@misc{Lisowska_Sylwia_Determinants_2023,
 author={Lisowska, Sylwia},
 address={Kraków},
 howpublished={online},
 year={2023},
 school={Rada Dyscypliny Nauki o zdrowiu},
 language={pol},
 abstract={Introduction: During childbirth, women have the option of deciding on methods to medicalize childbirth or forgoing them by choosing natural methods to manage labor pain. These decisions based on their experiences, expectations and feelings about childbirth. The course of childbirth is also related to the hormonal response, which affects the levels of hormones responsible for the course of uterine muscle contraction activity and hormone related to stress reaction. Objective: The aim of this study was to assess the involvement of women in labor in deciding of choosing methods of medicalization or forgoing medical interventions in the course of labor. Another objective was to determine the relationship between the decision-making to choose a method of medicalization of labor or not, and blood concentration of selected hormones affecting the course of labor and involved in stress reaction. Research methods. 107 patients of the Stefan Zeromski Specialist Hospital in Krakow were included in the study. Data were collected using a diagnostic survey-author survey questionnaire and with the help of standardized questionnaires: Beliefs about Pain Control Questionnaire (BPCQ), Generalized Self-Efficacy Scale (GSES), Visual-Analgesic Scale of Pain Assessment (VAS), and Author's Survey Questionnaire. Biochemical tests were also conducted - measurement of plasma concent},
 abstract={rations of selected hormones: cortisol, β- endorphin, oxytocin, and epinephrine. The medical records of the patients were also analyzed. Study results: Forty-seven first-born women participated in the study (of whom 36 persons chose medicalization methods and 11 opted out of them), and 60 multiparous women (of which 32 used labor medicalization and 28 respondents opted out of it). Antenatal education has no influence on the choice of labor medicalization (p=0.19), and likewise the sources of knowledge about childbirth (p>0.05). Women who chose methods of labor medicalization more often sought information about labor anesthesia (p=0.04), while respondents who chose natural childbirth more often sought knowledge about natural methods of pain management (74.4%) although this analysis showed no statistically significant differences. The respondents with more pregnancies (p=0.02) and deliveries (p=0.01) were significantly more likely to forgot the medicalization of labor. The analysis showed that subjects who opted out of labor medicalization had greater cervical dilation at the time of admission to the delivery room than parturients who received medicalization (p=0.0006). In the course of labor, oxytocin was used significantly more often in the studied group of multiparous women (p=0.03), than in the first-born women, who prefered epidural anesthesia (p=0.05). N},
 abstract={either the level of pain experienced, as measured by the VAS scale, nor self-efficacy (GSES), differed significantly among the study groups. In contrast, parturients who chose medicalization believed that pain complaints may have been influenced by random events (p=0.02). The analysis showed that there were no statistically significant differences in plasma levels of epinephrine, β-endorphin, cortisol and oxytocin between the study groups with labor medicalization and women and without without medical intervention (p>0.05). Conclusions: Methods of labor medicalization are abandoned more frequently by multiparous women. Those giving birth in the active phase of labor were more likely to forgo labor medicalization. The type of labor medicalization used differed between primiparous and multiparous women. Primiparous women were more likely to opt for labor analgesia, while multiparous women were more likely to use oxytocin. In contrast, there were no differences in hormone concentrations in subjects who chose methods of labor medicalization and those who opted out of it.},
 title={Determinants of decisions to medicalize physiological labor made by women in labour and the impact of these decisions on the course of labour},
 type={Praca doktorska},
 keywords={medicalization, childbirth, decision, hormones, oxytocin},
}