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Birth injuries and their impact on women
KROTKÁ, Eliška
The bachelor thesis is focused on the topic of birth injuries and their impact on women. The thesis includes a theoretical and practical part. The theoretical part of the bachelor thesis describes the types of birth injuries, the reasons for their occurrence and preventive methods. Attention is also given to the diagnosis and treatment of birth injuries and the care of a midwife for birth injuries during the six-week postpartum period. At the end of the theoretical part are summarized the most common impacts on women related to birth injuries. For the practical part of the bachelor thesis were established three objectives and four hypotheses. The first objective was to determine the most common problems women face in relation to third and fourth degree perineal tears. For this objective were determined two hypotheses. H1: Women with third and fourth degreee perineal tears have problems in their sex life. H2: More than 75% of women with third and fourth degree perineal tears experience unwanted gas leakage. The second objective of the bachelor thesis was to map out the role of a midwife in caring for birth injuries. One hypothesis was established for this objective: H3: The role of a midwife in caring for birth injuries involves educating women in this area. The purpose of the third objective was to determine women's awareness in caring for their birth injuries. For this objective was chosen one hypothesis: H4: Women obtain information regarding the care of birth injuries more from midwives than from doctor. The goals were achieved through quantitative research using online questionnaires. The questionnaire contained 18 questions: six closed questions, eleven semi-closed questions where multiple answers could be selected, including an "other" option, and one open-ended question. Statistical processing of all questionnaires was done in Microsoft Excel. The research sample consisted of 620 women who gave birth between March 2019 and January 2024, and who had third and fourth degree perineal tears or an episiotomy during childbirth. Out of the total of 620 respondents, birth injuries had an impact on 446 respondents, while 174 respondents did not experience any problems related to birth injuries. The research revealed that birth injuries (episiotomy and third and fourth degree perineal tears) had an impact on more than 70% of respondents. It was also found that almost 35% of respondents were not educated on the care of birth injuries during hospitalization. Out of the four hypotheses, hypotheses H1, H3 and H4 were confirmed, while hypothesis H2 was not confirmed.
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