|
|
Actual genuine realization of 10 steps to successful breast-feeding in hospital and terrain
KREZLOVÁ, Lucie
Breast milk is one of the most precious gift that can mother give to her child. Therefore the mother's best choice is to breast-feed her child. It is very important to properly instruct the mothers to understand all advantages of breast-feeding and it's correct technique. Such a comprehensive information can be communicated only through precise methodical guidance during prenatal and postnatal period. The birth assistant represents significantly this field of activity for his/her imminent contact with mothers. He/she takes care of mother's and child's needs and realizes this care via nursing process. The thesis is focused on methodical recommendations which should support breast-feeding of carried to term newborns. First target of this thesis was to ascertain if the 10 steps to successful breast-feeding are implemented in the hospitals. Second target was to find out if the mothers are enabled to breast-feed their childern for the first time within an hour from delivery. Third target was to find out if the 10 steps for successful breast-feeding are also implemented in field. Fourth target was to find out how is the field education of mothers, concerning the 10 steps to successful breast-feeding, provided. There were following hypothesis determined: H1 - Genuine implementaiton of 10 steps for successful breast-feeding in hospitals corresponds with methodical recommendation as per WHO/UNICEF. H2 - Mothers are enabled to breast-feed their childern for the first time within an hour from delivery. Both theories have been confirmed through research.There were also asked following research questions:VO1 - Does the genuine implementation of 10 steps to successful breast-feeding in field correspond with methodical recommendations as per WHO/UNICEF? VO2 - What is the mother's opinion of implementation of 10 steps to successful breast-feeding in field? The quantitative research part was processed via questionnaires focused on mothers after delivery during they stay at Gynaecological-Obstetrical clinic of College hospital in Pilsen. For qualitative research part of the thesis was chosen a structured field conversation with mothers who were 6 months after delivery. The results of the research show that the 10 steps to successful breast-feeding is implemented indeed both in hospital and field. Mothers are allowed to breast-feed their childern within an hour from delivery. If the first breast-feeding hadn't been performed until one hour from delivery, mothers have been adquately informed how to stimulate and maintan lactation. Respondents in field declared that they were educated by nurse and pediatrician. All respondents in field coincident with opinion that implementation of 10 steps to successful breast-feeding is on high level. Results of reasearch may be a benefit and motivation for work of nursing personell of puerperium ward and rooming. Results may contribute to increase the quality of nursering care of breast-feeding mothers and newborns. In field can be results of the research used to increase the quality of mothers's training in breast-feeding both in pregnancy counsellings and prenatal courses. On the basis of this thesis results will be composed simple comprehensive manual, leaflet or web page which can be at mother's disposal by their attending gynaecologist, outpatient's department of maternity hospital, puerperium ward or at home via internet.
|
|
|
Nurses´ Influence on Regimen of Breast-Feeding Mothers
HARANTOVÁ, Klára
Abstract Breastfeeding has been given a close attention in the last decade so the awareness of nursing mothers and health care staff seem to be sufficient. However, latest surveys have disclosed the necessity of further education of both groups and the need to cooperate closely. This Bachelor work is focused on healthy diet of nursing mothers as well as the impact of education and midwives´ behaviour towards the mothers on making healthy food choices while breastfeeding. The aim of this work was to find out the ways of nursing mothers´ nutrition and to map the benefits of education centred on healthy diet. The work is divided into theoretical and practical parts. The first one deals with historical views of postpartum and lactation periods, the trends in nursing mothers´ nutrition, the education provided by midwives and lactation consultancy. The latter part analyses survey information. A quantitative research technique, an anonymous questionnaire, was used for getting required information. There were 128 questionnaires given to respondents and 103 of them were brought back. The survey was carried out in the paediatric consulting rooms in Strakonice, Volyně and an obstetric department in Strakonice. The findings confirmed the hypothesis that nursing mothers maintain healthy diet while breastfeeding, mostly thanks to information provided by midwives. The findings of the research survey, as a source of appropriate information, could be afforded to midwives of in-patient and out-patient departments so that the education of nursing mothers can be spread and improved.
|
|
|
Brestfeeding and its most frequent problems
SOUKUPOVÁ, Simona
The undergraduate thesis is divided into two parts. The first part is theoretical and contains overview of current knowledge concerning breastfeeding; the other part presents the survey. In the theoretical part, most frequent problems related to breastfeeding are outlined and correct breastfeeding technique described, which is important for the prevention of these problems. Also other aspects related to breastfeeding are described, such as positions, regimen of a breastfeeding woman etc. The first objective was to find out whether women get enough information about breastfeeding from the prenatal care. The second objective was to find out whether the nursing staff educates women on correct breastfeeding techniques in the postnatal ward. The third objective was to ascertain the most frequent problems related to breastfeeding in women in the postnatal ward, and the last objective was to find out whether breastfeeding women know how to resolve difficulties with breastfeeding. The first hypothesis was that women get information during the prenatal care. The second hypothesis was that nursing staff instructs women on correct breastfeeding techniques. The third hypothesis was that the most frequent problem in breastfeeding is sore and cracked nipples. The last hypothesis was that women are aware of solutions of their problems while in the postnatal ward. All the objectives were met. The survey showed that women were informed about breastfeeding during the prenatal care. They get most information from journals, books and internet. Some of them attended the breastfeeding course and others were instructed by medical staff. Thus the first hypothesis, that women get information during the prenatal care, was confirmed. The second objective was to find out whether the nursing staff educates women on correct breastfeeding techniques in the postnatal ward. The survey proved that women were educated in this way and the staff instructed them on steps leading to successful breastfeeding. The results confirmed the second hypothesis, that nursing staff instructs women on correct breastfeeding techniques. The third objective was to ascertain the most frequent problems with breastfeeding in women in the postnatal ward. The most serious problem ascertained was painful swelling of breasts. The third hypothesis, that the most frequent problem in breastfeeding is sore and cracked nipples, thus was not confirmed. Ascertaining the scope of women{\crq}s knowledge on ways to solve difficulties in breastfeeding was the fourth objective. It was proved that women have sufficient knowledge leading to the removal of a potential problem, and thus the fourth hypothesis, that women are aware of solutions of their breastfeeding problems while in the postnatal ward, was confirmed. In order to verify the hypotheses and fulfill the objectives the quantitative research was used in the form of anonymous questionnaires. We handed out 127 questionnaires, of which 112 returned to us. The survey was implemented in Thomayer University Hospital in Prague, which has been the holder of Baby Friendly Hospital certificate since 1993. The survey results could be used as a source of information for timely education on the most frequent problems in breastfeeding aimed at their prevention and at the same time serve as an information source for the improvement of nursing care. More attention should be paid to the issues of breastfeeding, as these are problems, which may make mothers{\crq} most beautiful period of life more difficult.
|
|
|
Nursing care and nourishment of premature baby
LONGÍNOVÁ, Ilona
NURSING CARE AND NOURISHMENT OF PREMATURE BABY A newborn baby isn´t a little adult, a newborn baby is basically a defenceless creature demanding a very complex care that aims at creating secure conditions for its life. It requires love, tenderness and a lot of devotion for the whole period of 24 hours. The bachelor´ s dissertation paper is dealing with the subject `` Nursing care and nourishment of a premature baby{\crqq} In the theory section the difference between a physiological and high risk newborn baby, the principles of care on the intermediary ward, the nourishment problems and the favourable consequences of breast feeding and breast milk not only on these children are described. Some of the aspects of the care are pointed out aiming at satisfying the basic needs of a baby. Dissertation objective: The paper itself is engaged in finding out something about how well mothers of high risk newborn babies, who are hospitalized on intermediary wards in Jindřichův Hradec and České Budějovice, are informed on a suitable care and nourishment procedures in their children. It should find out how far they have gone with their knowledge of the way their children should be taken care of before they leave the hospital. It is supposed to highlight the drawbacks of the staff , to remove these drawbacks and thus to improve the quality of care. Hypotheses: Two positive hypotheses were formulated referring directly to the particulars goals. 1/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are aware of the necessity of properly nourishing the child. 2/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are sufficiently informed about the proper care leading to meeting the needs of their children. Data Collecting: The research mentioned above was carried out on the intermediary wards in Jindřichův Hradec and České Budějovice. A questionnaire was composed to collect the relevant data. There were 22 questionnaires handed out in each ward and the research group was set up including 37 mothers of the hospitalized children. The questions included in the questionnaire referred predominantly to how well the mothers are informed about the child´s care and nourishing problems and they were supplemented with some identification. The gained information was properly processed and evaluated. The results were put in graphs. To get a more distinct picture of the results a pie chart was selected. The research results are assessed in the discussion and confronted with the hypotheses. Conclusions: Both the nourishing care and the nourishment of a premature baby are a subject involving a lot of medical, psychological and social problems. A maternity ward nurse plays a very important and definite role in the care of a premature baby. Supported by her profesonal abilities she is able to initiate such a method of work that reacts immediately to the needs of a child in a positive way. The educational contact with the child´s parents is eqally important and plays a very precise role. The fact how well mothers are informed is influenced by their age, by how much they are interested in getting information and its resources and how much they are willing to be educated by the medical staff on the intermediary wards in Jindřichův Hradec and České Budějovice where they are hospitalized with their children. The research results are very good.
|
guest ::
