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Delivery injuries of women during vaginal delivery from midwife's point of view.
Fabiánová, Pavlína ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor thesis deals with the issue of birth injuries of woman during vaginal delivery. The aim of this thesis was to summarize the knowledge of anatomy of birth canal and the issue of birth injuries. The aim in practical part of the thesis was to find out how is the awareness of woman about this issue, which birth injuries are the most frequent or whether had the preparation of perineum impact to formation ofbirth injuries. Theoretical part briefly describes the anatomy of birth canal, this range is in my opinion sufficient for midwives. There are also described particular kinds of birth injuries and its treatment. Care about birth injuries in puerperium was also described in theoretical part. Particular kinds of prevention of perineum to delivery were also part of theoretical part. In practical part I worked with informations, that I gained from quantitative questionnaire, which was taking place in departements of puerperium in Gynekologicko- porodnická klinika 1. lékařské fakulty a Univerzity Karlovy v Praze. The research shows, that the most common delivery injury is episiotomy and rupture. The research did not confirm whether the preparation of perineum to delivery has an impact on the occurance of delivery injuries but these results are attributed to the nature of the department in...
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Education of Pregnant Women about Birth Process
Hanáková, Anežka ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor's thesis focuses on what pregnant women should be taught about a birth process by their midwives in antenatal classes and what important facts and skills make them mentally and physically sufficiently prepared for the birth process. It studies how well educated about the birth process after attending childbirth education classes selected group of pregnant women actually is. The primary aim of this bachelor's thesis was to describe and analyse efficiency of Czech antenatal classes in the field of preparedness for birth of selected group of pregnant women and to find out if these pregnant women were subsequently able to use their new skills during their birth process and if the given education was in their opinion sufficient and comprehensible. Thanks to this bachelor's thesis we have found out that the efficiency of education in the antenatal classes in the Czech Republic is not sufficient. The rate of well educated women is 75 %, the given education was in their opinion very well comprehensible and sufficient. However the ability to use the skills during their birth process wasn't satisfactory. Therefore we have arrived at a conclusion that antenatal classes lecturers should turn their attention to improvement of efficiency of the antenatal classes and educate pregnant women in a...
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Education of Pregnant Women about Birth Process
Hanáková, Anežka ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor's thesis focuses on what pregnant women should be taught about a birth process by their midwives in antenatal classes and what important facts and skills make them mentally and physically sufficiently prepared for the birth process. It studies how well educated about the birth process after attending childbirth education classes selected group of pregnant women actually is. The primary aim of this bachelor's thesis was to describe and analyse efficiency of Czech antenatal classes in the field of preparedness for birth of selected group of pregnant women and to find out if these pregnant women were subsequently able to use their new skills during their birth process and if the given education was in their opinion sufficient and comprehensible. Thanks to this bachelor's thesis we have found out that the efficiency of education in the antenatal classes in the Czech Republic is not sufficient. The rate of well educated women is 75 %, the given education was in their opinion very well comprehensible and sufficient. However the ability to use the skills during their birth process wasn't satisfactory. Therefore we have arrived at a conclusion that antenatal classes lecturers should turn their attention to improvement of efficiency of the antenatal classes and educate pregnant women in a...
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Use of homeopathy during pregnancy and childbirth
Oleksulinová, Eliška ; Jurigová, Gabriela (advisor) ; Tisová, Markéta (referee)
The aim of this thesis is to introduce basic facts about homeopathy, which is one of the most commonly used therapies among alternative treatments, and its use in obstetrics. The thesis is divided into a theoretical and a practical part. The theoretical part is an introduction to general homeopathy which is followed by an overview of the use of homeopathy during pregnancy, childbirth and during puerperium. Theoretical part focusing on homeopathy during pregnancy is divided into sections prezentant individual problems that may occur during this period, and describes the possibilities of homeopathic treatment. The subsequent part describes how homeopathy may help before childbirth and during childbirth. In the next chapter ways of possible uses of homeopathy during puerperium are outlined. The practical part of the thesis investigates opinios on the use of homeopathy in obstetrics by doctors and midwives who work at labor wards. A survey was made through an anonymous questionnaire. The analysis of the research data shows that the views on the use of homeopathy in obstetrics differ greatly between the midwife research group and the research group of doctors-obstetricians. It is clear from the research that the use of homeopathy in obstetrics is more supported by midwives then doctors. However,...
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Delivery injuries of women during vaginal delivery from midwife's point of view.
Fabiánová, Pavlína ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor thesis deals with the issue of birth injuries of woman during vaginal delivery. The aim of this thesis was to summarize the knowledge of anatomy of birth canal and the issue of birth injuries. The aim in practical part of the thesis was to find out how is the awareness of woman about this issue, which birth injuries are the most frequent or whether had the preparation of perineum impact to formation ofbirth injuries. Theoretical part briefly describes the anatomy of birth canal, this range is in my opinion sufficient for midwives. There are also described particular kinds of birth injuries and its treatment. Care about birth injuries in puerperium was also described in theoretical part. Particular kinds of prevention of perineum to delivery were also part of theoretical part. In practical part I worked with informations, that I gained from quantitative questionnaire, which was taking place in departements of puerperium in Gynekologicko- porodnická klinika 1. lékařské fakulty a Univerzity Karlovy v Praze. The research shows, that the most common delivery injury is episiotomy and rupture. The research did not confirm whether the preparation of perineum to delivery has an impact on the occurance of delivery injuries but these results are attributed to the nature of the department in...
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Sexual Life in Pregnancy
JURIGOVÁ, Gabriela
Abstract The public, often also medical professionals, live under the influence of widespread sexual myths and half-truths which substantially affect their attitudes towards sexuality. Sexuality in pregnancy is all the more encompassed with a lot of superstitions, myths, prejudices and fear. There is a lack of quality information and even professionals, physicians and midwives, often give partners inadequate recommendations. Essentially, pregnancy is a natural fulfillment of biological sense of sexual life. It affects a mental condition not only of a woman but both partners, and consequently influences their sexual life. The objective of this thesis was to determine the level of pregnant women´s knowledge about sexuality in pregnancy and to analyze sexual life in pregnancy. To meet the objective of the research, the quantitative research technique using anonymous questionnaires was applied. Three kinds of anonymous questionnaires were used: one was my own questionnaire focused on finding the level of pregnant women´s knowledge on sexuality in pregnancy. The second and third questionnaires were standardized questionnaires SFŽ ( Sexual Function of a Woman) and Erotic Stimuli Inventory (Hoon - Winoze) (Annex 1). Women were asked to fill in questionnaires both from the perspective of their current situation and from the perspective matching their experience prior to pregnancy. The research set were comprised of women in the third trimester of pregnancy attending the antenatal clinic of the obstetrics-gynaecological department of 1. LF UK (Medical Faculty of the Charles University) and VFN ( the General Faculty Hospital) in Prague. The data stated in the standardized questionnaires were assessed and thereby sexual life of women in the period before pregnancy and during pregnancy was analyzed, the research goal was met. In this thesis the following hypotheses were tested. Hypothesis 1 assuming that pregnant women do not have sufficient information about changes in sexual life during pregnancy and research has been confirmed. Although most women considered the level of their knowledge as sufficient, a proportion of women who want to be informed about the changes in sexual life during pregnancy is prominent. Most women want to be informed about changes in sexual life during pregnancy in an anonymous form. This finding confirms the hypothesis 2 assuming that pregnant women want to be informed about the possibilities of sexual satisfaction during pregnancy. Hypothesis 3 assuming that pregnant women are not satisfied with the level of information about sexuality in pregnancy provided in prenatal counseling has been confirmed. Low percentage of women receives information from a physician or a midwife and they themselves do not ask questions mostly because of shame. Communication about sexuality in our society is still taboo for both professionals and the general public. Hypothesis 4 assuming that the need for sexual intercourse is decreased in pregnancy has been confirmed by the survey. In pregnancy libido, the frequency of sexual intercourse, the need for contact and the ability to achieve orgasm are reduced. Responses to erotic stimuli are shifted to a lower degree of erotic excitement according to the results of the research. The results of the research carried out in the obstetric-gynaecological hospital have revealed the need to improve communication and the information supply provided by the medical staff members to pregnant women and their partners. It is necessary to consider the possibility of anonymous forms of providing information that is not affected by prejudices, attitudes, myths. An information booklet seems to be an appropriate resource. Women in pregnancy want more information and have the right to get it. This is where a midwife can play a significant role by giving professional advice and having open communication with a pregnant woman and her partner.
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