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Supporting a family with a premature and seriously ill new-born baby and the reserves in their support from the point of view of medical workers and parents
FIŠAROVÁ, Aneta
Supporting the parents of premature babies lies in providing them with the chance to take care of their children, be responsible for the care and obtain some knowledge on the children?s condition. Owing to the developments in the medical care, the premature babies have nowadays ever better prospects for life. The theoretical part of the thesis focuses on the premature new-born baby, taking care of it and involving parents in this care. Furthermore, the relationship from the parents towards the children is described as well as the organizations helping parents. Three objectives and related questions were determined. The thesis aimed to monitor the awareness of the hospital attendants of the reserves in supporting a family with a premature and seriously ill new-born baby in specialized medical facilities, to find out the priorities of the parents in this area and to compare both views. The quantitative survey method was chosen for the practical part. The survey was carried out using a non-standard dialogue with ten respondents. Five of them (R1 ? R2) were mothers hospitalized at the neonatology ward in České Budějovice Hospital with their children. The other five respondents (R6 - R10) ranked from medical workers, specifically nurses working at the neonatology ward in České Budějovice Hospital. The information gained from the conversation were processed and further analysed. All the objectives were met. The medical workers see reserves in early support of both parents, as well as making sure that the partner is not neglected. A suggestion was put forward in order to increase the capacity of rooms for mothers with children. The priority for the parents is to see their children as soon as possible after their birth, to be close to them and to have a sufficient amount of information. Kangaroo mother care and stories from other parents are equally important to them. The partner unambiguously represents the largest support. It was suggested that the hospital must provide a lactation counsellor and a psychologist acquainted with the question. Having compared both views it can be implied that the views of the parents and hospital attendants correspond.
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Do Women Understand the Risks Connected with the Preterm Birth?
CRHOVÁ, Tereza
Do women understand the risks connected with the preterm birth? The main source of information for expecting women are prenatal clinics, where they should learn about the risks of preterm birth and what to do in a case of troubles. The theoretical part of my paper contains learnings about preterm birth, its risks, causes, diagnostical and therapeutical possibilities, about nursing and consequences for newborns. The practical part focuses on awareness of pregnant women and assessment of the quality of information by women who have given birth prematurely. To address the issue I used a combination of qualitative and quantitative methods. The quantitative part of my research took the form of a questionnaire given to pregnant women at prenatal clinics. The qualitative part of my research was in the form of semi-structured interviews with women who have given birth prematurely. There were 6 objectives and therewith related hypotheses and research question. The objective of this thesis was to find out wheather pregnant women are informed about the issues of preterm birth well enough and wheather women, who have given birth prematurely, were informed in prenatal clinics sufficiently. Another objective was to make an educational material for mothers-to-be containing information about preterm birth and another educational material for midwives on how to educate women about issues they might face in this area. All the objectives were accomplished. The hypothesis claiming that expecting women are aware of the relevant risk factors, as well as the hypothesis presuming awareness of the signs of preterm birth to occur were proved. The hypothesis presuming knowledge of the risks involved for the newborn was proved, too. This Bachelor´s Thesis can be used as an educational material for midwives who can include the topic into prenatal preparation courses and as well as inspiration to prepare educational materials for mothers-to-be.
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Nursing care of the woman with the threat of premature birth
JEDLIČKOVÁ, Soňa
Abstract Premature labour is still a serious problem in Czech healthcare system. The rate is 5-6 %. It has not only health but also family, social and economic impact. A healthy mother and physiological labour of a newborn are the basic goals of perinatal medicine and the whole perinatal care. According to the literature the most common complications during pregnancy are epidemiological, iatrogenic and serious health factors of a mother. Although we know the most common causes of premature labours, we do not talk enough about nursing of women with these problems. The effort of the thesis is to bring it closer. The topic of the thesis is processed on the basis of a qualitative research by means of non-standardized interview and five casuistries, which were processed by means of a functional model by M. Gordon. Everything proceeded at the department of risk pregnancy in ON Příbram. The research group was created by 5 pregnant women in various weeks of pregnancy who were concerned with the problems of impending premature labour. The results of the qualitative research were compared with the compiled statistics of premature labours in ON Příbram. The data was collected from labour books from 1985 {--} to 1988 and from 2005 to 2008. According to the statistics the increasing prevalence of premature labours was found out. From the results of the research emerged that 80 % of informants have sufficient awareness during prenatal care and 20 % none. Further, 100 % of informants have sufficient awareness on impending premature labour during hospitalization. For 100 % of informants with these problems is the biggest problem the fear for unborn child. 80 % of informants find no negatives in nursing and 20 % find negatives in disunity of information from the doctors and their often changes. On the basis of the research it is possible to state hypothesis: The clients visiting prenatal care and if they are hospitalized in ON Příbram have enough information on impending premature labour. The biggest problem in hospitalized women with impending premature labour is the fear for unborn child. Informants find no negatives in nursing carried out by midvives. The results of the research are intended for present and future nursing teams dealing with these problems and might aid to improve the quality of nursing women with impending premature labour.
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Health and social impacts on women after complicated childbirth.
KAIFEROVÁ, Jitka
In the diploma thesis, objectives were set that were intended to find out medical, mental and social problems of women after complicated childbirth and to compare the problems with those of women after physiological childbirth. The other objective was to find out what kinds of complicated deliveries occur in Nemocnice Písek, a.s. /Písek Hospital/ the most. Hypotheses were set for the objectives. The first hypothesis was to confirm that birth injuries after complicated childbirth are healed per secundam. The second hypothesis was to confirm that women after complicated childbirth feel that they will not manage care for their family. The third hypothesis was to confirm problems with economic support of a family in the cases of single mothers after complicated childbirth. The fourth hypothesis was to confirm that women after complicated childbirth do not have enough information about social security. The fifth hypothesis was to confirm that in Písek Hospital, the most frequent complicated deliveries include Cesarean sections.
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Social worker as a member of a team handling the comprehensive care of a family with a child born prematurely
ZABILKOVÁ, Hana
The thesis deals with psychosocial aspect of premature birth, to which our society does not still pay the attention they would deserve. The aim of the thesis is to emphasise the need to provide specialized psychosocial care to families with prematurely born children within a neonatology ward and to evaluate the possibilities to apply the role of a social worker to provision of such care. The thesis is conceived as a qualitative research. The techniques of semi-structured interview and data content analysis were applied on data collection. The research sample consisted of 11 specialists of various professions involved in the care about prematurely born children and their families. The work partly continues in the research of 2007 where I dealt with the psychosocial issues of premature births from the point of view of parents of prematurely born children. The research results definitely confirmed that striving for creating a conception of specialist psychology care forming a link between health care staff and parents is necessary. Such care should be based on the following forms of assistance so as it supports family function and child{\crq}s healthy development: provision of crisis intervention, support of early relation between the mother (parents) and the child, support and strengthening parent competences, advisory on care about a prematurely born child or perhaps a handicapped child, social law counselling, mediation of related services, support of sharing experience among parents. A social worker is fully competent to provide such care. As the research shows no unified legislation dealing with his/her activities within a multidisciplinary team of a neonatology ward exists. The Social Service Act defines the conditions for the profession; separate activity would probably be subject to special regulations dealing with the activity of a social worker in hospitals. The work may be useful to all professionals pushing for rendering complex care about families of prematurely born children, i.e. care naturally involving specialist psychological care.
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