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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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Pelvic asymmetry in relation to the human reproduction
Kodytková, Aneta ; Brůžek, Jaroslav (advisor) ; Bigoni, Lucie (referee)
This diploma thesis deals primarily with the existence of the asymmetry of the bony pelvis and the sexual dimorphism of the asymmetry of the pelvic canal, which is caused by different reproductive functions of each of the sexes. Furthermore, the correlation or linear dependence of the external pelvic and pelvic canal dimensions was investigated. The study uses 3D pelvic models created in Avizo 7.1 from CT images of the recent French population. The material consists of 74 probands, of which 36 are males and 38 are females. The models were digitalized using Viewbox 4 software, in which 29 landmarks were applied to each pelvic model. These correspond to 24 dimensions divided into three groups: the size of the non-canal pelvis, the dimensions of the pelvic canal and the dimensions for calculating the correlation between the non-canal pelvis and the pelvic canal. The degree of asymmetry was evaluated using the formulas for the calculation of directorial (DA) and absolute (AA) asymmetry. Student's paired t-test was used for statistical analysis of asymmetry to determine asymmetry in previous studies. Gender differences were determined by the Mann-Whitney U test. At the same time, an analysis using the mixed model ANOVA was also performed, which in addition incorporates an intraobservation measurement...
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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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Pelvic asymmetry in relation to the human reproduction
Kodytková, Aneta ; Brůžek, Jaroslav (advisor) ; Bigoni, Lucie (referee)
This diploma thesis deals primarily with the existence of the asymmetry of the bony pelvis and the sexual dimorphism of the asymmetry of the pelvic canal, which is caused by different reproductive functions of each of the sexes. Furthermore, the correlation or linear dependence of the external pelvic and pelvic canal dimensions was investigated. The study uses 3D pelvic models created in Avizo 7.1 from CT images of the recent French population. The material consists of 74 probands, of which 36 are males and 38 are females. The models were digitalized using Viewbox 4 software, in which 29 landmarks were applied to each pelvic model. These correspond to 24 dimensions divided into three groups: the size of the non-canal pelvis, the dimensions of the pelvic canal and the dimensions for calculating the correlation between the non-canal pelvis and the pelvic canal. The degree of asymmetry was evaluated using the formulas for the calculation of directorial (DA) and absolute (AA) asymmetry. Student's paired t-test was used for statistical analysis of asymmetry to determine asymmetry in previous studies. Gender differences were determined by the Mann-Whitney U test. At the same time, an analysis using the mixed model ANOVA was also performed, which in addition incorporates an intraobservation measurement...
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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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Psychological aspects of people management with a focus on leadership styles
Kuntová, Anna ; Vrzáček, Petr (advisor) ; Furmaníková, Lada (referee)
This diploma thesis deals with the psychological aspects of management focusing on the styles of leadership at the gynecological-obstetric department, specifically at the maternity hospital. The aim is to find out what kind of leadership is used by the senior and station nurses. This thesis explores how they interpret the management grid GRID and how they perceive themselves in terms of how midwives perform. For this research were choosen two hospitals, public and joint-stock company. That is why the objective was also to compare the interviews with midwives regarding their motivation, satisfaction and conflict occurance. Therefore the information was received that touched upon these topics and presented the perception of the workers in obstetrician. The theoretical part introduces the psychological aspects of leadership, so that the reader goes through chapters focusing on manager personality, management, leadership, work environment, work teams, motivation, workplace conflicts, stress, burnout syndrome, etc.. The empirical part is presented as part of the qualitative research, which presents the way of senior and station nurses with the help of the inspiration by design of the case study. Further a case study at the state hospital and a case study at joint-stock company are being developed with...
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