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Tytuł:
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Challenges for Midwives' Healthcare Practice in the Next Decade: COVID-19 - Global Climate Changes - Aging and Pregnancy - Gestational Alcohol Abuse.
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Autorzy:
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D'Angelo A; Department of Gynecology, Obstetrics and Urology, Sapienza University of Rome.
Ferraguti G; Department of Experimental Medicine, Sapienza University of Rome.
Petrella C; Institute of Biochemistry and Cell Biology, IBBC-CNR, Rome.
Greco A; Department of Sense Organs, Medical faculty, Sapienza University of Rome.
Ralli M; Department of Sense Organs, Medical faculty, Sapienza University of Rome.
Vitali M; ASUR Marche, AV4, Ancon.
Framarino Dei Malatesta M; Department of Gynecology, Obstetrics and Urology, Sapienza University of Rome.
Fiore M; Institute of Biochemistry and Cell Biology, IBBC-CNR, Rome.
Ceccanti M; Centro Riferimento Alcologico Regione Lazio, ASL Roma 1, Rome, Italy.
Messina MP; Department of Gynecology, Obstetrics and Urology, Sapienza University of Rome.
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Źródło:
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La Clinica terapeutica [Clin Ter] 2021 Jan-Feb; Vol. 171 (1), pp. e30-e36.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Original Publication: Roma : Societa Editrice Universo
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MeSH Terms:
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Alcohol Drinking*
COVID-19*/prevention & control
Health Education*
Maternal Age*
Midwifery*
Adolescent ; Climate Change ; Female ; Feminine Hygiene Products ; Humans ; Pregnancy ; Pregnancy Complications/prevention & control ; Pregnancy in Adolescence ; Professional Role ; Refuse Disposal ; SARS-CoV-2
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Contributed Indexing:
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Keywords: Covid-19; Disability; Fetal Alcohol Spectrum Disorders; Gestation; Mental Retardation; Pollution
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Entry Date(s):
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Date Created: 20201221 Date Completed: 20201228 Latest Revision: 20201228
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Update Code:
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20240105
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DOI:
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10.7417/CT.2021.2277
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PMID:
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33346323
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Midwives are multifaceted healthcare professionals whose competence spectrum includes a large variety of knowledge and skills going from antenatal care to education and research. The aim of this review is to suggest the future challenges midwives are going to face in the upcoming decade of this Century. COVID-19 and other infections will reasonably impact healthcare workers all over the world. Midwives are frontline healthcare professionals who are constantly at risk of contagion as their job implies close contact with women, physical support and hand touch. Also, menstruation waste plays a large role in the pollution of waters, severely impacting hygiene in the developing countries and fueling climate change. Appropriate disposal of used menstrual material is still insufficient in many countries of the world especially because of lack of sanitary education on girls. As educators, midwives will be more involved into preventing inappropriate disposal of menstrual hygiene devices by educating girls around the world about the green alternatives to the commercial ones. Despite the evidences about the fertility decrement that occurs with aging, women keep postponing reproduction and increasing their chance being childless or suffering complications related to the advanced maternal age. Teen pregnancies are as well an important issue for midwives who will be called to face more age-related issues and use a tailored case to case approach, enhancing their family planning skills. Another crucial role of midwifery regards the information about the risk of drinking alcohol during gestation. Alcohol assumption during pregnancy is responsible for serious damage to the fetus causing a wide range of pathological conditions related to Fetal Alcoholic Spectrum Disorder, leading cause of mental retardation in children of western countries. On the whole, midwives have demonstrated their willingness to expand their practice through continuing professional development, and through specialist and advanced roles especially in preventive and educational positions.