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Actual genuine realization of 10 steps to successful breast-feeding in hospital and terrain
KREZLOVÁ, Lucie
Breast milk is one of the most precious gift that can mother give to her child. Therefore the mother's best choice is to breast-feed her child. It is very important to properly instruct the mothers to understand all advantages of breast-feeding and it's correct technique. Such a comprehensive information can be communicated only through precise methodical guidance during prenatal and postnatal period. The birth assistant represents significantly this field of activity for his/her imminent contact with mothers. He/she takes care of mother's and child's needs and realizes this care via nursing process. The thesis is focused on methodical recommendations which should support breast-feeding of carried to term newborns. First target of this thesis was to ascertain if the 10 steps to successful breast-feeding are implemented in the hospitals. Second target was to find out if the mothers are enabled to breast-feed their childern for the first time within an hour from delivery. Third target was to find out if the 10 steps for successful breast-feeding are also implemented in field. Fourth target was to find out how is the field education of mothers, concerning the 10 steps to successful breast-feeding, provided. There were following hypothesis determined: H1 - Genuine implementaiton of 10 steps for successful breast-feeding in hospitals corresponds with methodical recommendation as per WHO/UNICEF. H2 - Mothers are enabled to breast-feed their childern for the first time within an hour from delivery. Both theories have been confirmed through research.There were also asked following research questions:VO1 - Does the genuine implementation of 10 steps to successful breast-feeding in field correspond with methodical recommendations as per WHO/UNICEF? VO2 - What is the mother's opinion of implementation of 10 steps to successful breast-feeding in field? The quantitative research part was processed via questionnaires focused on mothers after delivery during they stay at Gynaecological-Obstetrical clinic of College hospital in Pilsen. For qualitative research part of the thesis was chosen a structured field conversation with mothers who were 6 months after delivery. The results of the research show that the 10 steps to successful breast-feeding is implemented indeed both in hospital and field. Mothers are allowed to breast-feed their childern within an hour from delivery. If the first breast-feeding hadn't been performed until one hour from delivery, mothers have been adquately informed how to stimulate and maintan lactation. Respondents in field declared that they were educated by nurse and pediatrician. All respondents in field coincident with opinion that implementation of 10 steps to successful breast-feeding is on high level. Results of reasearch may be a benefit and motivation for work of nursing personell of puerperium ward and rooming. Results may contribute to increase the quality of nursering care of breast-feeding mothers and newborns. In field can be results of the research used to increase the quality of mothers's training in breast-feeding both in pregnancy counsellings and prenatal courses. On the basis of this thesis results will be composed simple comprehensive manual, leaflet or web page which can be at mother's disposal by their attending gynaecologist, outpatient's department of maternity hospital, puerperium ward or at home via internet.
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Relationship of breastfeeding and the incidence of breast CA
HALUZOVÁ, Jaroslava
The object of this study was to find out, what the by breast cancer affected women know about the protective effect of the breast-feeding, how long they were breast-feeding and whether they know the risk factors of the forming of this sickness. The further object was to find out which knowledge the puerperas have about the protective effect of the breast-feeding, how long they plan to breast-feed and when, from who and which information they obtain about the breast-feeding. On the basis of dialogues was found out that the women with breast cancer know very little about the protective effect of the breast-feeding. Most of them never obtained information from anybody, only some of them heard or read about the protective effect of the breast-feeding. The relationship between the breast-feeding and cancer occurrence was approved, as only one of the women breast fed for more than a year. There is a minimal knowledge of women about the risk factors. Generally, they showed three risk factors which means that the knowledge is deficient and that the education in field of precaution is necessary. In the second part of the research it was found out that the education about breast-feeding is insufficient in the maternity hospital. The hospital nurses provide information about the breast-feeding technique and the care about breasts only. The women obtained information about the protective effect of the breast-feeding at the antenatal courses, some of them from web sites or print media. The puerperas plan to breast-feed for 11.5 months on an average which shows a very positive attitude to the breast-feeding of the children.
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The care of the physiological newborn in the first weeks after the hospital discharge
FAJMONOVÁ, Stanislava
The bachelor´s work of the title ?The care of the physiological newborn in the first weeks after the hospital discharge?, i of a quality research nature. The work is divided into a theoretical and a practical part. In the theoretical part, the physiological newborn and the home care essentials are characterized. This work also deals with the preventive care of the newborn. The work further presents single stages of a child development from birth up to the age of one year. In the practitcal research focuses on finding out the level and availability of the community care for newborn babies, how mothers are informed about the home care and the level of satisfaction with different subjects providing care to newborn babies after the hospital discharge. The aim of the work was to anter the question about the level of the nursing care of a newborn baby and communication with parents from the side of medical staff within periods from the maternity hospital discharge to the age of six keks from the parents point of view. To process these problems and to find out the above mentioned aim, it was chosen a quality research investigation by means of a non-standardized interview with eight women. On the basis of the results werw answered these research questions. Are midwives and paediatric nurses in the community able to fill in the imaginations of parents concerning the care of their child while having a corresponding level of professional training? What are mothers priorities while communicating with the medical staff? Do midwives of paediatric nurses visit newborn babies in their home background? Are, according to the parents, a midwife ´s interventions in the care of a newborn baby qualified? The results and knowledge of this bachelor´s work may serve all workers in the community care as a valuable source of information about the wishes and feelings of mothers at the present time on one side, and about the professional level of the care on the other side. A part of the work is the Ten Commandments for workers in the community care of mother and a newborn baby.
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The Development of the Fundamental Body Measurements of Infants 0-6 old.
ANDRLOVÁ, Tereza
This diploma thesis is devoted to the development of body measurements of children 0 to 6 months old being exclusively breastfed until the age of four months and then breastfed with appropriate complementary food. The anthropometrical parameters were the body length, the body weight and the head circumference. The results are shown separately for girls and boys in tables and graphs. The data were compared to the previous surveys of the Czech children. Student's t-test and Z- score were used for comparison. Selected somatic and other characteristics obtained by a questionnaire were taken into the study. The Life Satisfaction Questionnaire was used to evaluate the welfare of primiparas. The breastfed children do not reach lower average values of body length and weight than children of the reference survey CAV, 2001 (Vignerová et al., 2005) and Bláha a kol., 2001 (Bláha et al., 2010) in general. Body lenght, body weight and head circumference of boys and girls until the age of one month positively correlates with the gestation age of an infant. Life satisfaction of primiparas is mostly influenced by financial situation, marriage, partnership and sexuality. Life satisfaction of primiparas from our survey correlates statistically significantly with their health and satisfaction with marriage and partnership. The collected somatic data of infants could be used as a part of the standards for contemporary population of breastfed infants.
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The Development of the Basic Body Measurements of Infants 6-12 months old.
BÖHMOVÁ, Kateřina
The aim of this diploma is to study the development of basic body measurements of infants 6 to 12 months old being exclusively breastfed up to 4 months of age, with continued breastfeeding along with appropriate complementary foods up to one year of age or beyond. The monitored physical parameters were the body length, weight, and head circumference. The anthropometric data were collected according to a standardized (Martin-Saller?s) method or its modification. For statistical comparison sorting of the age categories according to the WHO recommendation was made. Our data were compared (t-test, Z-score) with the results of the previous surveys of Czech children. Comparison of results of our study and previous anthropological survey showed lower mean values of weight-height ratio in our file. The questionnaire of mothers? somatic and further characteristics was evaluated. The part of this study involves also the evaluation of Life Satisfaction Questionnaire of primiparous mothers. It has been found that general life content of primiparous mothers is influenced by positive assessment of financial situation particularly. Researched somatic data about children are a part of the national anthropological survey of the National Institute of Public Health (NIPH) in Prague. The collected data sets can serve as a tool to creating standards for the current population of breastfed children.
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