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New trends in Czech obstetrics and opinion differences between pregnant women
Mrázová, Andrea ; Duffková, Jana (advisor) ; Hamplová, Dana (referee)
In this graduation theses are monitored changes in obstetric profession during centuries and mainly in last few decades. Perception of childbirth change and what was once normal is today alternative and vice versa. Childbirth has unique position in medicine and we have to take it not only as matter of physiology but also as matter of sociology. At Childbirth, its hazards and its workminelike finis his regard with social optics. Determination and perception of childbirth is mainly different in view of two "competing conceptions" ( medically led childbirth, natural childbirth ).This graduation theses is oriented at perception and opinions of pregnant women. Theirs opinions are analyzed and processed with qualitative analysis. In last few years, "different" childbirth than classical is more and more in subconsciousness of women. Even when women more often choose medically led childbirth, some of them start to thing about different, alternative possibilities. Their opinion is, that woman shall have right to choose and more or less undertake responsibility over this decision.Women wanna be more involved in decisions about their bodies, childbirths. With choosing of way of childbirth, there are prefered different criterions. Even if maternity clinics in last few years ( after 1989 ) changes their position in this...

Spa and wellness in travel agencies offer
PRŮŠOVÁ, Mirka
The aim of the dissertation was the evaluation of the present condition of the travel agency offers in the area of spa and wellness services in the South Bohemia. The other aim was comparing the services in this country and in Germany and making an innovative package which was called "Spring refreshment for women".

Issue of Pregnant Women and Mothers using Habit-Forming Substances and Instructional and Medical Help for this Group
Vodenková Poláková, Michaela ; Šotolová, Eva (advisor) ; Mrkosová, Eva (referee)
This work deals with the subject of drug addicted pregnant women and mothers. It analyses in detail the influence of drug abuse during the pregnancy on the mother and featus and on parenting and the development differences of children born to drug addicted parents. Another area of interest is the differentiation of treatment of pregnant or parent women and other clients. The description of individual programs offered in Prague and neighbourghood by non-profit organizations DROP IN o.p.s. and Sananim o.s for mothers with children follows. The empirical part of this work is devoted to identification of the social and family background of addicted mothers. Key words: Women, drugs, pregnancy, parenting, treatment Powered by TCPDF (www.tcpdf.org)

Maternal comfort during spontaneous and induced labour
BERANOVÁ, Jana
Bachelor thesis deals with comfort of a mother-to-be during spontaneous and induced labour. Spontaneous labour has assumed on the basis of natural mechanisms of a woman´s organism and was going on without obstetrician´s interventions. In the opposite we understand with the induced labour an artificial evocation of the womb activity in order to end pregnancy with a vaginal delivery. Comfort is closely connected with the delivery; it is defined as situation of physical, psychic and social well-being or peace. Bibliography distinguishes between a physic and social comfort and an environmental comfort. In the theoretical part of this work is this closer described based on quoted bibliography and newest findings in this field. Further is in detail elaborated the nursing care of women in induced and spontaneous labour and the role of midwives during all delivery phases. The practical part of the thesis is aimed to perception of comfort differences at spontaneous and induced delivery by women during the labour. For this thesis was set only one goal, just to find out exactly the difference in perception of spontaneous and induced delivery by mothers-to be during the delivery. Two research questions were determined. Wording of the first question: "How do women evaluate the difference of pain perception of the womb activity at spontaneous and induced labour?" Second questions pursued differences in the medical procedures: "How do women evaluate the difference in medical procedures in case of a spontaneous and induced delivery?" For processing of this problematic and finding out of the given goal was chosen a quality research. For the data collection was used the technique of half structured interviews. These interviews were later processed with the method of content analysis. The research array were women after labour at the puerperium department of hospital Nemocnice Strakonice, a. s. For the quality research were eight women selected, who have the experience with both types of the labour (spontaneous and induced). Based on these quality research results were reached further described conclusions and answers to research questions. The majority of respondents handled better the spontaneous labour. Only one respondent was more satisfied with the progress of inducted delivery. All approached respondents realized that inconveniencies and pain, which accompany the labour, are inseparable part of the labour action, however there were detected significant differences primarily in experiencing of womb contractions. During the spontaneous delivery expectant mothers reported gradual entrance of contractions, so they could have used to the pain and get ready for it. During the induced delivery was the ache sudden, sharper and permanently intense. The biggest difference in the delivery leading experienced all respondents (without one) in the possibility of free movement, which was possible only during the spontaneous labour. During the induced labour was the motion supposedly restricted by frequent CTG-checks and often repeated vaginal screening. Further they could have drunk and eaten during the spontaneous delivery. They have used more non-pharmacologic relief methods by the spontaneous delivery too - like relief positions, aromatherapy, gymnastic ball, massages, shower etc. During the induced delivery they have already asked for pharmacologic methods. An effort of the expert public, mostly of the midwife, is to create the best possible level of comfort to women in labour, so they are satisfied with the labour progress and manage the own delivery best possibly. This bachelor thesis can serve as information material for pregnant women, who are actively getting ready for coming labour. Even future midwives, who prepare their selves for this job can use it, alternatively is it aimed for special midwives ("duly") and other persons attending the delivery.

Laboratory determination of bone markers in the course of osteoporosis
Moučková, Štěpánka ; Kotaška, Karel (referee) ; Dršata, Jaroslav (advisor)
1 Abstrakt Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biochemical Sciences Candidate: Štěpánka Moučková Supervisor: ing. Marta Pechová Title of bachelor thesis: Laboratory determination of bone markers in osteoporosis The aim of this study is to compare preliminary values of bone formation and resorption markers in newly diagnosed osteoporotic patients with values after their treatment. We compared the serum levels of N-MID osteocalcin and aminoterminal propeptide of procollagen type I (PINP) as markers for bone formation, and serum carboxyterminal telopeptide (β-CTx) as a marker of bone resorption. Data were collected from 66 patients - 60 women (47 postmenopausal and 13 premenopausal) and 6 men. Patients were divided into 4 groups according to age and applied treatment. Analysis of individual markers was performed using Roche Cobas e411 immunochemical analyzer. Simultaneously were measured serum levels of 25-OH vitamin D3, kalcium (TCa) and parathyrin. Results show that patients treated with bisphosphonates have a significant change in markers of bone turnover, while in patients without proven osteoporosis the levels of bone markers remain unchanged after the supplementation of vitamin D and calcium. Values of vitamin D without supplementation are often below the...