{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T20:02:04Z","timestamp":1760385724134},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"2","license":[{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2019,4,30]]},"abstract":"<jats:p>W artykule przedstawiono rekomendacje Polskiego Towarzystwa Psychiatrycznego dotycz\u0105ce post\u0119powania w przypadku utraty ci\u0105\u017cy oraz niepowodze\u0144 leczeniem niep\u0142odno\u015bci metod\u0105 in vitro. Z punktu widzenia psychologicznego utrata ci\u0105\u017cy lub \u015bmier\u0107 oko\u0142oporodowa jest jednym z najbardziej stresuj\u0105cych wydarze\u0144 \u017cyciowych cz\u0142owieka nios\u0105cych za sob\u0105 ryzyko wyst\u0105pienia zaburze\u0144 afektywnych, l\u0119kowych lub objaw\u00f3w zesp\u00f3\u0142 stresu pourazowego. Psychologowie, lekarze specjali\u015bci i pozosta\u0142y personel medyczny powinni zapewnia\u0107 opiek\u0119 zintegrowan\u0105 a jednocze\u015bnie zindywidualizowan\u0105, opart\u0105 na szacunku, empatii i kompetencji. Niezb\u0119dne etapy wsparcia kierowanego wobec pacjentki do\u015bwiadczaj\u0105cej utraty ci\u0105\u017cy obejmuj\u0105: 1) wyczerpuj\u0105ce wsparcie informacyjne ze strony lekarza prowadz\u0105cego dotycz\u0105ce stanu zdrowia, ewentualnych przyczyn \u015bmierci p\u0142odu, sposobu post\u0119powania oraz etap\u00f3w indukcji porodu obumar\u0142ego p\u0142odu\/ terminacji ci\u0105\u017cy\/zabiegu; 2) mo\u017cliwo\u015b\u0107 konsultacji psychologicznej na ka\u017cdym etapie oraz 3) wyczerpuj\u0105ce informacje na temat obowi\u0105zuj\u0105cego stanu prawnego (zabezpieczenia spo\u0142ecznego oraz prawa pracy). Kolejne niepowodzenia podczas zap\u0142odnienia in vitro mog\u0105 wywo\u0142ywa\u0107 emocjonalne konsekwencje podobne do tych, kt\u00f3re obserwuje si\u0119 po poronieniu. Frustracja trwaj\u0105ca zbyt d\u0142ugo mo\u017ce sprzyja\u0107 wyst\u0105pieniu objaw\u00f3w depresji i nasilaniu si\u0119 patologicznego l\u0119ku. Przedstawiono podstawowe rekomendacje dotycz\u0105ce psychoterapii i farmakoterapii w przypadku utraty ci\u0105\u017cy czy niepowodze\u0144 w leczeniu niep\u0142odno\u015bci metod\u0105 in vitro.<\/jats:p>","DOI":"10.12740\/pp\/104440","type":"journal-article","created":{"date-parts":[[2019,5,12]],"date-time":"2019-05-12T11:08:51Z","timestamp":1557659331000},"page":"277-292","source":"Crossref","is-referenced-by-count":4,"title":["Recommendations of the Polish Psychiatric Association for treatment of affective disorders in women of childbearing age. Part III: Approach to pregnancy loss and unsuccessful in vitro treatment of infertility"],"prefix":"10.12740","volume":"53","author":[{"given":"Joanna","family":"Rymaszewska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorota","family":"Szczesniak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wies\u0142aw","family":"Cuba\u0142a","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Ga\u0142ecki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janusz","family":"Rybakowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerzy","family":"Samochowiec","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agata","family":"Szulc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Dudek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2019,4,30]]},"container-title":["Psychiatria Polska"],"original-title":["Rekomendacje Polskiego Towarzystwa Psychiatrycznego dotycz\u0105ce leczenia zaburze\u0144 afektywnych u kobiet w wieku rozrodczym. Cz\u0119\u015b\u0107 III: Post\u0119powanie w wypadku utraty ci\u0105\u017cy oraz niepowodze\u0144 w leczeniu niep\u0142odno\u015bci metod\u0105 in vitro"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-104440-81534","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-104440-81534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T06:51:50Z","timestamp":1666075910000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Recommendations-of-the-Polish-Psychiatric-Association-for-treatment-of-affective,104440,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,30]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"alternative-id":["104440"],"URL":"https:\/\/doi.org\/10.12740\/pp\/104440","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"value":"0033-2674","type":"print"},{"value":"2391-5854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,30]]}}}