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Midwife in the role of lactation consultant for women
ŽIROVNICKÁ, Tereza
This bachelor thesis explores the topic of the midwife in the role of lactation consultant for women. The thesis is divided into two parts - a theoretical part and a practical part. The theoretical part describes the postpartum period, the production of breast milk, the physiology of lactation, including the composition of breast milk and the benefits that breastfeeding brings to the woman and the baby. Furthermore, the complications associated with breastfeeding, their management and the role of the midwife in lactation counselling are described. The bachelor thesis also discusses lactation counselling in antenatal preparation and the education of lactation counsellors. Last but not least, the theoretical part describes breastfeeding technique, breastfeeding positions and the most commonly used breastfeeding aids. In the practical part of the bachelor thesis, the aim was to find out whether women who have a problem with breastfeeding seek care from a midwife involved in lactation counselling. The second aim was to find out how midwives provide lactation counselling to women. The qualitative research was conducted through semi-structured interviews. The research was conducted from February to March 2024 through telephone calls, video interviews or face-to-face meetings. The research sets were two. The first research set consisted of midwives involved in lactation counseling and the second research set consisted of women who were breastfeeding. The interviews with the informants were conducted on the basis of their consent and were completely anonymous. The collected data were transcribed and then analyzed using text coloring. The main categories and subcategories were established for data analysis and are described in the practical part of the bachelor thesis. For midwives, two main categories (Lactation Counsellor Profession, Lactation Counselling) were established based on the responses obtained, which include six sub-categories: (Lactation Counselling Education, Service Promotion, Most Frequently Addressed Breastfeeding Problems, Form of care provided, Access to Lactation Counselling and Resolution of Emergency Problems). For women, there are three main categories (Breastfeeding information, Starting breastfeeding and Breastfeeding complications). These categories are divided into eight subcategories (Women's information about breastfeeding before delivery, Interest in breastfeeding, First attachment, Education at the postpartum department, Lactation support, Lactation problems, Use of lactation consultant care, and Breastfeeding termination). The first research question looked at the most common issues that lead women to seek care from a midwife for lactation counselling. According to the responses, the most common reasons were feeding the baby with artificial milk and breast problems such as soreness, raga and difficulty attaching the baby to the breast. Informants also reported that women contact lactation counsellors because they need reassurance and a check on breastfeeding technique. The second research question explored how midwives provide lactation counselling. All informants visit women in their home environment to help them with breastfeeding, check correct breastfeeding technique and help women with any complications. Most of the informants noted that they also discuss breastfeeding issues with women in the antenatal or breastfeeding course, where they try to prepare women for breastfeeding.
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Art and Motherhood
Olivová, Kateřina ; Koubová,, Alice (referee) ; Kraĺovič,, Ján (referee) ; Klodová, Lenka (advisor)
The dissertation Art and Motherhood deals with the influence of motherhood on the experienced reality of women active in artistic practice - artists, theorists, curators and activists. Using feminist and artistic research methods, I collect and analyse the specific experiences of individual mothers. Capturing the breadth of possible views, perspectives and experiences that motherhood brings is essential to my research. I am not concerned in isolation instances of specific artistic realisations, but rather with the processes, environments and contexts of making, and the creative and life strategies employed in reconciling the personal and professional roles of individual women artists. The content of a series of thirty-five conducted interviews comprises the research material for the work, but is also the source for the practical component of the dissertation - the book Milk and Honey co-published by the wo-men and AVU publishing houses. The practice of two related community-based mothers' groups - Breastfeeding Guerillas and Mothers Artlovers is also examined. While Breastfeeding Guerrilla is a support group for mothers promoting and normalizing breastfeeding, Mothers Artlovers is a support group for parents in the arts. All of these research units set a community-based perspective on all research affecting the universal, multi-layered and inherently collective topic of motherhood.
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Education of first-time mothers about breastfeeding
Hallerová, Tereza ; Laštůvka, Zdeněk (advisor) ; Čiháková, Karolína (referee)
v angličtině The bachelor's thesis is devoted to the issue of breastfeeding. Specifically, it focuses on the education of first-time mothers about breastfeeding, which plays an irreplaceable role in the subsequent course of breastfeeding and the quality of nutrition of the breastfed child. The work is conceived as theoretical - practical. The aim of the theoretical part is to introduce the issue of breastfeeding. It introduces the anatomy of the female breast, the physiology of lactation and the composition of breast milk. It also describes the importance and benefits of breastfeeding, the correct breastfeeding technique and mentions common complications associated with breastfeeding and their solutions. Last but not least, it describes the role of the midwife in caring for a breastfeeding woman, the importance and forms of educating women about breastfeeding and points to the breastfeeding support system in the world. In the practical part, the aim is to map the interest of first-time mothers in lactation counseling services and to find out their satisfaction with the services provided. The research tries to find out whether and what effect the use of lactation counseling services has on the course and duration of breastfeeding. Furthermore, the research monitors when the women started lactation...
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Nutrition and Other Characteristics of Infants
NOVOTNÁ, Radka
The main goal of this bachelor thesis was a processing of research based on interesting literary and electronic sources which primarily deal with children's nutrition. Closely related topics include, for instance, disease rates or vaccination of children. Another aim of this thesis was to collect data through questionnaires followed by their comparison. This bachelor thesis consists of two parts - theoretical and empirical. The first part presents information acquired and processed from domestic and foreign literature. This thesis concerns the importance of breastfeeding, supplementary feeding or non-dairy formula feeding. It also focuses on the types of breast milk or breastfeeding with its positive and negative effects on an infant. In addition to the beforementioned topics, this thesis gives a detailed description of mandatory and most common optional vaccines, including a brief mention of disease rates of children. The empirical part of the thesis focuses on the evaluation of data collected by the questionnaire method. The beforehand formulated questionnaire is part of a larger project linked to the works of the following students: Markéta Mužíková, Tereza Šafránková and Kateřina Součková. The questionnaire for legal representatives of children was composed in an online form. Respondents' parents filled in the data predominantly from the Health and Vaccination Cards. Data from 110 respondents have been collected in total. Fifty-six respondents were girls and fifty-five boys. Afterwards, our selected data were compared with the CAV 2001 Nationwide Anthropological Survey. In the vaccination category, it was found that each individual had received all the mandatory vaccines given by law. Prevenar 13, among the non-mandatory vaccines, was the most frequently used vaccine in 39 cases out of 110 respondents. In the category of childhood morbidity rate, the following childhood diseases were examined - catarrh of the upper respiratory, allergy, eczema and acute otitis media. It was found that most of the non-breastfed children of our cohort were overall less ill than the breastfed children. This result is consistent with the research of the student Tereza Šafránková but is not in accordance with some professional publications, for example (Muntau, 2014) or (Nevoral et al., 2013). In the last part of the research, which concerned the body measurements of children up to one year of age, the results show that non-breastfed individuals are more likely to exceed breastfed children in average development. The basic body measurements of children from birth to 1 year were compared with the results of the CAV 2001 Nationwide Anthropological Survey (CAV, 2001). Statistically significant values were found for body weight of breastfed one-year-old boys (p=0.000), body length of six-month-old (p= 0.007) and one-year-old breastfed boys (p=0.001), chest girth at birth for girls (p= 0.001) and boys (p= 0.004), head girth at birth (p= 0.000) and at six months for breastfed boys (p= 0.003), and BMI at birth for non-breastfed girls (p= 0.002).
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The Impact of Maternity Protection on Exclusive Breastfeeding: a Case Study of Ghana
Tofoatsi, Laura ; Hejzlarová, Eva (advisor) ; Jusić, Mirna (referee)
This study examines the impact of maternity protection on exclusive breastfeeding (EBF) among corporate mothers in Greater Accra, Ghana. Using the Gendered Organizational Theory as the conceptual framework, the study sought to identify the prevailing rate of EBF among corporate mothers and to assess the impact of the availability of breastfeeding facilities at their workplaces and the work from home practice on mothers' decision to practice six months EBF. An exploratory and descriptive research design was adopted, and data were collected through quantitative approach. A survey questionnaire which included both closed-ended and open-ended questions was administered to 53 working mothers. The data were analyzed using descriptive and inferential statistics and thematic analysis. The study results indicate that the rate of exclusive breastfeeding among employed mothers is not high, as per the definition established by the WHO and UNICEF. The study also found that the availability of breastfeeding facilities at workplaces has a positive impact on mothers' decision to practice six months EBF, as it increases their convenience and reduces their stress levels. Additionally, the study found that the work from home practice positively influences mothers' decision to practice six months EBF, as it allows...
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The effect of age on selected prenatal outcomes and breastfeeding
Fontániová, Simona ; Lukšová, Markéta (advisor) ; Tomášková, Zuzana (referee)
: For my bachelor's thesis, I chose the topic Influence of age on selected prenatal outcomes and breastfeeding. The thesis contains a theoretical part and a practical part. In the theoretical part, I try to explain the difficulties associated with pregnancy. In the first chapter, I focused on high-risk pregnancy and childbirth. Subsequently, disorders of the duration of pregnancy, which include miscarriage, premature birth, ectopic pregnancy and post-term pregnancy. In the second chapter, I continue with the importance of breastfeeding and, at the same time, breastfeeding problems that can trouble the mother. In the third chapter, I deal with the classification of newborns and birth injuries. For my practical part of the research work, I chose a questionnaire that reached mothers of different age categories via the Internet. I believe that my bachelor's thesis will benefit all women who are not aware of difficulties in pregnancy at an older age. Based on research, I found that age plays an important role in a woman's life during pregnancy. A woman's age has a negative impact both on the ability to get pregnant and on the birth itself and subsequent breastfeeding. Keywords : Breastfeeding, high-risk pregnancy, advanced maternal age, pregnancy, labor, maternal outcomes, fetal outcomes, birth weight,...
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Midwife care for a woman during lactation
KRYGLOVÁ, Aneta
The bachelor thesis deals with the midwife´s care of a woman during Lactation. It is divided into a theoretical part and a practical part. The theoretical part contains information about the anatomy of the breast, lactation, the composition of mother´s milk and its benefits, the principles of proper breastfeeding, difficulties and problems with breastfeeding, breastfeeding support, and finally the cessation of lactation. For the practical part of the bachelor thesis the main aim was to find out what problems women most often face during lactation. Three research questions were set out to detremine this aim. The first research question dealt with where women most often seek help in the event of a breastfeeding problem. The second research question investigates women´s experiences with midwife care in connection with lactation, and the third research question adressed what knowledge and information women lacked. The practical part of the bachelor thesis was done by a qulitative research investigation in the form of individual semi-structured interviews. The research group consisted of ten women who were breastfeeding and had finished their puerperium. All women gave verbal consent to the interview and to its recording on a dictaphone. The women also agreed to the subsequent processing of the information obtained. The research survey took place from February to April 2022. Interviews with women consisted of twenty main questions, which were supplemented by supplementary questions in order to obtain more detailed information. The interviews were subsequently transcribed and analyzed. For data evaluation main categories and subcategories were determined, which are described in the research part of the bachelor thesis. Three categories and fourteen subcategories were created. The results of this bachelor thesis can be used by professional seminars and as informational material for midwifes who, based on our results, can change their attitude towards women and education in the field of lactation.
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The importance of LATCH score in promoting effective breastfeeding
MATĚJKOVÁ, Radka
The LATCH score is a breastfeeding mapping system that supports effective breastfeeding, and it is used to predict the duration of exclusive breastfeeding at six weeks after delivery. Assessments, which begin in the delivery room and continue until the mother and newborn are discharged, are essential. The LATCH system serves as a systematic collection of information about breastfeeding. The rating scale assigns 0, 1 or 2 points to five key areas of breastfeeding. Every letter of the LATCH acronym indicates an area of assessment. With the LATCH scoring system the pediatric nurse can assess maternal and newborn variables, and can easily define areas for intervention and prioritize nursing care at maternity hospital. Our first goal was to reveal the importance of the LATCH score in promoting effective breastfeeding. The second goal was to reveal in which areas of breastfeeding techniques mothers most often make mistakes. The third aim was to describe in which areas of LATCH mothers need more education. And the last goal was to find out what are the specifics of nursing care for mothers and newborns with a low LATCH score.The practical part of the bachelor's thesis was processed using the method of qualitative research using direct observation and the method of questioning through a semi-structured interview. The research group consisted of ten mothers who, during the research period, were hospitalized after delivery in the department for physiological newborns. Mothers were directly observed during breastfeeding on the day after delivery and upon discharge from the hospital. LATCH scores were evaluated during observation. For mothers with a low LATCH score on the first day after delivery, the interventions provided to the mothers were further qualitatively evaluated and their effectiveness verified by the LATCH value at discharge. These mothers were contacted again in sixth week of the child's age, and through a short interview we verified, whether the mothers were still breastfeeding, what problems they had and what was the reason for stopping breastfeeding. The obtained data were qualitatively analyzed with the ATLAS.ti program. Based on the research investigation and the obtained analyzed data, it follows that the LATCH score is important in promoting effective breastfeeding. Nowadays, more and more women want to breastfeed as long as possible. During the analysis of the obtained data, we established three categories. The first category deals with the evaluation of the LATCH score at the first feeding after birth, here it is captured what affects breastfeeding in the first hours after birth by the mother, the newborn and the child's nurse. In the second category, we deal with the most common problems during breastfeeding and their solution by a pediatric nurse. The most common obstacle was the mutual position of the mother and the newborn and the correct latching and sucking of the newborn. The psychological and physical comfort of the mother is also closely related to breastfeeding. Nursing staff, i.e. children's nurses, educate the mother more in LATCH areas, where points are removed, and their goal is for the newborn to leave the maternity ward fully breastfed and for the mother to know everything about breastfeeding in the home environment. The last category is the progress of breastfeeding after six weeks after giving birth. We are interested in whether the mothers are still fully breastfeeding and whether they have had any complications.The results show that the LATCH score is a quick and simple tool for assessing breastfeeding after delivery, during hospitalization and before discharge. This breastfeeding assessment method serves pediatric nurses to effectively evaluate mother and newborn variables, define areas where intervention is needed and determine priorities in the provision of nursing care for the mother and newborn. The results of the research investigation can be used to improve the quality of nursing care...
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Breastfeeding issues of women using tobacco products
KUBÍNOVÁ, Magda
Introduction Breastfeeding is the most optimal and natural way to feed all newborns and infants. It brings many benefits to both mother and baby. Breast milk has an ideal ratio of sugars, fats and proteins, as well as vitamins, minerals and trace elements. Tobacco use should be taboo during lactation. Nicotine, together with other harmful substances, passes into breast milk and thus affects its composition and taste, and has a negative effect on the health of the breastfed baby. Objectives Four objectives were set for this thesis. O1: "Find out the level of awareness of the risks of using tobacco products while breastfeeding." O2: "Find out what problems are associated with smoking while breastfeeding." O3: "Find out what motivates mothers to continue smoking during breastfeeding. O4: "Create an educational material for mothers about the risks of smoking during breastfeeding." Methodology During the implementation of the research survey, a qualitative research survey was used in the form of in-depth interviews with mothers who have experience with smoking tobacco products during breastfeeding. The mothers' answers were recorded in writing and then transcribed into the Microsoft Word program. Subsequent coding and diagram creation was performed using the Atlas.ti program. The research group consisted of eight mothers. The snowball method was used. Results The research shows that smokers mothers knowledge of the risks and problems associated with the use of tobacco products during breastfeeding is unsifficient. Some mothers were unable to identify a single risk. Mothers reported restlessness, insomnia, and frequent crying as the most common problems with smoking while breastfeeding. The reason for continuing to smoke is better for mothers to manage stress, feelings of calm and relaxation, the desire to have a moment for themselves and the associated escape from reality, addiction and bad habit.
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