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E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
Journal of Nursing and Health Studies
ISSN: 2574-2825
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Nursing Diagnosis & Midwifery 2018
Page 19
A
terrorist threat is a new challenge for midwives. The lack of research on
this topic represents a gap in the teaching of obstetrics and the scope of
knowledge unavailable to midwives. Authorizations under a midwife license
shall be extended in a manner enabling midwives to extend their knowledge
and awareness to develop the methods, expertise and confidence to provide
medical services to a pregnant, birthing or postpartum woman and her newborn
in precisely such a situation as acts of terrorism. Therefore, morally and ethically,
when living under a threat such as terrorism, a midwife should have the right and
the duty to order, prescribe and administer pharmacological agents that, on a
daily basis, are prescribed at the discretion of an OB/GYN specialist. Providing
obstetrical services in crisis situations must include the statutory extension of
authorizations for midwives to perform procedures such as peri-mortem and
post-mortem caesarean deliveries. A midwife must be prepared for a sudden
cardiac arrest and irreversible fatal injuries in a pregnant woman, and be prepared
to address the moral dilemma of saving a foetus living in a dead mother’s womb.
The best scheme to adopt is the 4+1 plan, in which after 4 minutes of intensive
CPR (cardiopulmonary resuscitation) to a pregnant woman, her child is extracted
within 1 minute. Terrorism in the modern world is not limited to sudden violence
with firearms, bombs, or suicide bombings causing immediate fatalities in
the immediate strike area and shock, fear, PTSD and depression in the victims,
their families and many other people. Bioterrorism is a more insidious form of
terrorism with a much larger striking distance if no effective treatment is applied.
It is possible, that without proper preparation, midwives and nurses providing
emergency and medical care during a terrorist attack may become victims of
such incident themselves and symptoms of negative effects resulting from the
traumatic impact on the mental and somatic health of midwives and nurses may
occur immediately or may be delayed, as was the case with WTC responders after
the attack in 2001.
Biography
Dariusz Wojciech Mazurkiewicz holds scientific degree of
Doctor of Medical Sciences in the Discipline of Medicine. He is
a Graduate of Medical University, Technical University and Life
Sciences University. He is educated and trained in the field of
Midwifery, Health Sciences, Mental Health, Life Sciences and
Hospital Care Investigation. He is a Member of: the American
Association for the Advancement of Science (AAAS); the
European Society for Traumatic Stress Studies; European
Psychiatric Association. He is a prolific author, as the articles
authored and published by him in peer-reviewed scientific
journals are raising i.e. the following his scientifically focused
vital issues: the neurobiology of addiction, sexual disorders
following Ob-Gyn surgeries, cybersex, child sexually abused,
the role of forensic sexology and an expert witness in the fight
against sexual crimes; the acceptance of homosexuality; the
impact of mass terrorist attack on the health of an expectant
mother and her foetus as well as the course of pregnancy and
delivery; mental health disorders in victims of World Trade
Center terrorist attack of September 11,2001. He is taking
an active role in international and domestic conferences as a
Keynote Speaker and is an Active Speaker.
DWMazurkiewicz@aol.comLimitations and risks in providing midwifery
healthcare in the event of a mass terrorist
attack
Dariusz Wojciech Mazurkiewicz
St. Mark's Place Institute for Mental Health, USA
Dariusz Wojciech Mazurkiewicz, J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-010