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Home birth from a women's point of view
DVOŘÁKOVÁ, Kristýna
This bachelor's thesis deals with the view of women on births in the home environment and their own experiences with home births. The theoretical part characterizes the issue of home births by their advantages, disadvantages, complications, and most importantly, the role of the midwife during birth and in the period after birth in the home environment. Additionally, the thesis explains the legislative framework for home births in the legislative Czech Republic. The practical part of the bachelor thesis defines two goals. The first one was to find out what are the most common reasons for women's choice to give birth at home and the second goal was to find out how women prepared for this birth. The research investigation was carried out by qualitative research method. Moreover, the practical part of the bachelor's thesis uses qualitative research using semi-structured interviews with women who had at least one planned birth at home. The participants were obtained using the snowball sampling method. The interviews with the informants took place during February and March 2024. The interviews were recorded on a dictaphone, transcribed, and then analysed using the pencil and paper method. In total, 3 main categories and 15 subcategories were created. The research shows that several reasons influenced the decision of the informants to give birth at home. Those were mainly personal negative experiences of the informants with medical personnel, incorrect approach, and communication. Others mistrusted doctors or medical professionals. The informants also mentioned the importance of preserving the naturalness of childbirth without unnecessary interventions and respecting their wishes. It is also evident from the research that women did not prepare for childbirth any more than for childbirth in a maternity hospital. A large part of the informants prepared mainly by self-study about childbirth, and they searched for information on natural birth in professional literature and on the Internet. For almost all informants, it was essential to secure a community midwife. The informants also stated that during pregnancy, they visited their midwife for regular check-ups and consulted with her about their childbirth visions. The bachelor's thesis could be a practical resource for both the lay and the professional public, and the results could be presented at conferences for midwives.
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The possibilities of use of a psychologist in prenatal psychoprophylactic care
Sýkora, Jan ; Šulová, Lenka (advisor) ; Matoušová, Milada (referee)
The diploma thesis focuses on the possibilities of a psychologist in the process of psychoprophylactic care of the mother, or both expectant parents. The theoretical part is trying to define the term psychoprophylactic antenatal care and map the situation in terms of the important personalities in the field of antenatal psychoprophylactic care and in terms of its historical context. Furthermore, it attempts to define the tasks of antenatal psychoprophylactic care, introduce the structure of courses, and map the current situation in this field in the Czech Republic. The research project conducted examines the importance of the psychologist's role during the pregnancy of an expectant mother and in the field of the antenatal care for the foetus in a qualitative manner. It investigates both the needs and attitudes of pregnant women, especially in the third trimester, and experienced psychologists, concerned in the area by the selected method of the semi-structured interview.
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Specifics of emergencies in gynecology and obstetrics
PUPÍKOVÁ, Lenka
The bachelor thesis deals with the topic "Specifics of emergencies in gynecology and obstetrics". It concists of two parts, theoretical and practical. In theoretical part, we provide information on individual emergencies in gynecology and obstetrics. We deal at emergencies, how they manifest, what the risk factors may be and what treatment is in pre-hospital emergency care. In gynecological emergencies we discuss emergencies such as ectopic pregnancy, adnexal torsion, ovarian cyst rupture, endometriosis, ovarian hyperstimulation syndrome, pelvic inflammatory disease and pathological gynecological bleeding. In obstetrics we describe hypertensive conditions in pregnancy, preeclampsia, eclampsia, HELLP syndrome, abortive birth, breech birth, umbilical cord prolapse, placental abruption, placenta previa, amniotic fluid embolism, postpartum hemorrhage and cardiopulmonary resuscitation of pregnant women. In the practical part, we present information collected from interviews with paramedics. The information collected was analysed and divided into 11 categories. The goal of thesis was - 1. To map individual emergencies in gynecology and obstetrics. 2. To map the procedures of paramedics in gynecology and obstetrics emergencies. We believe that we have succeeded in meeting our goals. The results of the research can be used to create recommended procedures in gynecological and obstetrics emergencies.
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Midwifery of Period Called Pobelohorska Infanticide
Surá, Alexandra ; Říhová, Milada (advisor) ; Čechura, Jaroslav (referee) ; Pařízek, Antonín (referee)
I initially explored historic figures of European accoucheur of the 17. and 18. century. Beyond this I focused on a period called "Pobělohorská" in Czech countries. I summarized the health conditions of the population during this period, and described medical professions, midwifery and emergency Christening ceremonies. One chapter discusses partnerships and considers women who hid their pregnancy to avoid the prospect of caring for their children in the future. For this reason I present questions relating to how women hid their pregnancy during the Early Modern period. In the next chapter I discuss aspects of the process of giving birth, the locations where women gave birth and the moments thereafter. I present the circumstances of the death of the baby and the possible causes of death. The process of investigation of the scene, an assessment of the body and the search for the mother of the baby (as a potential murderer) are all considered. The assessment of the body was in the hands of the regional physiciusurgeon and a midwife. In my work I describe how the body was assessed, how they judged the maturity of the newborn baby and if the baby was born dead or alive. Further chapters explain the treatment of the umbilical cord, the inquisition of the witnesses and the suspect, and the next steps of...
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The Controversy about Childbirths outside Hospitals
Pultarová, Jana ; Haškovcová, Helena (advisor) ; Pinc, Zdeněk (referee) ; Jedličková, Anetta (referee)
1 ABSTRACT The issue of births outside a medical facility is currently a controversial topic between specialists as well as in the public sector. While the specialists concur in refusing home births, the society is divided. There are voices that refuse home births but there are also plenty of people who support the right of mothers to give birth outside of a medical facility. Very sensitive topic is the legal and ethical aspects of the protection of unborn children and the issue of a safely conducted delivery. In the last decades, the life value of an unborn child has been seen as an ethical problem. The right to life is one of the fundamental human rights, which is enshrined in the constitutional system of the Czech Republic and also in the international human rights conventions. Because there are different opinions regarding this issue, it is necessary to establish a view that is widely accepted so that legal standards can be approved provided that the opinions of minorities are being respected. The main objective of this presented dissertation was to ascertain why are people losing confidence in a doctor's role during delivery and what is the reason for some of the mothers being unsatisfied with current institutional system of obstetrics. On the basis of these factual findings, which emerged during the...
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Changing the image of maternity hospital in the system of maternity care in the Czech republic
Jeřábková, Julie ; Vrzáček, Petr (advisor) ; Kodyšová, Eliška (referee)
This theses deals with leading change in the specific organization, gynecologycal obstetrician department. The main aim of this theses is to evaluate leading of this change from the manager point of view and also to evaluate its sustainibility in the organization. I was focused on the research of the proces and execution of this specific change. It was the change from the clasiccal model of obsetrics to the respectfull model of obstetrics with using alternative methods and support of the natural birth. I used the qualitative research methods, patricipating observation. I created the summary of the proces of the change and underlined the found problematic parts from the field notes, interview and analysis of social networks. I managed to answer all asked questions and evaluate the process of change and its sustainability. At the end I offered a practical guide of the specific change as a tool for other organizactions. Key words: Obestetrics, maternity center, perinatal care, concepts of leading birth, opinion differences, healthcare management, management of change, image change.
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