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Maternity
VOJTÍŠKOVÁ, Tereza
In its theoretical part, this thesis describes various principles and seeks new forms more or less dependent upon visual reality, which helped find a way to execution of the practical part.
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Current priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward.
KUBÁTOVÁ, Klára
The Bachelor paper titled the "Current priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward" has the character of a research. The paper itself is split into two sections - the theoretical one and the practical one. The theoretical section offers a comprehensive picture of care given to physiological newborns in Maternity Wards. Moreover, this section provides a general outline of problems encountered in establishing a profound emotional bond between the mother and the baby during their first moments together. The practical section aimed to disclose the mothers' wishes and expectations for their time spent with the baby in the Ward. The paper's objective of revealing the priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward has been met. To tackle the subject and to attain the objective specified above, the author chose to apply the qualitative method of investigation supported by non-standardized interviews held with three women coming through the postnatal period of puerperium and five women who delivered the year before. The results allowed for answering these research questions: Are the mothers interested in obtaining more information from the medical staff on the care of physiological newborns while they stay in the Maternity Ward? Are the mothers satisfied with the current system of providing care to physiological newborns in the Ward? What do the mothers see as priority one in the care of physiological newborns delivered in the Ward? Results of the Bachelor paper and the related findings can be beneficial for future students of midwifery. Besides, the paper can be found a useful source of information by even experienced children's nurses. Included in the paper is a piece of material intended to educate the beginner midwives in the basic principles of communication with the mothers of physiological newborns.
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New ways of newborn treatment methods in delivery room and their acceptance by parents.
KRLÍNOVÁ, Gabriela
The bachelor thesis is focused on new ways of newborn treatment methods in delivery room and their acceptance by parents. Most recently changes have happened in the approach to newborn nursing in delivery rooms immediately after delivery. The care is focused on the most natural way of the mother-to newborn adaptation after delivery, so that the early contact between the mother and newborn infant could be estabilished as soon as possible after birth. The aim of this work was to found, how the mothers perception of these changes and how the mothers evaluate these changes in comparsion with previous methods. The theoretical part of thesis describes newborn care in delivery rooms immediately after delivery, together stay of newborn and mother in delivery room and their stay in the newborn ward . The practical part was elaborated on the basis of results of a qualitative research conducted by semistandardized interviews. The results of the qualitative survey were processed by means of case reports. The research sample consisted of 7 mothers who gave birth to their second or third child in the delivery room in České Budějovice at a certain period of time. The results of the survey show that most mothers accept the new way of newborn nursing and, in their opinion these methods have brought more positives than negatives when compared with the past methods.
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Mental Condition of a Woman During Puerperium and her Adaptation to Motherhood
DIHLOVÁ, Magdalena
Pregnancy, childbirth and the period after childbirth are important stages in the life of a woman and her family. Even healthcare professionals may not realize that mental disorders quite often appear or become worse during pregnancy and the period after childbirth. A woman tends to be tired during the first days following childbirth. People do not usually understand that she may experience different emotions from feeling positive and happy as a result of delivery. Disorders during the period after childbirth include mental disorders affecting the woman during the neonatal period, breastfeeding and until her child is one year old. They may be associated with physiological changes after childbirth or problems related to adaptation to motherhood. Being a mother is quite an important role in the life of a woman: while playing that role, she learns to be in harmony with a new member of her family and assume responsibility for him or her. Biocultural relationships, such as the role of a wife and mother and the structure of the family, obviously play an important part.A quantitative survey was employed to produce the bachelor thesis, using interviews and questionnaires to collect data. The questionnaires were distributed to mothers who had completed their lying in periods in randomly selected gynecologists{\crq} offices in Prague. Each questionnaire contained 34 questions. The poll took place in March. A total of 94 mothers completed the questionnaires, which resulted in a return rate of 71.6%. The objective of the bachelor thesis was to find out about the role played by birth assistants in caring for the mental needs of women during puerperium. That objective was associated with the first assumption, which confirmed that care provided by birth assistants focused on satisfying biological rather than mental needs. The other objective was to determine the amount of information women had about mental changes during puerperium. That objective was accompanied by the second hypothesis that women were informed about mental changes during puerperium. The hypothesis was confirmed. The third objective was to examine how women adapted to their roles as mothers. That objective was tied to the third hypothesis which was concerned with planned parenting. The hypothesis confirmed that women who planned to be mothers accepted their roles as mothers better than those who did not. The fourth assumption, which dealt with a smoother adaptation to being a mother before the age of 30, was not confirmed. The bachelor thesis will help birth assistants caring for mothers in postnatal wards and child nurses and doctors as well as gynecologists whom women see after puerperium. The thesis could be a source of information and used by birth assistants and student birth assistants as an educational material.
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Interpersonal relationship development between children's nurse and mother in the neonatology department by means of the H. E. Peplau model
AMBROŽOVÁ, Helena
The dissertation objective on the theme {\clqq}Interpersonal relationship development between children's nurse and mother in the neonatology department by means of the H. E. Peplau model`` is to chart individual phases utilization in the process, professional relationship development between children´s nurse and mother according to the H. E. Peplau model. Further through created documentation to find out differences at the approaches during professional relationship connecting between children´s nurse and mother in the neonatology department in the Hospital JSC in České Budějovice. To meet these objectives the dissertation is divided into theoretical part which focuses on differences at the care of developed and underdeveloped infant, nursing model H. Peplau including its application into practice. The second, practical part is divided into quantitative and qualitative parts. The quantitative part concentrates on factors finding out which influence professional relationship between children´s nurse and mother in compliance with the H. E. Peplau model and concurrently specifies individual nurse roles changing during professional relationship children´s nurse and mother. The data of the quantitative research part have been learned by means of questionnaire disquisition. By the dissertation results summarizing I found out facts regarding H. E. Peplau model individual phases utilization at the children nurse {--} mother relationship establishing in neonatology. Hypothesis 1 {\clqq}Children nurses with own children establish faster the professional relationship with mother`` {--} has come true. Hypothesis 2 {\clqq}Children nurse practice length influences the ability to establish the professional relationship with mother`` {--} has come true. Hypothesis 3 {\clqq}Children nurses undertake the role of the mentor in most cases`` {--} hasn´t come true. The data of the qualitative research part were identified by observation, conversation with children nurse, creating of the documentation own proposal at the mothers of prematured children hospitalized by ROOM IN system and its application in practice. Mothers were divided into two groups, the common way of the interpersonal relationship establishing with mother was used in the first group, the way of the interpersonal relationship establishing with mother according to the H. E. Peplau model was applied in the second one. At the quasiexperiment it has been identified the interpersonal relationship establishing with mother proceeds better at the nursing H. E. Peplau model utilisation. The dissertation knowledge can be partly utilised by neonatology department of the Hospital JSC in České Budějovice, in particular by children nurses to master the abilities for professional relationship establishing with mother and to provide subsequently mother and child with the complex nursing care. Further to students and other interested people in this issue.
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Efectiveness of education of mothers in Strakonice Hospital, Inc. about newborna baby care in home environment.
BLÁHOVÁ, Miloslava
The current trend is the shortest possible stay in a medical facility. This also involves mothers with babies after birth. The five-day hospitalization of mothers with newborns after spontaneous delivery has shortened to 72 hours. In maternity wards mothers are educated about newborn baby care by midwives, pediatric nurses. The education is focused also on care in home environment. After leaving hospital for home the entire responsibility for care of the newborn is relegated to its mother. Is she ready for this situation? The aim of the thesis was to determine if education of mothers is sufficient and if mothers are able to use properly the obtained information about newborn baby care in home environment. How a mother can cope with a problem situation without medical personnel at hand. In the thesis a combination of quantitative and qualitative research is used, five goals and five research questions were set up. For data collection anonymous questionnaires were distributed to mothers, who gave birth to a baby in Strakonice Hospital, during the period of confinement and then after discharge from hospital in the first weeks in home environment, and non-standardized interviews were also conducted. The interviews were carried out with mothers in home environment, where effectiveness of the education about newborn baby care provided in hospital was examined. The results of the quantitative research are shown in graphs, the results of the qualitative research are presented in individual case studies and tables, where individual differences are assessed. The set up goals were met in the form of results of the field research investigation and also hypotheses, on which the goals had been based, were confirmed. Based on the quantitative survey three hypotheses may be established. The first hypothesis: In newborn care in home environment the most useful piece of information it that on breastfeeding. The second hypothesis: Mothers in home environment lack continuity of community care. The third hypothesis: Mothers ask for creation of a clear educational material about care of a newborn baby in home environment. The findings of the research could be used as basic information to create educational materials for women after giving birth for the confinement period and for the care of a newborn in home environment. Findings from the research could be used as one of arguments for negotiations with insurance companies to extend community care both for mothers in confinement and newborn babies in home environment.
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Education of pregnant women with gestational diabetes mellitus
NEČINOVÁ, Jaroslava
The first theoretical part of the paper deals with the various aspects of gestational diabetes mellitus as seen by sociology and medicine. The other theoretical part contains the specifications of education and educational process for pregnant women in the individual phases of pregnancy, during childbirth and after it. The empirical part of the paper, based on quantitative research and anonymous questionnaire survey, checks, as compared to given hypotheses, the quality of knowledge and the form of current education of the responding women in relation to the disease, it provides information about the women{\crq}s age structure, lifestyle and the standard to gestational diabetes compensation.
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Babybox! The Alternative for the Mothers in an Emergency
ČIHÁKOVÁ, Jindřiška
The aim of the thesis is to expound the babyboxes like one of the opportunities of help to the mothers in an emergency. The theoretical part is dedicated to the mother`s personality giving her baby up. The following is concerned with the legal norms which adjust the function of the boxes. I briefly deal with the possibilities for help of the social workers to the mothers in an emergency. This is largely focused on the social benefits and the opportunities of temporary accommodation. This essay also refers to other possibilities of help to the mothers being caught in a crisis. The practical part comparet the protessional opinions with the public opinions about this issue - issue of the babyboxes with regard to their establishment in the region of Pilsen.
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The functionality of single - parent - divorced family in relation to a child
ELIŠKOVÁ, Zdeňka
Every man enters the marriage and founds family with the idea of undoubtebly lucky and everlasting attachment. Unfortunately, it often happens, that sooner or later, a break-up of this idea occurs. During our lives, all of us face the break-up of marriage, respectively the family from our experience or from people around. The family break-up phenomenon is largely interconnected with the disintegration of traditional society and its transformation into modern industrial society that is set up with other values, other way of life, and legitimity of its autority. If the family does not meet its main objectives, it means important risk for the man affecting his sensitive spots by its dysfunction and afunction. All the members of family, children and adults are given their home by the family. The family nowadays, however, is considerably vulnerable due to changed social situation. The growing number of single-parent families, i.e. families where mother or father themselves take care of their children, is increasing with the number of divorces. The family has as unsubstitutable role in development and children´s bringing up. Instability of family life represents a serious threat in child socialization. The family system functioning is based on personality character, especially in parents, and that is why, when one of the parents fails in his/her basic role, the whole community is severely disturbed. In this regard, it is necessary to ask a lot of questions: How do single-parent families function? Are these families functional in relation to the child? What problems do these families meet? Is it necessary to help these families and how to do it? The last investigation into functioning of families was conducted in the 1980s by means of the Questionnaire of family functionality in relation to a child by Prof. Dunovský. In my thesis I decided to test the functionality of present families, and exactly single-parent {--} divorced families, which are constantly increasing in our society. Every fourth family in the Czech Republic is reported to be single-parent family. The aim of my thesis is, therefore, the findings of functionality level of these single-parent {--} divorced families.
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Expectations of mothers hospitalized at childbed ward, in newborn-care area
KÁLALOVÁ, Andrea
Bachelor{\crq}s thesis entitled ``Expectations of mothers hospitalized in the maternity ward in the field of newborn care{\crqq} has a research nature. The work is divided into two parts {--} a theoretical part and a practical part. The theoretical part has seven main chapters. The first chapter is devoted to the psychomotor development of the newborn. The second chapter is devoted to newborn care in the labour ward. The third and fourth chapters are devoted to nursing care in the newborn ward and to the needs of a newborn. The fifth and sixth chapters are devoted to breastfeeding and formula milk. The last chapter is devoted to discharge and care at home. The practical part is devoted to research. The aim of the work was to map out expectations of mothers hospitalized in the maternity ward in the field of newborn care and to find out the level of satisfaction with the nursing care of the newborn among mothers after childbirth. In order to prove or reject the hypotheses, I used a questionnaire with 16 questions. 115 questionnaires were handed out, 105 were returned. The rate of return was 91%. The results were translated in to graphs. The sample for the questionnaire research consisted of mothers on the third day after childbirth hospitalized under the rooming-in system; there were 100 mothers in the end sample. In the first hypothesis I presumed that mothers expect to gain basic information {--}especially practical - on providing basic needs in the care of the newborn. On the basis of processing the data obtained it was found that mothers prefer individual theoretical discussions with practical examples. The first hypothesis was therefore rejected. In the second hypothesis I presumed that mothers are satisfied with the provided nursing care of the newborn. The second hypothesis was proven; mothers are satisfied with nursing care provided. I would like to inform the nurses in the newborn ward about the results of my research.
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