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Puerperium from the perspective of physiotherapy
 Šimánková, Marie ; Ježková, Martina (advisor) ; Havlíčková, Michaela (referee)
This diploma thesis explores the ways in which physiotherapeutic procedures and concepts can be used to positively affect puerperium after a physiological childbirth. The beginning of the theoretical part describes the physiology of puerperium, lactation, women's psychological well- being during the postpartum period and postpartum complications. The main part of the thesis focuses on the application of physiotherapeutic methods and concepts during puerperium. The output of this part forms an information handout with exercises appropriate throughout puerperium. In the practical part of the thesis, a questionnaire survey of two groups of women at the end of puerperium took place to objectively evaluate the effect of the information handout. The aim was to find out whether women who are prepared for the puerperium and know how to use targeted exercises to support the regeneration of the body after childbirth experience a milder course of the puerperium, feel psychologically better and evaluate their breastfeeding effectiveness more positively. The experimental group (n = 32) received the information handout during pregnancy and used it in puerperium. The control group (n = 37) did not receive the handout. The standardized Edinburgh Postnatal Depression Scale questionnaire was used to assess the...
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Application of physiotherapeutic procedures in conducting physiological childbirth
 Šimánková, Marie ; Ježková, Martina (advisor) ; Havlíčková, Michaela (referee)
This bachelor thesis explores ways physiotherapeutic procedures and concepts can be used to effect the proceedings of physiologic childbirth. The beginning of the theoretical part describes anatomical structures relevant to pregnant women, the stages of labor, pain and pain medication. The thesis then deals with ways of influencing changes in the mother's body during pregnancy. With physiotherapeutic interventions we can achieve positive impact on the pregnant woman's body and her physical condition. Through these interventions the expectant mother is better prepared for labour. The topic of the main part of the thesis is the application physiotherapeutic methods and concepts during childbirth. The selected exercises and techniques to be used at each stage of labour can reduce labour pain and shorten the whole delivery process. The last chapter discusses exercise to be done during the puerperium. The practical part of the thesis contains a case report of an expectant mother, her kinesiological analysis in pregnancy and after the labour, description of her labour, a therapeutic plan and a description of her therapy sessions. The practical part also includes a questionnaire research of 51 women after vaginal delivery.
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