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Pregnancy of woman with multiple sclerosis
DUBOVÁ, Pavla
This bachelor thesis is focused on problematic of multiple sclerosis during in pregnancy period, during the birth and followed during confinement. It is autoimmune neurologic illness, which defines itself with many inflammatory focus in spinal cord and white brain mass, which then damages the cover of nerve fiber. This results in loosing of axons, to damage of structure and function of cells, which are in central nerve system.Thanks to scientific progress and new diagnostic criteria it is possible today to get very precise diagnosis already after first MRI, which enables the doctors to immediately start with cure which significantly postpones invalidity. Multiple sclerosis is illness which often affects young people, and women in fertility period even twice more often. Therefore there is the question, what about the pregnancy in combination with this illness, important not just for women affected by this illness and having the role of mother, but also for the whole society. The theoretical part of the thesis introduces the multiple sclerosis. In several chapters is presented epidemiology, etiopathogenesis, the forms of illness, clinical symptoms, diagnosis and cure. The thesis in more detail with problematic of parenting and multiple sclerosis. In this part several chapters deals with for example planning of parenting, pregnancy with multiple sclerosis, the way of birth, confinement and breast feeding while being affected with MS. In the end, the theoretical part is finalized with some information about how should birth assistant take care for pregnant women with MS during pregnancy, birth and confinement. There are three aims of this bachelor thesis. First was to put together a literal review about problematic of pregnancy and women with MS. Second aim was to observe if the pregnancy, birth and post birth period had any effect on making the MS worse. The third aim was, to find out if pregnant women with MS were informed about the effect of pregnancy on their illness. The theoretical part is followed by practical part with its qualitative research. Based on established targets were used few research questions and with help of half-standardized interview the relevant answers from three respondents were acquired. He answers were then processed into case studies. From accessible theoretic data it is possible to finally state, that if woman with MS decides to ave children, she should plan her pregnancy in the period when the illness is stabilized, that means in the period of six to twelve months without attack. She should be always under control of specialists, consult her decision with her neurologist, possibly based on his recommendation also with other specialists. Before planned birth, the MS affected women should discontinue the treatment in case of medicaments of first choice, where was not proved its teratogenicity. The woman should plan her parenthood with regard to her family support, when the family should help her with taking care for the child. Professional publications don?t prove any negative effect of MS on pregnancy. Actually these publications prove that the pregnancy has good effect on multiple sclerosis. It is very important to cooperate with neurologist especially during critical three months after birth. From results of many researches, we know that even though some attacks occurred during pregnancy, it didn?t have any negative impact on deterioration of their neurologic deficit. If respondents were interested to get information regarding this problematic they got them from their neurologists. They also tried to search for information on internet, for example on website of Union Roska. Just one respondent would be happy to get the information more integrated, maybe in book form.Midwife should be oriented at least in basics of MS problematic, because they may help the woman to get through her pregnancy, birth and confinement period.
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