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Specific methods of physiotherapy treatment as part of a woman in the puerperium
AL-AHMADOVÁ, Laila
This bachelor's thesis focuses on physiotherapeutic techniques as part of care for women during the postpartum period. Most women actively attend prenatal classes, where they are instructed on how to exercise and perform routine activities to provide relieve to their musculoskeletal system. Unfortunately, the majority of women are not informed of how to continue after having given birth, when they experience considerable weight loss and the burden on the skeleton changes completely within several hours. The objective of my thesis is to provide an overview of the possibilities and utilization of special physiotherapy techniques to accelerate the normalization and stabilization of women's musculoskeletal system. The first part of the thesis focuses on the physiological postpartum period, anatomy and postpartum complications. In addition, I provide an overview of techniques that can be used in clinical practice. The second objective was to discover whether individual exercise during the postpartum period makes it easier for women to cope with postpartum changes, thereby having a positive influence on the course of the postpartum period. This was confirmed by the results of this work. Qualitative research techniques were used, including interviewing and observation techniques. The study group comprised 3 patients aged from 25 to 34 years old. The women were followed up during the entire postpartum period, which was free of any complications. The patients improved their breathing stereotypes and pelvic floor functions. All three women reported gradual improvement of their subjective feelings during treatment. Unfortunately, I learned that many women in the postpartum ward refuse/do not do any exercise. The rooming-in system, although the most beneficial for both mother and child, makes the physiotherapist´s work very difficult. It is very hard to coordinate the mother´s free time and the physiotherapist's time reserved for the postpartum ward. In my opinion, the best solution would be to begin education mothers during pregnancy, preferably during the prenatal courses. The expected practical use of this thesis is for the needs of physiotherapists as well as other healthcare professionals and women in the postpartum period.
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Woman's sexuality in pregnancy, during delivery and in puerperium.
HONZÍKOVÁ, Eliška
This bachelor thesis deals with female sexuality in the period of pregnancy, delivery and puerperium. However, it does not only focus on sexual activities in these cardinal periods of every woman ´s life. Female sexuality is directly related to the woman ´s psychic condition which has a fundamental effect on her. The theoretical part includes chapters explaining the notion of female sexuality and its brief history. The thesis further includes basic information about female physiology and an outline of the periods of pregnancy, delivery and puerperium with a focus on female psyche and sexuality. The purpose of this thesis was to find out about women ´s knowledge of hormonal changes in the periods of pregnancy, delivery and puerperium in relation to sexuality. Another objective was to find out what changes are women subject to in these periods and whether any complications may appear in this area. Further focus of interest was comparison of sexuality of women without professional healthcare education and midwives who had already delivered babies themselves. This theme was processed with the help of a qualitative research. The needed information was obtained through non-standardised interviews with open questions. The interviews were processed in the form of case studies. The research subjects included two groups of female respondents. The first group included women without professional healthcare education and the second consisted of five midwives. The research was used for evaluation of the following hypotheses: ``Women possess information about hormonal changes in pregnancy, during and after delivery in relation to sexuality``; ``The frequency of female sexual activities decreases in pregnancy``; ``Women change view of their life roles in the sense of continuous prevalence of the parental role over the partner role``; ``Delivery need not necessarily result in changed sexual appetite of women``; ``Women experience complications in sexuality after delivery in the case of trouble with injury during childbirth{\crqq}; ``There are no differences between women without professional healthcare education and professional midwives in sexuality in the periods of pregnancy, delivery and post-delivery``. The thesis might be beneficial not only for midwives, pregnant women or women after child delivery, but also for the male part of the population.
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Mode of delivery in women with a history of caesarean section
PISKORZOVÁ, Martina
The thesis is focused on childbirth management in women with a history of Caesarean section. Two objectives were stated. The first one was to found out the childbirth management in women with previous Caesarean section. The second one was focused on the women{\crq}s demand for sterilization during Caesarean section. The objectives were accomplished. To meet the objectives, hypotheses were stated. It was presumed that in women with a history of Caesarean section another pregnancy would be terminated by another Caesarean section. This hypothesis was confirmed. The second hypothesis assumed the women{\crq}s demand for sterilization during Caesarean section. This hypothesis was not confirmed. The research was conducted by the quantitative method using retrospective analysis of data obtained in the perinatological centre in hospital in České Budějovice, a.s. in the period between January 1, 2004 and December 31, 2008.
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Interest and utilization of alternative methods during a childbirth
ZWETTLEROVÁ, Andrea
A dictionary of foreign words defines the term ``alternative{\crqq} as a choice from two or more options. This means that the word alternative means a certain possibility to choose. The term alternative methods of child birth responds to the situation which existed until recently, when individual wishes of a woman in the course of child delivery were not respected and interventions were made even in case of physiological and normally developing deliveries. In my bachelor thesis I have investigated whether expecting mothers are interested in alternative methods of child birth and whether they have opportunities to use them. In order to collect information to achieve my objective and to process the data I have used a combination of quantitative and qualitative survey, by means of questionnaires and interviews. The data were collected in the hospital in Jindřichův Hradec. The surveyed group were pregnant women planning to give birth at the maternity ward in the hospital in Jindřichův Hradec and midwifes working at the delivery room of the same hospital. The survey was based on three objectives, three hypotheses and three survey questions. The survey has shown that all the objectives have been met, the hypotheses were confirmed and answers to the survey questions were found. The acquired data may be primarily useful for students of the Faculty of Health and Social Studies and for midwifes interested in alternative methods of child birth. Last but not least, the results may be also useful for the maternity ward of the hospital in Jindřichův Hradec to find out which alternative methods of child birth are on demand among pregnant women. The today´s modern obstetrics stresses the childbirth, among other things, as a very special event in the family´s life. Memories of this beautiful experience should be kept not only by the child´s mother but also by the closest family
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Know - how gravid women about after - terminal pregnancy
ŠIKOVÁ, Miroslava
The thesis on the topic of awareness of pregnant women about overdue pregnancy consists of two basic parts. In the theoretical part the thesis deals with first signs of pregnancy and how the pregnant woman can recognize them. How to calculate the due date and how long physiological pregnancy takes. Other topics mentioned are frequency, causes and risks of overdue pregnancy and ways of dealing with failed induction of labour. The aim of the research investigation was to determine whether pregnant women know the risks of overdue pregnancy, whether they know the length of pregnancy, whether they have knowledge of how to calculate the due date and whether they know the reasons leading to the induction of labour. Hypotheses were stated which were to confirm the knowledge of pregnant women about the risks of overdue pregnancy, women's knowledge about the length of pregnancy, women's knowledge about ways of calculating the due date and knowledge of the reasons to induce the labour. Quantitative research was chosen as methodology of the work, data collection was conducted using the questionnaire technique. The questionnaire was anonymous, the initial questions identified the respondents. Questions in the questionnaire were related to overdue pregnancy. The research was carried out in Strakonice Hospital and in gynecologists´ surgeries. 70 questionnaires had been distributed. The total set consisted of 60 (100%) respondents. The objectives of the thesis were met and the hypotheses were confirmed by the results of the research investigation. It was found out that pregnant women are well informed about the risks of overdue pregnancy and they have enough information about the whole issue. Women receive information from their doctor-gynaecologist, midwives and from the Internet when the Internet is not a valid resource for pregnant women. It would be beneficial to provide information about other natural methods of induction of labour. The best form of education of expecting mothers would be a focused interview during pre-birth classes or creating information brochures, which would be available in every gynecological surgery.
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Nursing of puerpa apter discharced form hospital form family midwifeis perspective
FIEDLEROVÁ, Jiřina
Confinement period {--} puerperium {--} is a difficult period for a woman after childbirth in terms of somatic and psychological aspects. The thesis deals with the issue of confinement, care for the mother after discharge form hospital and the role of an outpatient midwife. Following objectives were stated to find out: if women after delivery will need the assistance outpatient midwives may provide them with; if mothers are interested in such assistance; if women need professional help in the treatment of episiotomy, breastfeeding, right lifestyle and child care after being discharged from hospital; if women have enough information where to seek professional help in the event of complications.
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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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PHYSIOTHERAPY OF PREGNANCY AND PUERPERIUM
PITNEROVÁ, Alžběta
The bachelor thesis is focused on physiotherapy during the time of pregnancy and puerperium. Both pregnancy and birth have a significant influence on the expectant mother. During the nine months, woman undergoes a great amount of changes both from the physical and the mental side. This bachelor thesis deals foremost with changes that affect the physical side of the expectant mother. They include changes on genital organs, on cardiovascular, blood and respiratory system, gastrointestinal tract, skin and last but not least on the locomotory system. With exercise in gravidity, we try to influence these changes and, therefore, avoid any occurrence of eventual difficulties. Exercising during gravidity has not only a great importance to prevention but also to the preparation of an expectant mother to the delivery and for acceleration of return of the mother into the shape before conception. The expectant mother should be careful when choosing a suitable sport and she should always consult her attending gynaecologist. Recommended sports and methodologies include gravid yoga, pilates, belly dance, Moses method, exercise on a big ball, Alexander's technique, hydrokinesiotherapy and gynaecological gymnastics. The theoretical part includes a description of anatomy of genital organs and pelvis, creation of an individual, description of physical changes during pregnancy and puerperium and also characteristics and selection of individual suitable sport activities and methodologies. The goal of this bachelor thesis was to find such suitable physiotherapeutic procedures and methods, apply them to particular expectant mothers and verify their effects. For the practical part of research, the method of qualitative research and personal cases studies were used. Three pregnant women participated in the research. Therapy took place once per week for the period of several months. While having free conversation with the clients during the said period, I obtained the information I have incorporated into the individual casuistries. The therapy was completed by the final examination, which proved a positive effect of the exercise not only on the health conditions of expectant mothers, but also on their mental well-being, which was especially important for mothers.
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Physioterapeutic impact on apparatus of movement during pregnancy and preparation to the labour
KOTRŠALOVÁ, Jana
This bachelor work was aimed at the effect of individual physiotherapy on apparatus of movement during pregnancy and preparation to the labour. The first objective of my research was to find out whether the women who underwent individual physiotherapy in their pregnancy, in addition to the above stated courses, suffered minor problems connected with the locomotive apparatus before and during the parturition than the women who did not undergo individual therapy. I also addressed parturition, particularly duration of the first delivery period and pains during the delivery. Both objectives of my research have been attained. The anamneses of the women were obtained, kinesiological analyses were made and for one of the women a short-term plan was elaborated according to which the therapy was undertaken; subsequently the final analysis of the obtained results was performed. Two hypotheses have followed from my research. According to my first hypothesis, individually controlled physiotherapy undertaken during pregnancy can positively influence the locomotive apparatus of every pregnant woman. The second hypothesis claims that individual physiotherapeutic care has no significant effect on the course of the parturition.
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Epidural anesthesia during labour nowadays
LAŠTOVKOVÁ, Aneta
Current Obstetric Epidural Analgesia Labour pain belongs to every physiological childbirth. Enormous pain, however, was proved to affect a woman in labour and a child negatively so satisfactory pain relief should be provided. Current obstetric analgesia aims at/seeks for/strives after observing a physiological childbirth process. Epidural analgesia is the safest and most effective method of labour pain relief available today. Epidural analgesia is used in case of pain in labour and delivery, on request of the woman in labour and in prolonged delivery. Epidural analgesia could be also provided in preeclampsy, breech delivery, multiple pregnancy, premature delivery and cardiotocographic abnormalities. Although epidural analgesia is very popular and safe, no complication should be omitted. Good hospital care provided by obstetricians, anesthesiologists and nurse midwives could prevent most complications. Obviously, professional care in labour with epidural analgesia can only be provided by well-educated and experienced obstetric staff. The theoretical part of the thesis deals with information concerning delivery pain and pain relief methods. Together with epidural method, its indication, contraindication and complications, also spinal anatomy is mentioned in this part. All professional and communicative steps of midwife care about the woman in labour with epidural analgesia are described here. To fulfil the aim of the thesis, qualitative and quantitative research strategies were used. The women in labour with and without epidural analgesia were observed for collecting data in qualitative method. The same clients were consequently asked about their information and attitudes to epidural analgesia. Altogether eight casualties were formed. To collect data for quantitative method, the questionnaire of thirteen questions was prepared and send out to maternity hospitals. Eighty-six questionnaires were sent out and twenty- eight (25, 7 %) were sent back. The main aim of the thesis was to find out how available the epidural analgesia in labour is in our maternity hospitals. The next aim was to monitor the women in labour with and without epidural analgesia. The aims were accomplished through the research questions: How available is epidural analgesia used in labour in Czech maternity hospitals? What diffferences are there in labour with and without epidural analgesia? This work can be applied as a source of information for midwife students and nurses.
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