной инфильтрации. Ключевые слова: табакокурение, беременность, щитовидные железы, потомки.

Manasova G. S., Zelinsky A. A., Kazarenko O. N., Globa C. C. Vitamin D - deficiency states: some aspects of influence to the course and outcome of pregnancy = Витамин D – дефицитное состояние: некоторые аспекты влияния на течение и исход беременности. Journal of Education, Health and Sport. 2015;5(7):507-520. ISSN 2391-8306. DOI 10.5281/zenodo.21538 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%287%29%3A507-520 https://pbn.nauka.gov.pl/works/595839 http://dx.doi.org/10.5281/zenodo.21538 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.06.2015. Revised 15.07.2015. Accepted: 25.07.2015. VITAMIN D - DEFICIENCY STATES: SOME ASPECTS OF INFLUENCE TO THE COURSE AND OUTCOME OF PREGNANCY ВИТАМИН D – ДЕФИЦИТНОЕ СОСТОЯНИЕ: НЕКОТОРЫЕ АСПЕКТЫ ВЛИЯНИЯ НА ТЕЧЕНИЕ И ИСХОД БЕРЕМЕННОСТИ G. S. Manasova, A. A. Zelinsky, O. N. Kazarenko, C. C. Globa Г. С. Манасова, А. А. Зелинский, О. Н. Казаренко, С. С. Глоба Odessa National medical university, Odessa, Ukraine; Communal Health Protection Institution “Maternity Hospital N 5”, Odessa, Ukraine Одесский национальный медицинский университет, г. Одесса, Украина; КУ «Родильный дом № 5», г. Одесса, Украина Summary. The article presents a review of literature on vitamin D-deficiency during pregnancy: preeclampsia, intrauterine growth retardation. Some aspects of vitamin D impact to a pregnant woman immune system, realization of intrauterine infection in the form of early neonatal sepsis; and the development of somatic pathology in children born from mothers with vitamin D-deficient status are discussed. Keywords: vitamin D- deficiency, pregnancy. Реферат. В статье представлен обзор литературы по проблемам витамин D-дефицитного статуса во время беременности: преэклампсии беременных, задержки внутриутробного развития плода. Представлены отдельные аспекты влияния витамина D на состояние иммунной системы беременной, на реализацию внутриутробного инфицирования в виде раннего неонатального сепсиса, а также развитие соматической патологии у детей, рожденных от матерей с витаминD-дефицитным статусом. Ключевые слова: витамин D- дефицит, беременность.

Urtnowska Katarzyna, Bułatowicz Irena, Radzimińska Agnieszka, Woźniak Magdalena, Wiśniewski Jacek, Zukow Walery. Fizjologiczne zmiany w układzie ruchu ciężarnej oraz związane z tym dolegliwości bólowe odcinka lędźwiowo - krzyżowego – badanie stopnia odczuwania bólu kręgosłupa w trakcie prawidłowo przebiegającej ciąży = Physiological changes in the locomotor system of a pregnant and related lumbar-sacral pain - examination of the degree of feeling back pain during properly running pregnancy. Journal of Education, Health and Sport. 2015;5(7):105-116. ISSN 2391-8306. DOI 10.5281/zenodo.19324 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%287%29%3A96-104 https://pbn.nauka.gov.pl/works/578814 http://dx.doi.org/10.5281/zenodo.19324 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2015. Revised 28.05.2015. Accepted: 30.06.2015. Fizjologiczne zmiany w układzie ruchu ciężarnej oraz związane z tym dolegliwości bólowe odcinka lędźwiowo - krzyżowego – badanie stopnia odczuwania bólu kręgosłupa w trakcie prawidłowo przebiegającej ciąży Physiological changes in the locomotor system of a pregnant and related lumbar-sacral pain - examination of the degree of feeling back pain during properly running pregnancy Katarzyna Urtnowska, Irena Bułatowicz1, Agnieszka Radzimińska1, Magdalena Woźniak2, Jacek Wiśniewski2, Walery Zukow3 1. Katedra Fizjoterapii Zakład Kinezyterapii i Masażu Leczniczego Collegium Medicum Uniwersytet Mikołaja Kopernika w Toruniu 2. Katedra Kosmetologii i Dermatologii Estetycznej Collegium Medicum Uniwersytet Mikołaja Kopernika w Toruniu 3. Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy Część I: Zmiany w układzie ruchu Part I: Changes in the locomotor system Słowa kluczowe: ciąża, układ ruchu, ból pleców. Streszczenie W trakcie ciąży w organizmie kobiety dochodzi do szeregu modyfikacji mających na celu zapewnienie miejscowych warunków do rozwoju i wzrastania płodu. Dzięki funkcji, początkowo ciałka żółtego, a następnie łożyska oraz szeregom zjawisk hormonalnych dochodzi do przekształceń w całym organizmie. Celem rozwoju płodu ciało kobiety musi ulec między innymi wielu mechanicznym zmianom adaptacyjnym, które obejmują układ ruchu: mięśniowo - więzadłowy i kostno - stawowy. W prawidłowo przebiegającej ciąży to właśnie one są najbardziej zauważalne i mimo, iż całkowicie prawidłowe, często dają objawy bólowe. Key words: pregnancy, musculo-skeletal system, low-back pain. Summary During pregnancy a woman's body passes through a series of anatomical changes, whose purpose is to ensure local conditions for the development and growth of the fetus. A number of modifications throughout the whole woman organism occurs thanks to initially corpus luteum, and then placenta, and a series of hormonal transitions. As to provide proper conditions for the development of the fetus, a woman’s body must go through a number of mechanical adaptive changes, which includes the changes of the motor system: ligament - muscular system and bone – joint system. In a properly running pregnancy this adjustments are the most noticeable and although completely correct, often produces symptoms of pain. Część II: Dolegliwości bólowe odcinka lędźwiowo - krzyżowego kręgosłupa w trakcie ciąży Part II: Aches and pains lumbar-sacral spine during pregnancy Słowa kluczowe: ciąża, układ ruchu, ból pleców. Streszczenie Wprowadzenie: Dolegliwości bólowe odcinka lędźwiowo - krzyżowego kręgosłupa, są bardzo istotnym problemem medycznym i występują u 45 - 56% kobiet w ciąży. Główną przyczyną bólu pleców u ciężarnych są dysfunkcje stawowe, więzadłowe i mięśniowo-powięziowe, powstałe na skutek zmiany statyki ciała spowodowanej nagłym i dużym przyrostem masy ciała zlokalizowanym w okolicy brzucha. Cel badania: Celem badania było wykazanie czy i w jakim stopniu u kobiet w ciąży występują dolegliwości bólowe odcinka lędźwiowo - krzyżowego kręgosłupa, oraz określenie czy istnieje zależność pomiędzy stopniem ich odczuwania, a wiekiem ciężarnej, zaawansowaniem ciąży i kolejnymi ciążami. Metody i materiały: W sondażu diagnostycznym udział wzięło 180 kobiet będących w ciąży, które udzieliły odpowiedzi na 30 pytań. Wyniki: Zdecydowana większość ciężarnych w mniejszym, lub większym stopniu odczuwała dolegliwości bólowe odcinka lędźwiowo - krzyżowego kręgosłupa. Odczuwalność bólu pleców wzrastała wraz ze stopniem zaawansowania ciąży, a dodatkowo stwierdzono, iż częściej doświadczały go młodsze panie niż starsze. Wnioski: Uzyskane wyniki potwierdzają, iż dolegliwości bólowe odcinka lędźwiowo – krzyżowego kręgosłupa są bardzo częstym problemem kobiet w ciąży Key words: pregnancy, musculo-skeletal system, low-back pain. Summary Indroduction: Lower back pain is a very important medical problem and occur in 45 - 56% of pregnant women. The main cause of pregnancy back pain are dysfunctions of joints, muscle and ligaments, resulting from changes in the posture, which is caused by a sudden and large increase of the body mass located mostly in the abdomen. Objective: The aim of the study was to determine whether and to what extent, pregnant women are suffering from low back pain, and to determine whether there is a correlation between the degree of the pain, and the age of the pregnant woman, pregnancy progresses and a number of pregnancies before. Materials and methods: A number of 180 pregnant women participated in a survey and responded to a number of 30 questions. Results: The vast majority of pregnant women more or less suffered from low back pain. Sensibility of back pain increased with the progress of the pregnancy, and additionally younger women experienced it more often than older ones. Conclusions: The results confirm that the lower back pain is a very common problem for women during pregnancy.

Szefczyk-Polowczyk Lucyna, Wengel-Woźny Karina, Respondek Malwina, Pudło Hanna. Opieka prenatalna nad matką dziecka niepełnosprawnego = Prenatal care for the mother of a disabled child. Journal of Education, Health and Sport. 2015;5(6):321-332. ISSN 2391-8306. DOI 10.5281/zenodo.18696 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%286%29%3A321-332 https://pbn.nauka.gov.pl/works/567330 http://dx.doi.org/10.5281/zenodo.18696 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2015. Revised 28.05.2015. Accepted: 16.06.2015. Opieka prenatalna nad matką dziecka niepełnosprawnego Prenatal care for the mother of a disabled child Lucyna Szefczyk-Polowczyk1, Karina Wengel-Woźny2, Malwina Respondek3, Hanna Pudło3 1 Śląski Uniwersytet Medyczny w Katowicach, Studium Doktoranckie Wydział Farmaceutyczny z Oddziałem Medycyny Laboratoryjnej w Sosnowcu, Polska 2 Śląski Uniwersytet Medyczny w Katowicach, Studium Doktoranckie Wydział Nauk o Zdrowiu w Katowicach, Polska 3 Śląski Uniwersytet Medyczny w Katowicach, Studium Doktoranckie Wydział Zdrowia Publicznego w Bytomiu, Polska 1 Medical University of Silesia, Ph.D. Department of Pharmacy with the Divisionof Laboratory Medicine in Sosnowiec, Poland 2 Medical University of Silesia, Ph.D. Department of Health Sciences in Katowice, Poland 3 Medical University of Silesia, Ph.D. Department of Public Health in Bytom, Poland Słowa kluczowe: badania prenatalne, matka, ciąża, niepełnosprawność. Key words: prenatal tests, mother, pregnancy, disability. Streszczenie Wprowadzenie i cel pracy: Dla większości rodziców wykonanie badań prenatalnych wiąże się z poczuciem bezpieczeństwa psychicznego związanego z prawidłowym przebiegiem ciąży. Diagnostyka prenatalna oferuje szerokie spektrum badań możliwych do przeprowadzenia na różnych etapach zaawansowania ciąży w celu wczesnego rozpoznania wad wrodzonych. Matka z rozpoznaną ciążą ryzyka powinna zostać objęta opieką specjalistyczną w ośrodku o najwyższym stopniu referencyjności, wówczas szanse na przeżycie, a nawet wyleczenie płodu wzrastają. Równie ważne jest zaspokojenie potrzeby informacji dotyczącej aspektów medycznych, ale także praktycznych możliwości uzyskania pomocy (psychologicznej, finansowej, dostępu do rehabilitacji itp.). Celem pracy była ocena istoty badań prenatalnych w diagnostyce niepełnosprawności dziecka oraz ocena dostępności do wsparcia psychologicznego i merytorycznego dla matek po otrzymaniu diagnozy. Materiał i metodyka: Badanie zostało przeprowadzone w pierwszym kwartale 2015 roku wśród matek dzieci niepełnosprawnych. Metodą badawczą w niniejszej pracy był sondaż, techniką badawczą-ankieta. Autorskim anonimowym kwestionariuszem ankiety objęto grupę 60 osób. Wyniki: Większość badanych kobiet przyznała, że ciąża była planowana. Niepokój budzi fakt, iż po otrzymaniu diagnozy znacznej grupie kobiet nie udzielono jakiegokolwiek wsparcia psychologicznego oraz nie poinformowano gdzie po porodzie można szukać pomocy związanej z leczeniem oraz rehabilitacją dziecka. Wnioski: W większości przypadków diagnoza o chorobie dziecka uzyskana podczas badania prenatalnego miała wpływ na dalszy przebieg ciąży. Ankietowane kobiety przyznają, iż nie uzyskały wystarczającego/bądź żadnego wsparcia psychologicznego oraz merytorycznego ze strony personelu medycznego. Abstract Introduction and objectives: For most parents perform prenatal diagnosis is associated with a sense of psychological security associated with normal pregnancy outcome. Prenatal diagnosis offers a wide range of research that can be carried out at various stages of pregnancy to early diagnosis of congenital malformations. Mother diagnosed with the risk of pregnancy should be included in specialist care at the resort with the highest degree of referentiality, then the chances of survival and even cure the fetus grow. Equally important it is to meet the need for information on medical aspects, but also the practical possibility of obtaining assistance. The aim of the study was to assess the substance of prenatal diagnosis of the child's disability and to assess the availability of psychological and informational support to mothers after receiving the diagnosis. Material and Methods: The study was conducted in the first quarter of 2015 years among mothers of children with disabilities. The research method in this study was a survey research-survey technique. Copyright anonymous questionnaire survey involved a group of 60 people. Results: The majority of women surveyed admitted that the pregnancy was planned. Concern is the fact that after receiving the diagnosis, a large group of women not given any psychological support and were not informed where postpartum, you can seek help related to the treatment and rehabilitation of the child. Conclusions: In most cases, the child's diagnosis of the disease was achieved in the antenatal have an impact on the further course of pregnancy. Women surveyed admitted that they had not obtained sufficient / or any substantial psychological support and medical staff from the.

Bozhuk O. Defining of medical and psychological assistance volume to women with physiological pregnancy. Journal of Education, Health and Sport. 2015;5(5):86-100. ISSN 2391-8306. DOI 10.5281/zenodo.17453 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%285%29%3A86-100 https://pbn.nauka.gov.pl/works/559169 http://dx.doi.org/10.5281/zenodo.17453 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.02.2015. Revised 27.04.2015. Accepted: 08.05.2015. Defining of medical and psychological assistance volume to women with physiological pregnancy O. Bozhuk National Medical University named after O. O. Bohomolets Department of General and Medical Psychology and Pedagogy Summary. Mother and prenate are in close symbiotic relationship, which manifests itself in the interaction at physiological and psychological levels of organisms’ functioning. Reflexive accepting yourself as a pregnant woman depends also on the the motives of conception, planed / not planed parenthood, social situation and level of psychological and social support. The aim of the research is to determine the volume and structure of medical and psychological assistance. The research was conducted in maternity hospital prenatal consultation centre of Chernihiv City Council and Municipal nonprofit company "Consultation and Diagnostic Center" of Golosiivsky district in Kyiv in 2010-2014. The research involved 185 pregnant women whose age ranged from 17 to 36 years old (group 1 μ = 25,5 ± 0,27, group 2 -μ = 24,8 ± 0,27). Women of group 1 show some fear of future childbirth, which applies to both the woman herself and the unborn child. The course of psychological education was developed for women of group 1, which included not only the educational part regarding the physiology of pregnancy and childbirth, postpartum, etc. but also the part aimed at reducing anxiety and overcoming identified fears. For the women of group 2 psychological influence is required in all researched spheres (personal, psycho-social, psycho-emotional and reproductive) if the fear of future birth is present and vivid. According to conducted research for women of group 2 there were found the next targets of psycho-therapeutic influence which have been taken into account when developing the course of psycho- correction: to normalize psycho-emotional state of the pregnant woman, to reduce anxiety level; to work with identified fears; to normalize emotional relation in the dyad "prenate - mother" and creating the triad "father-mother-prenate"; to normalize family relations and to construct optimal types of family systems; to harmonize personal traits of the pregnant woman. Based on the results of the study proved the need for medical and psychological support to women with physiological pregnancy. Keywords: pregnancy, psychoeducation, psycho-correction, psychotherapeutics target, reproductive motivation.

Halych S. R., Schurko D. M., Schurko M. I. Features of pregnancy and childbirth in women with congenital malformations of the fetus development. Journal of Education, Health and Sport. 2015;5(3):62-67. ISSN 2391-8306. DOI: 10.5281/zenodo.16211 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%283%29%3A62-67 https://pbn.nauka.gov.pl/works/547309 http://dx.doi.org/10.5281/zenodo.16211 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.01.2014. Revised 27.02.2015. Accepted: 12.03.2015. FEATURES OF PREGNANCY AND CHILDBIRTH IN WOMEN WITH CONGENITAL MALFORMATIONS OF THE FETUS DEVELOPMENT S. R. Halych, D. M. Schurko, M. I. Schurko Odessa National Medical University Key words: pregnancy, childbirth, women, congenital malformations, fetus development. Abstract There is a very high percentage (39.8%) of childbirth at the age of 30 years old and more. Pregnant patients with CMF are subjects to complications, including predominating placental dysfunction (46.7%), which manifested itself in the form of fetus’s development retardation (26.3%), hypamnion (13.5%) or a combination of fetus’s development retardation and hypamnion (6.9 %). Early preeclampsia (40%), threatened miscarriage (35%), hydramnios (19.03%), preeclampsia (25%), wrong position of the fetus and placenta (20%) are among other complications of pregnancy course. Parturient women who had fetal birth defects developed complications of childbirth, including a violation of the child’s state (fetal distress - 31%), and abnormal contractions (anomalies of labor activity - 18%; premature rupture of the amniotic membranes - 18%). The high frequency of operative delivery by cesarean section (47%) needs further careful analysis of the indications.

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