SOCIAL ENVIRONMENT AND SOCIAL DETERMINANTS AFFECTING PREGNANCY TODAY
/SOCIÁLNE PROSTREDIE A SOCIÁLNE DETERMINANTY OVPLYVŇUJÚCE TEHOTENSTVO V SÚČASNOSTI/

Maria SOROCINOVA

daily shift manager, Gynecology and obstetric department, Hospital with Polyclinic of Štefan Kukura in Michalovce a.s. (Svet zdravia a.s. Nemocnica Michalovce), Špitálska 2, 071 01 Michalovce, Slovakia, maria.sorocinova@svetzdravia.com

Abstract

What causes women to postpone pregnancy? What influences their decision? Company formation, change in behavior, habits, and lifestyles is so fast that satisfying individual needs is a very challenging process. The list of needs and values is individual and constantly changing. We play for people who live in the surrounding countries, but our environment, health care, the economic situation is diametrically different. Why do we so much like to look alien? Why can not we be happy with ourselves? What forces us to suddenly overcome our needs and turn them over? The phenomenon of a perfect life-style template today greatly affects the pregnancy of women, which is gradually shifting to a higher age.

Keywords

Woman, pregnancy, social determinant, social environment, life-style, marriage

SUMMARY

We have reached a time when we begin to notice our own health when the warning finger is already raised. We postpone pregnancy for various reasons, and when the time comes for the child, we find that we are not doing well and we are surprised. We do not follow our body's warning signals, and at the same time, a long-neglected little problem becomes a problem that complicates us from making a child, getting a child or dealing with the huge life change that occurs when a child is born. We live in a world where we all have to be perfect and the same, there is no longer an exception. Especially women are under the pressure of society: diets, fitness centers, cosmetics and hairdressers. We do everything we can to be template-based. Marriage or cohabitation? Pregnancy or Career? These are the dilemmas of young people today. Finally, we would like to draw our attention to studies over the past 30 years, where repeated pregnancy complications over 35 years and over are reaffirmed. This phenomenon has evolved substantially rapidly and our society, our environment, health care at both prenatal and postnatal times is not at all adapted to the demands of these women. We lack doctors specializing in pregnant women. For example, an internal medicine physician deals with clients with health problems in this area, but a pregnant woman with such a problem is different and needs specific care. Misinformation is being reported, clients are confused and causes mistrust in healthcare professionals. We would recommend creating a certain educational network in healthcare facilities, the same for all hospitals, and also for specific situations. The benefit for healthcare facilities would be a clinical psychologist or psychological counselor or consultant who would be fully available to the needs of healthcare facility clients. We would recommend the establishment and development of support groups in health care facilities, where clients could also come after hospitalization and could consult experts and other women with similar experiences. For example, a telephone hotline available to every client could raise people's awareness and distract from dubious information sources.

(Language: slovak)

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