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Physiotherapy during and after giving birth spontaneous way
Piklová, Lenka ; Aujezdská, Eva (advisor) ; Novotná, Klára (referee)
BACHELOR'S THESIS ABSTRACT Author: Bc. Lenka Piklová Supervisor: Mgr. Eva Aujezdská Title: Physiotherapy during and after giving birth spontaneous way Bachelor's thesis abstract: This bachelor's thesis deals with problems of childbirth and postpartum period of women and deviations of the musculoskeletal system occurring in connection with spontaneous childbirth and puerperium most frequently. It also deals with the possibilities of physiotherapy, which can be used to alleviate, eliminate or prevent these abnormalities. The aim of the paper is to provide a comprehensive overview of information, to describe the effect of physiotherapy on a woman's recovery after spontaneous childbirth and to compile an information booklet with therapeutic exercises. The thesis is divided into two parts. In the theoretical part, there is a description of the course and mechanism of spontaneous labour, including the anatomical structures that are most burdened by this process. Physiotherapy options suitable for obstetric care are also presented. More space is dedicated to the postpartum period and it offers a list of physiological and the most common pathological changes, including thrombophlebitis, thromboembolism, birth injuries, pelvic floor muscle dysfunction, diastasis of the abdominal muscles, weakening of the integrated...
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Influence of the war in Ukraine on delivery and postpartum adaptation of newborn babies of Ukrainian refugees
Jelínková, Johana ; Buslenko, Iuliia (advisor) ; Perebyinis, Daryna (referee)
This bachelor thesis is studying the influence of the war in Ukraine on the delivery and postpartum adaptation of newborn babies of Ukrainian refugees. Analysed factors are ways of giving birth, blood loss, perineal tears, and the Apgar score of newborn babies. This thesis is further divided into theoretical and practical parts. The theoretical part is dedicated to the anatomy of women`s pelvis, perineal muscles, physiological delivery, operative vaginal birth, caesarean section, newborn adaptation, transcultural nursing, and the war in Ukraine. The practical part is made as a research survey for which analytical collecting of data was used. The data used in the practical part is taken from NIS MEDEA at the Department of Obstetrics and Gynaecology of the 1st Faculty of Medicine and General University Hospital in Prague, Apolinářská 18, Prague 2. Given data was further processed into tables and charts. Key words: Refugee, caesarean section, newborn, operative vaginal birth, delivery, perineal tears
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The effect of epidural analgesia depending on the time of administration and female parity
Hanusová, Aneta ; Laštůvka, Zdeněk (advisor) ; Čiháková, Karolína (referee)
The bachelor thesis focuses on the issue of epidural analgesia as one of the most effective methods of labour pain control. The main aim of the bachelor thesis is to evaluate whether epidural analgesia is administered more frequently in primiparas or multiparas, and what is the frequency of epidural analgesia administration depending on the time of day at the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine of Charles University in Prague. The thesis contains theoretical and practical part. The theoretical part is devoted to the definition of physiological labour, description of labour times, labour pain and epidural analgesia, which includes anatomy of the spinal canal, indications, contraindications, drugs and technique of application. The practical part is the research part. It was carried out using analytical data collection from medical records and Medea hospital information system. The retrospective analysis was performed at the Gynaecology and Obstetrics Clinic of the 1st Medical Faculty of Charles University and the General University Hospital in Prague. Keywords: epidural analgesia, time of administration, time of day, parity, primipara, multipara, effect, delivery, pain control
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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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Evaluation of satisfaction with maternal and child care in a perinatology centre - cultural differences
Machová, Petra ; Vaisová, Veronika (advisor) ; Němcová, Alžběta (referee)
The bachelor thesis focuses on the evaluation of the quality of care provided in a perinatology centre from the perspective of women after childbirth. The aim of this study is to find out how satisfaction with the care provided varies according to the culture of the woman. The thesis consists of theoretical and practical parts. The theoretical part deals with the concept of perinatology centres, the quality and evaluation of the care provided, followed by the satisfaction of expectant mothers. Finally, the theoretical part includes a chapter on multicultural care, cultural minorities and multicultural communication. In my practical part I have processed the results of standardized questionnaires of the perinatology centre of the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine of the Charles University in Prague. The survey highlights the main indicators of satisfaction with the care provided and cross-cultural differences in the perception of the quality of care. Women of other nationalities were also included in the survey and were given questionnaires in their native language to highlight cross-cultural differences in satisfaction with the care provided. Key words: satisfaction, expectant mother, childbirth, care, perinatological centre, questionnaire, cultural differences
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Information of selected women in the reproducive period about the possibilities of family planning, pregnancy and childbirth in the selected region
Sojáková, Kateřina ; Hanušová, Jaroslava (advisor) ; Váchová, Alena (referee)
The thesis deals with the issues of family planning, pregnancy and birth. The theoretical subsections focus on family planning, contraception, birth and puerperium. The practical part of the thesis is a survey that was carried out among the women in a specific region who have not yet given birth. The main goal of thesis was to determine the awareness of women in the reproductive period about the options of family planning, pregnancy and childbirth. The most common sources of information concerning reproduction were investigated, as well as the awareness of the types of contraception that can cause temporary inability to conceive after discontinuation. Furthermore, the aim was to investigate whether the female respondents are well informed about prenatal examinations, childbirth and the puerperium. The results of the practical part show that the women are sufficiently informed about reproductive issues. A total of 61,5 % of female respondents were able to correctly answer the questions regarding their knowledge. School, family and internet were listed as the essential information resources by the respondents. On the contrary, most women are unaware that some types of contraception can cause temporary inability to become pregnant. Most women too were not informed about the possibility of undergoing a...
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Urinary Incontinence After Delivery
JANDOVÁ, Markéta
The bachelor thesis is focused on the topic of urinary incontinence in women after childbirth. The thesis is composed of a theoretical and practical part. The theoretical part of the bachelor thesis describes the anatomy and physiology of the urinary tract and micturition. Furthermore, attention is paid to urinary incontinence, its classification, risk factors, diagnosis, and incontinence aids. Finally, the treatment of urinary incontinence is briefly summarized. One goal was set for the practical part of the bachelor thesis. To determine the frequency of urinary incontinence in women who have had their last childbirth 2-15 years ago. Five hypotheses were formulated for this goal. H1: Women who suffered from obesity during childbirth (body mass index equal to or greater than 30.0) do not suffer from urinary incontinence after childbirth more often than women who did not suffer from obesity during childbirth. H2: Women who gave birth to a child with a birth weight over 3,500 g suffer from urinary incontinence more often than women who gave birth to a child with a birth weight under 3,500 g. H3: Women after vacuum extraction or forceps delivery do not suffer from urinary incontinence more often than women who did not give birth using these methods. H4: Women who had birth injuries do not suffer from urinary incontinence more often than women who did not have any injuries during childbirth. H5: Women who gave birth more than 8 years ago were less educated about urinary incontinence by the midwife than women who gave birth less than eight years ago. The goal was achieved through a quantitative research survey using their own online questionnaires. The questionnaire contained 21 questions. Sixteen questions were closed, three semi-closed questions where it was possible to mark more answers including "other:" and two open questions. Statistical processing of all questionnaires took place in Microsoft Excel. The research sample consisted of 393 women who gave birth to their last child more than two years ago and no more than fifteen years ago. Of the total of 393 respondents, 217 women reported experiencing urinary leakage and 176 women reported no urinary leakage. The research survey showed that more than half of the respondents, i.e. women 2-15 years after childbirth, experience urinary leakage. It was also found that women are very poorly educated about this issue by the midwife. Of the total of five hypotheses, only hypotheses H1, H3, and H4 were confirmed. Hypotheses H2 and H5 were not confirmed. No dependence was demonstrated for any of the hypotheses. It was found that the level of information was the same for women who gave birth less than eight years ago and for women who gave birth more than eight years ago, and it was very low.
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Birth Positions, Formerly and Today
ROBAUSCHOVÁ, Magdaléna Anna
This bachelor thesis focuses on comparing the used birthing positions in the past and present. The thesis is divided into two main parts, theoretical and practical. The theoretical part describes the evolution of obstetrics and the development of birthing positions used from prehistoric times to the present day. The physiological process of childbirth is briefly described, including the stages of labor. The thesis also includes a description of the role of a midwife during childbirth. Some alternative methods in obstetrics are also mentioned. The thesis also provides a more detailed description of the individual positions that can be used during childbirth. Two main goals were defined for the practical part. The first goal was to find out which positions women are interested in during childbirth today. The second goal was to compare the difference in the choice of positions during childbirth today compared to positions used in the past. A quantitative research survey was used to achieve the set goals through a self-constructed questionnaire, which was distributed in paper form. The questionnaire consisted of a total of 21 questions, of which 15 were closed, 2 were open, and 4 were semi-closed. Data processing, along with graphical and tabular evaluation, was subsequently performed using Microsoft Excel. The research sample was one and consisted of women who had given birth at least once in their life, but not by caesarean section. The respondents were then divided into three categories to compare their answers in a defined time frame. The first category consisted of women who gave birth between 2018 and 2023. This group was represented by 62 women out of a total of 176 respondents. The second group included women who gave birth between 1994 and 2017, which included 49 women. The last category consisted of women who gave birth at least 30 years ago, in 1993 or earlier. This category included 65 women. Based on the defined goals, three hypotheses were then established. Only two groups of women were compared in the evaluation due to the wording of the hypotheses. The first group consisted of women who gave birth between 2023 and 2018, and the second group included women who gave birth in 1993 or earlier. H1: Women today have the opportunity to choose their own birthing positions compared to women who gave birth thirty years ago. H2: Women who gave birth thirty years ago did not have information about birthing positions in the first stage of labor compared to women giving birth today. H3: Women giving birth nowadays are more interested in using various positions during the second stage of labor than women who gave birth thirty years ago. Based on the results of the research survey, hypotheses H1 and H3 were confirmed, and hypothesis H2 was rejected.
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Childbirth with a Doula
VYČÍTALOVÁ, Jana
This bachelor thesis deals with the issue of childbirth with a doula. The thesis describes what the profession of a doula entails and what its history is. It also describes times in which a doula can accompany a woman. The physiology of pregnancy, childbirth and postpartum period is also described in the thesis. One objective of the thesis has been set. The objective was to find out how women perceive the care of a doula. Two hypotheses were set in the thesis. H1: A doula is more often chosen by nulliparae rather than multiparae for a collaboration during delivery. H2: Women use the services of a doula during labour rather than during the postpartum period. The objective was achieved through quantitative investigative research in the form of an online questionnaire of my own structure. The questionnaire used for data collection contained a total of 23 questions. 20 of these were mandatory, which ensured a high level of reliability and accuracy of the data. Out of the 23 questions, 15 were multiple choice closed-ended questions, which simplified data analysis and allowed a better comparison of answers. On top of that, there were 7 semi-closed questions which provided additional answer choices and allowed respondents to express their opinions and experiences. There was also one open-ended question that allowed respondents to share their thoughts and opinions about the questionnaire topic. The questionnaire that was used for data collection was divided into three sections, each one addressing a different topic. In the first part, the respondents were asked questions regarding their identifying data such as age, education, number of births and at what time did they decide for a doula. The second part of the questionnaire was devoted to doulas. Respondents could comment there on where they had sought out a doula and whether they knew who a doula was and who she could care for. The last part of the questionnaire was then focused on the care the respondents' doulas provided and what their experience of giving birth with a doula was like. This structure of the questionnaire allowed for systematic answer processing and better comparison of results. The research results show that women have the greatest need for psychological support during delivery just as much as during pregnancy and postpartum period. They also have a need to be informed about the issue. Most women choose a doula for an overall increase in their sense of safety. It is a satisfying result that 94,9 % of women found the care of a doula met their expectations. Which is why 93,2 % of women would use the care of a doula for their next delivery and 98,3 % of women said they would recommend the care of a doula to others. Based on the results obtained, we can conclude that women are satisfied with the care of a doula. The thesis and the results obtained can be used as a basis for presenting the investigative research in seminars for midwives.
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Zhodnocení růstové schopnosti plemene Charolais ve vybraném chovu hospodařícím v systému ekologického zemědělství
Ludvíková, Lenka
The aim of this bachelor thesis was to characterize charolais breed and it's growth ability under the Czech conditions. Review is focused on history of breeding. Closely are described births, growth and exterior appearance. Further the thesis is focused on organic farming and cattle breeding in organic farming. Evaluated results from the growth ability recording scheme on the private Czech organic farm in Vysočina region were described in experimental part of this thesis. It was focused on birth weight, weight in 120 and 210 days. Presented results were comprised with average production in the Czech Republic with the private Czech Organic Farm Lenka Ludvíková. Further the experimental part was focused on the birth processes which were comprised with the Czech Republic. It has been found that charolais from the organic private farm has higher average growth ability compared to the Czech Republic. In the years 2011, 2012, 2013 was measured average birth weight of 47,3 kg for bulls and 43,1 kg for heifers. Average weight at 120 days was 199,3 kg for bulls and 181,6 kg for heifers. Average weight at 210 days was 329,9 kg for bulls and 302,3 kg for heifers. The births were in the monitored farm almost always easy.
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