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Intercountry adoptions from Uganda
DOLEŽALOVÁ, Miroslava
The thesis is devoted to the issue of interracial adoption, when Ugandan child lives in the Czech adoptive family. The aim is to focus on the ethical aspect of interracial adoptions. Attempts to find out whether this type of adoption is really in the best interests of the child. The first part of the thesis provides general background information about Uganda as a country of origin of children. Describes historical development and socio-economic situation of the country, the issue of HIV/AIDS and information about orphan and abandoned children. The second part describes the process of international adoption, both generally and on the part of both participating countries, namely Uganda and the Czech Republic. The third part deals with the ethical side of the adoption. Aim is to find out how the circumstances of the interracial adoption can affect the adoptive family and the future development of the child, how they cope with the racism and discrimination and questions about childs identity. This part is based on surveys, studies and interviews with adoptive parents and their adopted children.
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Possibilities of Alternative Deliveries in Delivery Theatre
DOLEŽALOVÁ, Miroslava
Abstract An alternative or natural childbirth works on an assumption that birth is fully natural physiological process possible to be managed by most of the mothers-to-be on their own. This work focused on four main tasks. The first one was to find out the most preferred ways of alternative childbirths during the first stage of labour among physiologically pregnant women. It was partially accomplished. The hypothesis was supported in the Hospital of České Budějovice, a.s., where mothers-to-be most often chose the method of hydrotherapy during the first stage of labour whereas mothers-to-be in the Hospital of Český Krumlov, a.s. most often chose breathing exercises and so disproved the hypothesis. The aim of the second task was to find out the most preferred ways of childbirth during the second stage of labour among physiologically pregnant women. It was fully accomplished. The hypothesis of delivery in a traditional position was supported in both hospitals, the Hospital of České Budějovice, a.s., and the Hospital of Český Krumlov, a.s. The third task was to find out the possibilities of alternative childbirths for physiologically pregnant women in surveyed hospitals. It was again fully accomplished in both hospitals, the Hospital of České Budějovice, a.s., and the Hospital of Český Krumlov, a.s. According to the research, the method offered most often was the hydrotherapy. The fourth task was to find out if an alternative management of the labour by medical staff is actively offered to physiologically pregnant women. It was fully accomplished again as the hypothesis was supported by both hospitals. The medical staff did provide an alternative management of labour. The research represented a quantitative method of data capture and used an anonymous questionnaire containing closed and semi-closed questions. Mothers after spontaneous childbirth were intended to answer that questionnaire, namely those in the puerperium department of the Hospital of České Budějovice, a.s., and the Hospital of Český Krumlov, a.s. The number of surveyors reached 109 women, i.e. 100%. According to the results of the survey, the level of medical care in researched hospitals is continuously developing, improving and optimizing in view of the modern alternative methods. The interest of mothers-to-be as well as their relatives in such methods is also continuously increasing. The maternity hospitals have to react flexibly to the increasing demand; they are renovating birthing rooms, equipping them with tools necessary to carry out alternative methods of birth and the attitude and skills of medical staff are improving. The effect is expressed by positive responses of mothers themselves who mostly declared the possibility to choose the same hospital when giving birth to their second child. Medical centres were recommended to keep the trend of growing number of alternative childbirths, renovating birthing rooms as well as other hospital departments simultaneously providing perfect, mostly individual care, particularly of midwives. It is surprising that a majority of women did not take part in childbirth classes even though the benefit of them had already been proven. Any other childbirth preparatory classes, e.g. gravid-yoga, oriental dancing, exercising or swimming, were not participated more. This work may also either contribute to the midwife-study or to the already graduated midwives interested in the development of alternative birthing methods.
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