|
|
Major obstetric complications in women with inherited thrombophilia in comparison to the control group of women
Pechrová, Viktorie ; Koucký, Michal (advisor) ; Čábela, Radek (referee)
Leiden mutation and mutation of the gen for prothrombin are classified as hereditary thrombophilia affecting external cascade's hemocoagulation factors. The higher incidence is in the Europoid. We marked those disorders not only as risk factors for thromboembolism but as risk factors for obstetrics complications as well. This bachelor thesis completes theoretical knowledge of Leiden mutation and mutation of the gen for prothrombin. Afterward, the thesis is focused on obstetrics complications that are associated with those thrombophilias. The analytical part of the thesis is devoted to the association of the mentioned mutations and the higher risk of recurrent pregnancy loss. Meaning that women who carry the such mutation are more likely to have the anamnesis of 2 or more miscarriages compared to women without thrombophilia. First, the hypothesis was set that the women with thrombophilia are going to have more frequent recurrent pregnancy loss compared to the control group without thrombophilia. To verify the hypothesis a retrospective check of the databases was made. The databases were from The Institute of Medical Biochemistry and Laboratory Diagnostics of the General University Hospital and of the First Faculty of Medicine of Charles University, where the group with thrombophilia was taken. The...
|
|
|
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,...
|
|
|
Variation in human secondary sex ratio after extraordinary natural, social and cultural events
Hubová, Hana ; Kaňková, Šárka (advisor) ; Dušek, Adam (referee)
The secondary sex ratio represents the proportion of male and female births and is usually slightly skewed towards male births. Changes in the secondary sex ratio may be induced by a variety of ultimate (evolutionary) or proximate (physiological) causes. These causes tend to be linked to external factors such as natural disasters, armed conflicts, terrorism and/or important cultural and sports events. Natural disasters cause major destruction of housing, infrastructure and loss of lives. Such events are likely to be followed by a decrease in the secondary sex ratio. Stress-induced selection in utero against males is one of the widely discussed causes related to this phenomenon. Armed conflicts and terrorism commonly have a negative impact on society as well, however, an increase in the secondary sex ratio was often observed in the post-war periods. Important cultural and sports events, along with holiday celebrations, have a mostly positive impact on the social climate. These events induce a sense of community and are likely to be followed by an increase in the secondary sex ratio 9 months later, which suggests higher coital rates during such events.
|
|
|
Nutritional intake of vitamins in pregnant women.
Dvořáková, Karolína ; Hronek, Miloslav (advisor) ; Jílek, Petr (referee)
The diploma thesis deals with the issue of nutritional intake of lipophilic vitamins in pregnant women. The objective of the thesis is to analyze the intake of lipophilic vitamins in a selected group of Czech pregnant women within the three observed periods of pregnancy. Subsequently to compare these values with the recommended intakes, which are valid in the Czech Republic, and propose a possible optimization of intake. From February 2021 to January 2022 was evaluated the nutritional intake a total of 24 Czech pregnant women from Hradec Králové, at the age range 24-37 years, within the three observed periods of pregnancy. Pregnant women handed over filled in questionnaires every week, which recorded their daily intake of food and liquids, including their amount. Subsequently, the filled-in questionnaires were evaluated by the NutriDan nutrition program and the results were statistically processed by the Microsoft Excel program. The obtained values of daily intakes of pregnant women were compared with the recommended daily intakes of lipophilic vitamins, which are valid in the Czech Republic. The crucial finding of the thesis is that the intakes of lipophilic vitamins in observed pregnant women are not statistically significantly different between individual days of the week or between individual...
|
|
|
Maternal adaptations to pregnancy depending on the sex of the fetus
Nekolová, Denisa ; Kaňková, Šárka (advisor) ; Roberts, Kateřina (referee)
For the mother, pregnancy is a period of significant physical changes and transformations. The mother's physiological adaptations, including hormonal and immunological changes, and behavioural adaptations serve to ensure a successful pregnancy. However, different manifestations of these changes can be observed depending on the sex of the fetus. While human chorionic gonadotropin reaches higher levels in pregnancies with a female fetus, testosterone concentrations are higher in the presence of a male fetus. At the same time, increased levels of pro-inflammatory interleukins have been detected in the presence of a male fetus. However, inconsistent results regarding the sex of the fetus can be observed when focusing on the levels of cortisol and progesterone. Adaptive protective mechanisms play an equally important role in embryo protection. In line with the expectation that the more vulnerable male fetus would require increased protection, higher levels of disgust sensitivity were observed in mothers pregnant with boys. In the case of pregnancy-related nausea, however, increased levels were repeatedly reported in mothers expecting girls. Thus, a deeper understanding of these mechanisms should be the subject of further studies.
|
|
|
Nutrition and alimentation in pregnancy
ŠTĚPÁNKOVÁ, Petra
The bachelor thesis entitled Nutrition and Alimentation in pregnancy deals with the definition of pregnancy, nutrition before conception, energy requirements and weight gain in pregnancy, nutrition during pregnancy, alternative directions in nutrition during pregnancy and addictive substances in pregnancy. Nutrition is an essential part of the proper course of pregnancy and is needed for proper fetal development. Certain substances such as alcohol and heavy metals in predatory fish should be avoided during pregnancy as they can have a negative effect on the whole pregnancy, the woman and the baby. In this work, two objectives were set. The first objective was to find out the nutritional awareness of pregnant women and the second objective was to find out how pregnant women eat during pregnancy. The first objective was achieved through quantitative research, specifically through the questionnaire method and the second objective was achieved by collecting and analyzing dietary intake from ten pregnant respondents. A total of 128 pregnant women participated in the questionnaire survey. Through the research, it was found that the respondents get most information about nutrition in pregnancy from the internet and least information from a dietitian, lectures or from television and radio. Few fruits and vegetables were included in the diet, and on the contrary, a lot of dairy products were included. Nutrition is an essential part of life and also of pregnancy. It would therefore be advisable to inform pregnant women more about nutrition, for example through lectures given by a dietitian.
|
|
|
The process of becoming a mother: Changes in first-time mothers' experiences of motherhood before and after childbirth
Martinčíková, Lucie ; Valentová, Hana (advisor) ; Presslerová, Pavla (referee)
This diploma thesis focuses on the experiences of first-time mothers in the process of becoming a mother, and their changes in experiencing motherhood before and after childbirth. The theoretical part contains six main chapters that address the main issues of motherhood from the perspective of existing research studies and academic literature. The aim of this diploma thesis is to describe first-time mothers: experience of motherhood and experiencing the process of becoming a mother. A qualitative design was chosen for the research purposes. The data collection method consisted of conducting semi-structured interviews. Six pregnant women - first-time mothers - were selected for the research population and two interviews were conducted with them, one of which took place before the childbirth and the other after the childbirth. Data analysis was performed based on interpretive phenomenological analysis of the text. The result of the thesis is a comprehensive description of topics related to motherhood. The research results show that the process of becoming a mother is undoubtedly a unique and non-transferable experience. The research expands the awareness of the factors that influence the experience of motherhood and maps the key areas of possible changes during the period of motherhood. Significant...
|
|
|
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...
|
|
|
Possibilities of physiotherapy in pregnant women with lumbar spine pain with regard to functional and structural parameters of the pelvis
BENEŠOVÁ, Natálie
This bachelor's thesis deals with the possibilities of using physiotherapy methods during pregnancy to relieve musculoskeletal pain, especially in the lumbar spine, while monitoring the functional and structural parameters of the pelvis. The work is divided into theoretical and practical parts. In the theoretical part, the aim is to give an overview and to write down information of a basic nature, first of all about the anatomical structures that are most closely related to this issue. The anatomy and kinesiology of the spine is described at the beginning, followed by the examination possibilities. The chapter on the pelvis is similarly structured, with more detailed functional and structural parameters of the pelvis. Furthermore, the theoretical section describes basic information on the course of pregnancy. A wide section then describes the changes on different systems during pregnancy, such as the respiratory, cardiovascular, gastrointestinal, urethropoietic and reproductive systems. As an integral part, there is also a description of changes in the spine and pelvis. Finally, appropriate or inappropriate physical activities and physiotherapy methods that can be performed during pregnancy are summarized. The aim of the practical part is to observe and evaluate the effect of physiotherapy intervention for low back pain during pregnancy. The research population included three probands in the second trimester of pregnancy who were suffering from low back pain. I implemented 6 therapy sessions with each proband once every 1-2 weeks. At the beginning, I did an initial kinesiological analysis with anamnesis taking. I presented each proband a series of exercises to influence the musculoskeletal system. At each session, we summarized the other changes since the previous session. At the end of the therapy sessions, we reviewed the results and performed an outcome kinesiological analysis. The work can be used by physiotherapists in practice as inspiration for therapeutic procedures and informative educational material.
|
|
|
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.
|
guest ::
