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Activation the deep stabilization of the spine in women after gynecologic operations
JIRÁNKOVÁ, Tereza
The theme of this bachelor work is the deep stabilizing spinal system activation of women after undergone gynecological operations. The deep stabilizing spinal system is the system which involves muscles participating in spinal stabilization in all daily life movements. The participation of these muscles is automatical,unconscious.Right coactivation is responsible for high quality setting and optimal pressure in particular spinal joints. Deep stabilizing system dysfunction is one of possible causes of vertebraegenic problems or wrong posture. We speak about pelvis bottom muscles,diaphragm,nucha deep ones,m.mulitifidii and m.transversus abdomonis. In spite of the fact that gynecological operations are carried out very carefully (abdominal way), they leave some changes on musculoskeletal system. I have chosen two most carried gynecological operations for my bachelor work/abdominal hysterectomy and Caesarean section. I have divided my work into two parts. The theoretical one is aimed at mapping available information about deep stabilizing system and gynecological operations. The research one is the core of the work. It is about practical research of deep stabilizing spinal system activation of women after gynecological operations and their profound analysis. The aim of the theoretical part of my bachelor work was mapping of available information about mentioned matter and the description of deep stabilizing spinal system. You can find there the description of particular parts of deep stabilizing system from the point of view anatomy and their function. Then there are described the possibilities of its examination and the last but least the methods used in activation. After the explanation what the deep stabilizing system is the theoretical part follows which is aimed at gynecological operations. I have tried to describe their indications, course and their possible complications. One part is about female sexual organs anatomy. The main aim of the bachelor work research part was brief description of the musculoskeletal system changes during therapy. I have applied the qualitative research method. Two women of different age and diagnosis have been chosen for my research. Therapy was carried out at their home environment in the period of 5 and 8 weeks. The research results were worked out in the casuistry forms which contain input and output kinesiological analysis, therapy course, short-term and long-term rehabilitation plan. The therapy was carried out once a week under the therapist supervision. Then the patients were instructed and trained in the right exercise set and they were given exercise plan for every day. After gynecological operations there were some changes in musculoskeletal system particularly in abdomen area exactly in the location of the cut. This area was not active entirely. There was not abdominal breathing. Activity of abdominal muscles was taken over by musculus rectus abdominis. Lateral groups of abdominal muscles (musculus obliquus internus abdominis,musculus obliquus externus abdominis and musculus transversus abdominis) were not activated entirely. Both patients learnt the right breathing sterotype and their deep stabilizing system was activated. Realizing their own body and how to operate with it was the result of the therapy. The therapy was finished with the form of output kinesiological analysis containing appropriate examination. The research proved the efficiency of activating deep stabilizing spinal system after gynecological operations not only from the point of view physiology, but from the point of view psychic too.
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Aftercare awareness of women after Caesarean section
MAŘÍKOVÁ, Monika
The thesis focuses on a very hot topic, which is the aftercare awareness of women after cesarean section. The theoretical part is divided into three areas. The first area deals with the history of caesarean section and presents the main topics and concepts that are associated with caesarean sections. The second area focuses on the role of midwives in the preoperative care and the last is devoted to the role of midwives in the post-operative care.The research was conducted with the quantitative method, using standardized anonymous questionnaires. The questionnaires were distributed to women after caesarean section in the Gynecology and Obstetrics Clinic of the University Hospital in Plzen. Questionnaires were distributed during the months of January, February and March 2012. The aim of the explorative research was to find out the extent of the aftercare awareness of women after caesarean section. The given aim was fulfilled. The results of the explorative research show that the extent of the aftercare awareness of women after caesarean section in the Gynecology and Obstetrics Clinic of the University Hospital in Plzen is at good level.
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The economic profitability of current obstetric facilities in the Czech Republic
Kobliha, Pavel ; Ševčík, Miroslav (advisor) ; Antonín, Pařízek (referee)
The aim of the thesis is to analyze the economic profitability of current obstetric facilities in the Czech Republic. The theoretical part deals with economic aspects of health such as health determinants and their effect on human health, the specific of health care and role of the state in health care. Further work is focused on exploring different types of health systems, the principles of financing Czech healthcare system and its development in recent years. Despite the increasing role of direct financing of health care and higher patient participation, the public sector still plays the most important role, which follows from the Charter of Fundamental Rights and Freedoms. Based on available data on infant mortality the efficiency of functioning of the Czech and American health care system will be compared. Infant mortality in the Czech Republic is very low and our country in this regard is placed on the top places in the world. The practical part deals with analysis of the costs of planned caesarean section, including the total time a mother spends in hospital. Furthermore, the practical part deals with the future of obstetrics in the Czech Republic in terms of plans for the closing of small hospitals with low numbers of births and infant homes replacing foster care. The final part deals with births at home as a substitute for births in hospitals. This topic is now getting into media interest when it is discussed to ensure adequate care in childbirth and health risks for mother and newborn.
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Nursing care of women after operative deliveries
KREJCAROVÁ, Jana
Nursing Care in Women after an Operative Delivery The bachelor thesis focuses on nursing care in women after an operative delivery terminating pregnancy. The theoretical part describes the individual surgical procedures (forceps delivery, vacuum extraction, cesarean section), nursing care and educational activity accompanying them. Further, it also includes a brief history of these methods. In the practical part, four basic goals and hypotheses were stated. The goal of the work was to identify differences in taking care of women after operative deliveries, to find out whether the care is conducted in the form of a nursing process, whether the care follows nursing and obstetrical standards in the selected delivery wards. With the view of these goals the following hypotheses were formulated: nursing care in women after operative deliveries differs in selected delivery wards and that midwives use a nursing process meeting the nursing and obstetrical standards in care of women. The research was conducted by a quantitative method. Data were collected through the use of anonymous questionnaires. These questionnaires were given to midwives in selected delivery wards (České Budějovice, Plzeň and Písek). The respondents were nurses working in delivery rooms, puerperium wards and gynecologic intensive care unit. The goals of the work were fulfilled. The hypothesis regarding the differences in care between individual delivery wards was confirmed. The second hypothesis that the care in women after operative deliveries is conducted in the form of a nursing process was proved in 72% cases. The third hypothesis confirms using of nursing standards in this care in 92% and the fourth hypothesis reveals that obstetrical standards are met in 75%. The results for the analyzed set of cases as a whole show certain definite tendencies, however the care differs among individual places and even among various wards within one institution. Therefore it would be useful to asses the organization of work, technical conditions and possible modifications that could improve the nursing care.
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Caesarea section- perioperative nursing care during regional and total anesthesia
MAŠKOVÁ, Šárka
In my thesis I focused on perioperative nursing care for women with a caesarean section in regional and general anesthesia. The thesis is divided into a theoretical and research part. In the theoretical part of my thesis history, conditions, indications and contraindications, and also complications during a caesarean section performance are described. Information about anesthesia which is used for a caesarean section is also given. Conditions for general, epidural and spinal anesthesia administration are described. Advantages, disadvantages, indications, contraindications and complications of different types of anesthesia are also mentioned. A substantial part of the theoretical part is devoted to perioperative nursing care. The preoperative nursing care is described, the preparation for it is divided according to the type of anesthesia. Nursing care during the intraoperative and mainly postoperative phases is mentioned in detail. The aim of my thesis was to identify differences in perioperative nursing care for women with a cesarean section in regional and general anesthesia. My work was also focused on women's level of awareness about possibilities of anesthesia for caesarean section. Another goal of my work was to make up standards of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia, which is administered in the delivery room. Two hypotheses were stated. The first hypothesis is the supposition that women after a caesarean section need a different nursing care, which depends on the type of anesthesia administered. The second hypothesis is the supposition that women are adequately informed about the possibilities of anesthesia for a caesarean section. Quantitative research conducted through questionnaires was chosen to conduct the survey. Questionnaires were distributed to women after a caesarean section at the confinement department. Research results are shown in graphs .The both hypotheses were confirmed by the research investigation. The research has revealed a new finding that women need different nursing care not only after a caesarean section, but also during the intraoperative phase. I used this finding to develop a standard of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia. The standard is designed for midwives and is intended to improve nursing care for women in the course of a caesarean section delivery during the intraoperative phase. The research has proved that women with a cesarean section need a different perioperative nursing care, which depends on the type of anesthesia administered. It is therefore necessary to differentiate between the two groups and provide them with a different nursing care. The research has also shown that women feel sufficiently informed about anesthesia for a caesarean section. Women´s awareness is a prerequisite for a good cooperation with the patient and successful nursing and medical care. The nursing care provision according to the perioperative care standard will ensure a quality professional nursing care for women before, during and after a caesarean section.
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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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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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Nursing care about women with multiple pregnancy
LINHARTOVÁ, Petra
ABSTRAKT Nowadays the occurrence of multiple pregnancy is connected with methods of artificial insemination that bring along many other complications. A multiple pregnancy requires greater attention, care of the obstetrician and the midwife. Because the attendance care for these woment keeps developing at the same time with new findings, it is necessary to provide a quality care, of which is mostly in charge an experienced midwife. Multiple pregnancy is a state when there is more than one fetus developed in the womb. Mostly we are speaking of twins (gemini), triplets (trigemini) and quadruplets (quadrigemini). A multiple pregnancy is a greater burden to the organism of the woman during the whole period of pregnancy. Speaking of multiple pregnancy we should count with occurrence of various complications, e.g. premature labour, placental insufficiency, or occurrence of toxaemia of pregnancy. Therefore an early and regular prenatal care is so important for women with multiple pregnancy. To find out whether the nursing care for woman with a multiple preganancy is carried out according to given nursing standards, we chose a quantitative survey and used the questionnaire form. There were 27 open questions, semi open and closed questions. Midwives could cross or fill in their answers. The questionnaires were distributed in Hospital České Budějovice a.s., Hospital Nymburk s.r.o. and in Hospital Český Krumlov s.r.o. and they showed that the nursing care, e.g. blood pressure measurement, pulse measurement, weighing pregnant women, fetal auscultation is fulfilled from 100%. It was further found out that the nursing standards are carried out from 83% and that the ultrasound examination of fetuses is carried out in 100% according to the recommendations of the Czech Gynecological and Obstetrical Society. 43% of midwives do not consider the care for women with multiple pregnancy more complicated than other hazardous pregnancies and 57% of midwives claim that the care for women with multiple pregnancy is not more complicated at all. The survey has shown that the nursing care for women with multiple pregnancy corresponds to nursing standards, which confirms the working hypothesis at the same time the goal of the paper concentrated on carrying out of nursing care according to nursing standards was fulfilled.
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Knowledgeableness of patients before and after an operation of the intervention
PRSKAVCOVÁ, Hana
Based on the information within the Bachelor{\crq}s thesis titled {\clqq}Knowledgeableness of patients before and after an operation of the intervention``, which was aimed at the knowledge women have about pre-operative care before planned and acute caesarean section and about post-operative care, hypothesis 1. Women consider themselves to be well informed before the planned caesarean section. According to my research, this hypothesis was confirmed. Hypothesis 2. Before the caesarean section, women do not feel to be properly informed about the surgery. However, research did not confirm this second hypothesis. Hypothesis 3. Women that underwent the caesarean section are comfortable with the way they have been informed about the operation. The quantitative research method through questionnaires was used for data collection. The questionnaire contained 24 queries and was anonymous. The questionnaires were determined for women after the caesarean section and were issued at the Puerperium ward of the general hospital in České Budějovice. A total of 114 questionnaires were handed out and 111 of them were returned filled out, from which 103 of these were used within the final processing procedure. The results clearly show that women consider themselves as sufficiently informed before planned as well as acute caesarean section and consider themselves sufficiently informed of post-operative care.
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