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The lifestyle of pregnancy women
VOLFOVÁ, Veronika
The bachelor thesis is focused on the of pregnant women´s awareness in the field of healthy lifestyle. In the theoretical part there are described individual parts of healthy lifestyle and their problems. It also describes care of the midwife and her education in individual areas of healthy lifestyle. For the research I have used a qualitative method. Data collection was done with using semi-structured interviews with pregnant women who attended pregnancy counseling. The sample was selected from pregnant women who wanted to participate in the bachelor thesis research. The research was made at the turn of February and March 2018. Women's interviews were made anonymously with privacy interest and recorded on a dictaphone after their agreement. The interviews have been carefully handwritten, analyzed and coded. The interview included 11 questions that were supplemented by sub-questions, if it was necessary. Answers were divided into individual categories and then subcategories. There were 7 pregnant women in the research group, with age from 23 to 42. There was only one goal set for this bachelor thesis. It was to find women's awareness of healthy lifestyle during pregnancy. Based on this objective, two research questions have been defined. The first research question looked at how the eating habits of women in pregnancy have been changed. The survey showed that almost all women tried to improve their eating habits during their pregnancy. Respondents often reported eating light and healthy food and adding much more fruit and vegetables to the diet. In the meantime, they have been eating regularly and have been interested in from where the food is. Respondents also reported food that they tried to eliminate in their diet. They included fried, fat meals, and sweet or salty snacks. Although respondents were aware of the inappropriateness of these foods, some of them still have consumed something like this because of their pregnancy tastes. Talking about the drinking mode, research shows that all women think they should increase their fluid intake. They mostly drink water, tea or fruit juice. Some women also tried to avoid some fluids, just as they did with food. According to all respondents, coffee is inappropriate, as well as drinks such as Coca-Cola or Kofola. One respondent mentioned that coca-cola was a great help to her during the first trimester of pregnancy sickness. Only three women said they did not change their eating habits. One of them thought that she had the right eating habits even before she was pregnant. Two other respondents did not plan their pregnancies so they did not focus on changing the diet. The second research question was about how women get information about the right lifestyle. The survey revealed that six out of seven respondents get information from the internet. Three respondents mentioned other mums or friends as their source, and only two respondents said that some information had been received from midwives at pre-natal courses. It follows that no respondent was looking for information about a healthy lifestyle in pregnancy from midwife in prenatal care at a gynecologist's office. The information and knowledge gained during the bachelor's thesis may be helpful to midwives in the context of pregnant women's education about a healthy lifestyle during their pregnancy. The result of the bachelor thesis is an informative leaflet focusing on keeping the principles of correct lifestyle in pregnancy.
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The specifics of nursing care in women with preeclampsia
PIKLOVÁ, Žaneta
The bachelor thesis is called Specifics of Midwife Care for a Woman with Preeclampsia. The thesis is divided into the theoretical and research part. The theoretical part is devoted to pregnancy itself and its division into physiological, risky and pathological pregnancy. It also describes morning gestosis, what are it's difficulties it and how it manifests itself. This bachelor thesis also deals with late gestotis, with it'sdefinition and with criterias for it's diagnosis. Subsequently, the theoretical part deals with women with preeclampsia, where preeclampsia is described. Above al lit describes, its etiology, symptoms, risk factors as well as its diagnosis and prevention. In the theoretical part, the care provided by the midwife for a woman with preeclampsia is shown. Also, the theoretical work presents and describes complications that can occur during pregnancy with preeclampsia. The termination of the theoretical work involves the education of a woman with preeclampsia by a midwife, where the definition of education is illustrated and its principles are described. This bachelor's thesis goal is to find out what is included in the specific care of midwives for a woman with preeclampsia. Two research questions have been asked: How do midwife provide care to women with preeclampsia? What are the expectations of pregnant women in provided midwifery care? A qualitative research survey was carried out using deep individual semi-structured interviews. These were conducted with nine pregnant women diagnosed with preeclampsia and with eight midwives. Pregnant women diagnosed with preeclampsia as well as midwives were informed about the topic before the interview and were explained the purpose of the interview. Pregnant women and midwives have been assured to maintain anonymity and to handle the information obtained in accordance with ethical rights and standards. For the semi-structured interview, prepared questions were planned for both women diagnosed with preeclampsia and midwives. In the course of the interview, the information was continuously written and then anonymized. On the basis of the information obtained, the interview was divided into categories and their subcategories. Three main categories were selected for pregnant women with preeclampsia. The first category carries the Expectation of women, with subcategory Fulfilling Women's Expectations from the Midwife. The second category Women's Knowledge focused on the information received by pregnant women with preeclampsia from midwives or how they searched for information. The third category identified the need for a pregnant women with preeclampsia and whether obstetricians' efforts were obvious to return disrupted needs. Two main categories were selected for midwives. The first category, called Knowledge of Midwives, focuses on whether midwives can describe the symptoms of preeclampsia and its complications. The second category Care Provision focuses on the specific care of midwives for pregnant women with preeclampsia and their needs.
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Quality and quantity of motion activities during pregnancy
OŠMEROVÁ, Lucie
The thesis is aimed at physical activities exercised by pregnant women, for whom the physiological pregnancy is in progress. The theoretical part characterizes physiological, risk and pathologic pregnancy. The pregnancy symptoms, physical and psychological changes connected to pregnancy are also characterized. Next part is based on the importance of physical activities, the impact on a women's health and the impact on an unborn baby. The thesis describes the appropriate physical activities for pregnant, such as walking, swimming, dancing, cycling, yoga, special exercise and so on. Moreover, it mentions inappropriate physical activities, such as downhill skiing, tennis, squash and skating. The thesis also includes the contraindication of physical activities for pregnant. The practical part of the thesis is aimed at finding out preference of physical activities for pregnant, their opportunities to exercise the physical activities nearby and it also explores if the pregnant are informed by their gynaecologist about some appropriate possibilities of exercising physical activities. The quality research was chosen for this thesis. The research survey took place via controlled interviews, which were recorded on a recording device and then the results were transcribed into a written form. The interviewed women were addressed through the centres for pregnant and gynaecologic clinics of South Bohemian Region. The survey took place from the 3rd of March to the 18th of March 2016. The interviews, which were composed of sixteen questions, were provided by sixteen pregnant women. The information from all the respondents was used to create Mind Maps. In total there were eight categories, which show a total of nine Mind Maps. The aim was to explore how the pregnant women perceive the physical activities and what is the awareness of possibilities to exercise physical activities. There were three research questions. First of them was: In what kind of physical activity are the pregnant interested the most? The second question was: What are the possibilities for the pregnant to exercise physical activities nearby? The last question was related to providing some information to pregnant by their gynaecologist: Are the pregnant informed by their gynaecologist about the possibilities to exercise physical activities? According to information from all questioned pregnant women, the most preferred exercise was walking. The exercise for pregnant and yoga are also favourite. Futhermore, the respondents mentioned riding a stationary bicycle, gymnastic ball exercise and agility. As well as this, the pregnant exercise enough and they also think so. The pregnant women also list swimming, yoga, ball exercise, Pilates, running and Nordic walking as some other possibilities to exercise. According to interviews, the pregnant women are not enough informed by their gynaecologists about the possibilities of physical activities. Despite the currency, this issue is still incomprehensible. The survey could be a good source of information mainly for gynaecologists or midwives. The survey could improve providing some information for pregnant women about possibilities of physical activities, which would not endanger both the pregnant and an unborn baby.
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Life during high risk pregnancy from the perspective of a woman.
TŘEBÍNOVÁ, Klára
This bachelor thesis deals with a high risk pregnancy and considers the woman´s point of view. The work is divided into two main parts theoretical and practical. The theoretical part was realized on the basis of literature. At the beginning of the theoretical part, the attention is paid to current situation and definition of pregnancy. This part also defines fertilization, implantation, implantation of the fetus, fetal development, pregnancy diagnosis, pregnancy changes and the role of midwives in prenatal counseling in 1st, 2nd and 3rd trimester of pregnancy. Furthermore, the theoretical part focuses on the high risk pregnancy and its risk factors. One particular chapter describes hospitalization of woman in the department for high risk pregnancy that deals with pre-term birth, multiple pregnancies, bleeding during pregnancy, irregular positions of the fetus, disease affecting pregnant woman and midwifery care for women with high risk pregnancy. The theoretical part is concluded by the description of woman´s needs during hospitalization in the department for high risk pregnancy. The goal of this bachelor thesis is to find out if high risk pregnancy affect the needs of women during hospitalization. The research question was: How do high risk pregnancies affect the needs of women during hospitalization? It was used qualitative research and semi-structured interview for the research. The interview served for data collection and contained pre-prepared sets of questions. Interviews took place in the department for high risk pregnancy during the period of March and April 2015. The respondents were a total of ten women hospitalized in the department for high risk pregnancy in the hospital in České Budějovice. Interviews with respondents were held in calm predetermined locations. All respondents agreed to participate in the research, the agreement was carried out in writing, and were familiarized with the fact that all the information is collected for this bachelor thesis. The data was analyzed by coloring the text and creating its categories and subcategories. Direct speech is used to present the results of the interviews that are marked in italics in text. Two categories and subcategories were set. First category is called Information and its aim was to collect information given by women in the department for high risk pregnancy. This category includes the following subcategories: Source of information and Satisfaction of information. These subcategories inform us about sources and satisfaction with the information. Second category is called Needs and is preoccupied with the needs of women. This category includes three subcategories: Physiological Needs, Social Needs and "Psychological Needs" that deal with physiological, social and psychological needs. The research showed that hospitalization of women in the department for high risk pregnancy influenced especially bowel movement, sleep, rest, activity and nutrition. Some respondents were not satisfied with their state of health and with results of examination realized by doctors. On the other hand, the majority of respondents were satisfied with the information provided by midwives. Concerning another subcategory dealing with needs, all respondents said that their contact with friends and family was limited. For this reason, they tried to communicate with mobile phones and computers. In addition, hospitalization also affected their family life as they could not take care of older children and look after the household. Psychological condition was very important during hospitalization. Women felt worried about their state of health and the health of their unborn child. Respondents stated that their biggest psychological support was provided by their partner, husband, family, friends, and also midwives. This bachelor thesis can serve as informational source for midwives who work in the department for high risk pregnancy or as educational text for the public.
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Subjective perception of a prenatal care by pregnant woman.
UHLÍKOVÁ, Karin
My bachelor's thesis topic is "Subjective perception of a prenatal care by pregnant woman" and it is divided into theoretical and practical part. First goal of this bachelor's thesis was to find how is prenatal care perceive by women. Second goal was to find out opinions of pregnant women about birth attendants. Next aim of this work was find out discrepancies and compare prenatal care in Pisek and Tyn nad Vltavou from pregnant women point of view. Survey data were collected through the qualitative research method with semi-structured interviews. Survey sample was form by ten women. This size was divided into two groups, five women from pregnancy advisory center in Pisek and five women who attended same center in Tyn nad Vltavou. Data were recorded in written form or as audio notes, which were rewrite.As emerged from research pregnant women are satisfied with quality of offered prenatal care. Respondents would like to receive more information about pregnancy progress or checkups and prenatal tests. Women also want improve individual approach, better communication with doctors and decrease of the waiting time.As unambiguously follow from results all interviewed women confide in birth attendants.Based on the result of the research I found out that respondents from Pisek are satisfied with all components of prenatal care provided with medical personal.As distinct from situation in Pisek respondents from Tyn nad Vltavou want to improve individual approach and communication with doctor. Research outcome pointed out to the fact that health care is not only about routine work but also about human approach and communication. Results of this work could be used for improving knowledge concerning prenatal care, next is publish in specialized magazines.
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The current level of compliance with the concept of prenatal care from the perspective of pregnant women
URBÁNKOVÁ, Martina
This bachelor thesis deals with a current level of abidance of the prenatal care conception from the point of view of pregnant women. Theoretical part is divided into four main chapters. The first chapter is focused on the history of midwifery and prenatal care. The second one describes prenatal care in general, organisations, goals, antenatal preparation by the midwife, pregnancy card and a role of the midwife in the prenatal consulting. The third chapter deals with pregnancy diagnosis and the last one concerns the examination of pregnant women in each trimester. Practical part of the thesis points out a comparison of a current level of abiding the prenatal care conception in České Budějovice and Benešov region.Three goals were set prior to writting this thesis. The first goal was to find out the abidance of the prenatal care conception from the point of view of pregnant women. The second goal was to find out, whether pregnant women understand the importance of all the examinations carried out during prenatal consultings. The third goal was to find our and compare the level of abiding the prenatal care conception in České Budějovice and Benešov region. Three questions arose from these three goals: What is the level of abiding the prenatal care conception? What examinations are being carried out during prenatal consultings? What is the difference between abiding the prenatal care conception in České Budějovice and Benešov region?The qualitative method had been used to conduct the survey.Answers to the questions from the survey were searched during the acquisition and processing of the semi-structured interviews. Conclusion of the survey is, that all the pregnant women are satisfied with the current conception of the prenatal care. This way of timing of visit intervals in prenatal consultings seems right to them, important and necessary, not only for a control over themselves, but also for a control over the fetus. The level of the conception of prenatal care is good, satisfactory for all the mothers. Surprising result was, that half of the mothers is unable to describe and elaborate what examinations they went through in prenatal consulting, when it was and what was its purpose. Especially when only two respondents complained about insufficient awareness from the physician about performed examinations. As the most common examinations were stated: blood pressure, urine, weight, CTG scan and vaginal examinations. Based on the conducted survey I have managed to find out that the frequency of regular visits in prenatal consulting, according to CGOS recommendations in České Budějovice was abode only in two cases. This fact was not confirmed by any respondent from the Benešov region. Schedule of the regular visits depends on physician´s consideration. Another difference was not discovered. Current level of abidance of the prenatal care conception in Benešov region is similar to České Budějovice.The thesis may serve as an informational material in prenatal consultings in the future, especially for pregnant women, who want to know the progress of prenatal care.
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THE ROLES OF MIDWIFE IN ACTIVITIES TO PROMOTE BREASTFEEDING
STEJSKALOVÁ, Dana
Breast-feeding is one of the first most important emotional moments for the mother and for the child. According to existing researches breast-feeding brings the child protection from allergy, it improves the immune system, supports the healthful growth of the bones and provides nutritional energetical value. Breast-feeding is an essential way of nourishment, which the mother can offer the child and it is finantially undemanding. It is important for pregnant women to be prepared to breast-feeding, they can attend some prenatal courses or they can come to a prenatal advisory centre. If a woman wants to breast-feed her child, she should know the principles of right breast-feeding, the technique and the breast-feeding positions. The role of a midwife is to educate a woman during the pregnancy and after the birth of the child. The thesis includes anatomy of the breast, the characteristic, advantages and methods of breast-feeding, the composition the breast milk, the definition of the term ?midwife? and activities to support breast-feeding. The thesis deals with awarness of the pregnant women about breast-feeding. It finds out about how pregnant women are informed about breast-feeding. It also finds out what activities midwives do. The research has been done through questionnaires by the quantitive method. The research group was formed of fifty puerperas from the hospital in České Budějovice and from the hospital in Pelhřimov. The other research group was formed of fifty midwives from the primal care of the towns of Jindřichův Hradec, České Budějovice and Pelhřimov. It is possible to use the resuls of the thesis as an information material for midwives working in primal care. The results can help through informed midwives to improve the awareness of pregnant women and can be used in prenatal courses to educate women about breast-feeding.
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Awarness of women about screening during the psegnancy.
VAŇÁČOVÁ, Tereza
This bachelor thesis focuses on the awareness of women regarding screening during pregnancy. The theoretical part deals with the importance of prenatal care, relation between the midwife and the pregnant woman and also on individual types of screening which are done during pregnancy at antenatal clinics. In the practical part, four goals and research questions were set. The research was conducted by quantitative method. The data were collected through the use of semi-standardized questionnaires. The interviewees were women in the Písek hospital and several gynecological outpatient departments. Interviewed were women who were nearing their due date. The results of the research reveal that women are informed about the procedure during pregnancy but not always by their doctors and midwives even though communication between the pregnant woman and medical staff should be of primary importance.
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Related injuries during pregnaney and nursing care matters.
ČERMÁKOVÁ, Alena
This bachelor{\crq}s thesis focuses on the injuries in pregnancy and the issue of nursing care. The theoretical part characterises the occurrence of injuries, moreover it deals with individual types of injuries and healing, poly-traumas and prevention of pregnant women travelling by car. In the practical part, four goals and four research questions were prepared. The target of this thesis was to find out what kind of injuries occur in pregnancy at most, what is the impact of the injuries on the health of the pregnant women, if the pregnant women realise the danger while utilizing the public transport means and what are the most frequent problems in the nursing care of women after the injuries.
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