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Midwife´s comunity care requirement within the sphere of district Domažlice
HOJDOVÁ, Martina
The central subjects of midwifery are a woman and a fetus {--} a new-born child. The task of taking care of a woman and her child is to look after not only their physical health but also to look after them in sense of the psycho-social sphere. The care should be holistic, complex and individual, preserving its continuity. All this fulfils the midwife{\crq}s community care. Going from the theoretic world and also Czech materials we could suppose that midwife{\crq}s community care plays an important role in woman{\crq}s and child`s care. Practically however, midwives meet obstacles. The main aim of this thesis was to find out women{\crq}s interest in midwife{\crq}s community care within the district of Domažlice. The next aim was to find out the opinion of those women who made use of a midwife{\crq}s fieldwork. The further aim was to find out the opinion of the community midwives{\crq} requirement of this care and also the interest of gynaecologists-practitioners in cooperation with a midwife working in the field. For the processing of the problem given, both quantitative and qualitative research was used. Hypothesis 1 ``Women in the district of Domažlice are interested in midwife{\crq}s community care in pregnancy{\crq}q was affirmed. The women were mostly interested in antenatal preparation and pregnancy exercises. Hypothesis 2 ``Women in the district of Domažlice are interested in midwife community care after childbirth{\crq}q was affirmed. The interviewees were mostly interested in the visiting service, breast-feeding consultations. Hypothesis 3 ``Women in the district of Domažlice mention at least 3 specific spheres that they would use the care of a midwife in the field{\crq}q, was affirmed. Mostly they were interested in the visiting service, antenatal preparation and pregnancy exercises. The research question 1 ``Are the midwife{\crq}s community care services regarded as useful by the women who used it?{\crq}q was answered explicitly positively by all of the interviewees. The research question 2 ``Is the community care regarded as useful by midwives who have experience with it?{\crq}q Was answered positively by 5 out of 6 midwives. To the research question 3 ``What spheres of woman{\crq}s care do the gynaecologists-practitioners regard as a possibility of cooperation with a midwife in the field?{\crq}q The practitioners explicitly expressed themselves for psycho prophylaxis and pregnancy exercises. This thesis is intended for a further support of development of the community midwife{\crq}s care in the Czech Republic.

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4 Hojdová, Maria
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