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Midwife care for a woman during lactation
KRYGLOVÁ, Aneta
The bachelor thesis deals with the midwife´s care of a woman during Lactation. It is divided into a theoretical part and a practical part. The theoretical part contains information about the anatomy of the breast, lactation, the composition of mother´s milk and its benefits, the principles of proper breastfeeding, difficulties and problems with breastfeeding, breastfeeding support, and finally the cessation of lactation. For the practical part of the bachelor thesis the main aim was to find out what problems women most often face during lactation. Three research questions were set out to detremine this aim. The first research question dealt with where women most often seek help in the event of a breastfeeding problem. The second research question investigates women´s experiences with midwife care in connection with lactation, and the third research question adressed what knowledge and information women lacked. The practical part of the bachelor thesis was done by a qulitative research investigation in the form of individual semi-structured interviews. The research group consisted of ten women who were breastfeeding and had finished their puerperium. All women gave verbal consent to the interview and to its recording on a dictaphone. The women also agreed to the subsequent processing of the information obtained. The research survey took place from February to April 2022. Interviews with women consisted of twenty main questions, which were supplemented by supplementary questions in order to obtain more detailed information. The interviews were subsequently transcribed and analyzed. For data evaluation main categories and subcategories were determined, which are described in the research part of the bachelor thesis. Three categories and fourteen subcategories were created. The results of this bachelor thesis can be used by professional seminars and as informational material for midwifes who, based on our results, can change their attitude towards women and education in the field of lactation.
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The importance of LATCH score in promoting effective breastfeeding
MATĚJKOVÁ, Radka
The LATCH score is a breastfeeding mapping system that supports effective breastfeeding, and it is used to predict the duration of exclusive breastfeeding at six weeks after delivery. Assessments, which begin in the delivery room and continue until the mother and newborn are discharged, are essential. The LATCH system serves as a systematic collection of information about breastfeeding. The rating scale assigns 0, 1 or 2 points to five key areas of breastfeeding. Every letter of the LATCH acronym indicates an area of assessment. With the LATCH scoring system the pediatric nurse can assess maternal and newborn variables, and can easily define areas for intervention and prioritize nursing care at maternity hospital. Our first goal was to reveal the importance of the LATCH score in promoting effective breastfeeding. The second goal was to reveal in which areas of breastfeeding techniques mothers most often make mistakes. The third aim was to describe in which areas of LATCH mothers need more education. And the last goal was to find out what are the specifics of nursing care for mothers and newborns with a low LATCH score.The practical part of the bachelor's thesis was processed using the method of qualitative research using direct observation and the method of questioning through a semi-structured interview. The research group consisted of ten mothers who, during the research period, were hospitalized after delivery in the department for physiological newborns. Mothers were directly observed during breastfeeding on the day after delivery and upon discharge from the hospital. LATCH scores were evaluated during observation. For mothers with a low LATCH score on the first day after delivery, the interventions provided to the mothers were further qualitatively evaluated and their effectiveness verified by the LATCH value at discharge. These mothers were contacted again in sixth week of the child's age, and through a short interview we verified, whether the mothers were still breastfeeding, what problems they had and what was the reason for stopping breastfeeding. The obtained data were qualitatively analyzed with the ATLAS.ti program. Based on the research investigation and the obtained analyzed data, it follows that the LATCH score is important in promoting effective breastfeeding. Nowadays, more and more women want to breastfeed as long as possible. During the analysis of the obtained data, we established three categories. The first category deals with the evaluation of the LATCH score at the first feeding after birth, here it is captured what affects breastfeeding in the first hours after birth by the mother, the newborn and the child's nurse. In the second category, we deal with the most common problems during breastfeeding and their solution by a pediatric nurse. The most common obstacle was the mutual position of the mother and the newborn and the correct latching and sucking of the newborn. The psychological and physical comfort of the mother is also closely related to breastfeeding. Nursing staff, i.e. children's nurses, educate the mother more in LATCH areas, where points are removed, and their goal is for the newborn to leave the maternity ward fully breastfed and for the mother to know everything about breastfeeding in the home environment. The last category is the progress of breastfeeding after six weeks after giving birth. We are interested in whether the mothers are still fully breastfeeding and whether they have had any complications.The results show that the LATCH score is a quick and simple tool for assessing breastfeeding after delivery, during hospitalization and before discharge. This breastfeeding assessment method serves pediatric nurses to effectively evaluate mother and newborn variables, define areas where intervention is needed and determine priorities in the provision of nursing care for the mother and newborn. The results of the research investigation can be used to improve the quality of nursing care...
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Breastfeeding issues of women using tobacco products
KUBÍNOVÁ, Magda
Introduction Breastfeeding is the most optimal and natural way to feed all newborns and infants. It brings many benefits to both mother and baby. Breast milk has an ideal ratio of sugars, fats and proteins, as well as vitamins, minerals and trace elements. Tobacco use should be taboo during lactation. Nicotine, together with other harmful substances, passes into breast milk and thus affects its composition and taste, and has a negative effect on the health of the breastfed baby. Objectives Four objectives were set for this thesis. O1: "Find out the level of awareness of the risks of using tobacco products while breastfeeding." O2: "Find out what problems are associated with smoking while breastfeeding." O3: "Find out what motivates mothers to continue smoking during breastfeeding. O4: "Create an educational material for mothers about the risks of smoking during breastfeeding." Methodology During the implementation of the research survey, a qualitative research survey was used in the form of in-depth interviews with mothers who have experience with smoking tobacco products during breastfeeding. The mothers' answers were recorded in writing and then transcribed into the Microsoft Word program. Subsequent coding and diagram creation was performed using the Atlas.ti program. The research group consisted of eight mothers. The snowball method was used. Results The research shows that smokers mothers knowledge of the risks and problems associated with the use of tobacco products during breastfeeding is unsifficient. Some mothers were unable to identify a single risk. Mothers reported restlessness, insomnia, and frequent crying as the most common problems with smoking while breastfeeding. The reason for continuing to smoke is better for mothers to manage stress, feelings of calm and relaxation, the desire to have a moment for themselves and the associated escape from reality, addiction and bad habit.
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Nutrition of infants and toddlers
SVOBODOVÁ, Sabina
The aim of my bachelor thesis is to theoretically summarize nutrition of infants and toddlers, and to compare natural infant nutrition and infant formula. Furthermore I want to determine the effect of natural infant nutrition and infant formula on children, the effect of breastfeeding until the end of the 6th month of infancy and the effect of breastfeeding for more than 6 months, and also to map the diet of breastfeeding mothers. I asked four research questions. What is the effect of replacing natural infant nutrition with infant formula on the baby? How does the length of breastfeeding affect a baby? How are mothers informed about their nutrition while breastfeeding and children nutrition? What kind of comlementary feeding for children do mothers choose? The research was conducted by 10 mothers and their children using questionnaires, case reports and interviews. The questionnaire contains 21 questions. To collect the answers I used both printed forms and data collection using Survio.cz. Afterwards I asked the interviewees to fill in their children's five-day diets. I obtained the resulting values of the diet using the Nutriservis profi application. The result of data collecting from the questionnaire was that nine of ten children were toddlers. Some of the contacted mothers, who had both infants and toddlers, answered the questions based on their older child diet. None of the mothers using infant nutrition mentioned that this nutrition had a negative effect on their babies. The values obtained from the diets resulted to be in line with the recommendations concerning infant and toddler nutrition.
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The physical characteristics of children aged 0-3 years in relation to the type of nutrition
MUŽÍKOVÁ, Markéta
This work aimed to collect written and electronic literature related to children under 3 years and comparison with the collected data set. Specific topics were: nutrition, vaccination, morbidity and various recommendations for this period. In the first part, a search of available domestic and foreign literature was carried out. Developmental information was collected for the toddler period. Attention was also focused on feeding children with breast milk, artificial nutrition, and the gradual introduction of all foods into the daily menu. The importance of some components of the menu was recalled. Furthermore, all mandatory vaccinations, the most common optional vaccinations, and diseases that young children often encounter were discussed in more detail. The second part was practical. The work was focused on collecting information from children's vaccination records and nutrition from their first year of life. The parents of the children were contacted directly. In some cases, information was given in the written form, more often by phone and video call. The collection was aimed at gathering information on babies born after the 38th week of pregnancy with a weight of 2,700 g or more. The study included 81 children, 44, boys and 37 girls. The age of the children at the time of data collection was between 3 and 7 years. All children completed mandatory vaccinations and a large proportion of them had also been vaccinated with some of the optional vaccines. There were more breastfed babies of both sexes. The average birth weight of breastfed girls was 3,377 g, and non-breastfed girls were 3,296 g. The average birth weight of breastfed boys was 3,488 g and of non-breastfed boys 3,305 g. The average body length at birth for breastfed girls was 50.5 cm and in non-breastfed girls and boys 49.7 cmd in breastfed boys was 50.3 cm. The selected measured data were then compared with data collected through the National Anthropological Research CAV 2001. This set was created from the values of 18,584 children aged up to 6 years.
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Effect of socioeconomic status on breastfeeding duration
Trpálková, Tereza ; Laštůvka, Zdeněk (advisor) ; Černý, Andrej (referee)
This Bachelor thesis is focused on the breastfeeding and its issues. This thesis includes theoretical and practical part. The aim of the theoretical part is to widen the educaion of the public and the valid information about breastfeeding. This part consists of the anatomy of breast and physiology of lactation, emphasizes the value of breastfeeding for mother, baby and the whole society and also the Agenda for Sustainable Development 2030 is mentioned. It also recommends the ideal nourishment of breastfeeding women, describes the rules and correct techniques of breastfeeding, specifies the ideal growth and progress of the baby. It decribes the main complications during breastfeeding and offers their solution. It offers also the alternatives of nourishment and rules for its uses. It shows the support of breastfeeding and sums up the results of foreign studies about socioeconomical status and its influence on the length of breastfeeding. The practical part follows the theoretical part and research the influence of socioeconomical status on ways and length of breastfeeding. The set hypothesis presumed that there will be no difference in the form of breastfeeding depending on the education of women in the period of 14th day, 1st month, 3rd month and 5th month of baby's life. With those set aims and...
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Effect of breastfeeding and early feeding on the development of articulation difficulties
Businská, Markéta ; Klenková, Jiřina (advisor) ; Horynová, Jana (referee)
The diploma thesis is on a special pedagogical topic with a specializatin on the field of speech therapy. In its theoretical part, it summarizes the findings on the development of speech in early and preschool children, also focuses on the connection between breastfeeding and other methods of feeding at an early age, the development of the orofacial system and the development of articulation of individual sounds. The practical part presents research of a qualitative nature. It contains information from interviews with mothers of children who have been diagnosed with dyslalia. Based on the grounded theory, the obtained information was processed and research conclusions were created. Key words dyslalia, orofacial system, breastfeeding, feeding, speech development, pacifier, grounded theory
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Effect of long-term breastfeeding on infant growth from birth to two years of age.
Bočková, Kateřina ; Bláha, Pavel (advisor) ; Krásničanová, Hana (referee)
Growth is sensible detector of long-term health condition of children. Observation of growth by means of growth charts are an important aid for practise of paediatricians. This work assesses an influence of long-term breastfeeding on growth of children from birth to 2 years of age and compares the growth of these children with the world study (MGRS) and Czech study (5./6. CAV). The basis for my study was formed from the set of children measured in Dr. Mottlova's office. It was detected, that long-term breastfeeding significantly influences the length and weight of children, when it interacts with age of children. Breast-fed children were smaller (0,6 cm, 1,1 cm, 0,9 cm) and lighter (250 g, 400 g, 210 g) then formula-fed children in 6th , 12th and 18th month of age. The comparison between our study, MGRS and 5./6. CAV proved, that the growth of children in our study is more similar to 5./6.CAV. Key words: growth, human milk, breastfeeding, growth standards, percentile charts.
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Breastfeeding support in the Czech health care system
Pavlová, Veronika ; Hrešanová, Ema (advisor) ; Kubečková, Olga (referee)
Abstact The diploma thesis is focused on forms and dimensions of breast-feeding support regarding different levels of women and child care in the health care system of the Czech Republic from the perspective of a woman, a mother, who is the health care recipient in the context of the legal framework of Czech legislation and relevant international documents. The findings are based on empirical research results gained from ten semi-structured in-depth interviews. Ten individual research participants gave birth in the same medical institution with the title Baby Friendly Hospital during the last three years, which is the unifying element of the participants. The perspective of a woman, based on a thematic analysis of interviews , shows a lot of perceived dimensions of the provided health care. This work identifies the most obvious women themes: their perception of breastfeeding in pregnancy, importance of breastfeeding for woman, the mother's contact with the baby after the childbirth, medical staff attitude and quality of provided care, aspects of pediatric care and support of breast-feeding out of the health care system. These themes are part of an extensive, historically based conception of health care provided in the Czech Republic, which includes a model of the relationship between a physician (medical...
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