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Specific care of women with sexually transmitted diseases
HVÍŽĎALOVÁ, Zuzana
Particulars of care for women suffering from sexually transmitted diseases. The bachelor thesis deals with particulars of care for women suffering from sexually transmitted diseases. Sexually transmitted diseases are an issue worldwide in spite of progresses in modern medicine. In pregnant women this issue is even more vital as not only the mother but also the child is affected and the disease can be transmitted from mother to the child. The greatest risk for the child is vertical transmission. The dermatovenerological and infection departments provide care for women suffering from STD. Pregnant women suffering from such infectious diseases are placed in the hospital Na Bulovce for the whole Czech Republic. Sexually transmitted diseases are those that are passed by sexual intercourse or the way of transmission has an epidemiological significance. Among these diseases more than 25 various microorganisms are included, e.g. fungi, arthropods, maggots, protozoa spirochetes, bacteria, mycoplasma, ureaplasma, chlamydia and viruses. Among sexually transmitted diseases are gonorrhoea, inborn, primary or third stage syphilis, soft sore and veneric lymphogranuloma. The law provides for this diseases to be reported obligatorily and it is the duty of the patient to undergo treatment and come to regular examinations. The first goal of this paper is to find out how the medical staff is informed on particulars of care for women suffering from STD, the second goal aims at evaluating the situation concerning adherence to barrier care for women suffering from STD and the third goal is to create a manual of standards in care for women suffering from STD. To find out the goals a hypothesis and a research question were set. For the quantitative survey a questionnaire was prepared and for the qualitative research a monitoring list was prepared. The researched group was made up by nurses working at dermatovenerological and infection departments. The research was carried out in three medical institutions in the Czech Republic. The results of the research were very good. There is a premise in the hypothesis that the nursing staff know how to take care for women suffering from STD. This hypothesis was confirmed. In majority of questions concerning the care for women suffering from STD more than 70% of respondents replied correctly. The answer on the research question is also very good. The qualitative research has shown that more than 80% of nurses adhere to almost all principles of barrier care. Based on the research a a manual of standards has been created for the care for women suffering from STD that could be applied as a source of information for the nursing staff.
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Awarness of women about screening during the psegnancy.
VAŇÁČOVÁ, Tereza
This bachelor thesis focuses on the awareness of women regarding screening during pregnancy. The theoretical part deals with the importance of prenatal care, relation between the midwife and the pregnant woman and also on individual types of screening which are done during pregnancy at antenatal clinics. In the practical part, four goals and research questions were set. The research was conducted by quantitative method. The data were collected through the use of semi-standardized questionnaires. The interviewees were women in the Písek hospital and several gynecological outpatient departments. Interviewed were women who were nearing their due date. The results of the research reveal that women are informed about the procedure during pregnancy but not always by their doctors and midwives even though communication between the pregnant woman and medical staff should be of primary importance.
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The lifestyl of pregnant women
HAVLOVIČOVÁ, Jolana Linda
The main objective of the degree paper includes the examination of the lifestyle and regimen of pregnant women and whether they try to eliminate potential risks which may negatively affect the foetal growth and development. The next objective of the degree paper is to contribute in the area of general dietary recommendations and principles of healthy lifestyle for better awareness and orientation of pregnant women as well as those who are just preparing for pregnancy, and to help them to avoid wrong dietary habits. For the sake of fulfilment of the second objective I divided the degree paper into several chapters, whereof the theory is focused on pregnancy from both physiological and psychological point of view, a suitable diet and the lifestyle connected with pregnancy. To verify the main objective a questionnaire-based survey was used in practice, examining the women{\crq}s attitude to healthy diet and other habits during pregnancy. Further, the survey tried to ascertain whether the women who participated in pregnancy courses are able to use the obtained information in practical life better than those pregnant women who did not attend such course. When comparing the results of survey the majority of questions showed a difference in dietary habits and lifesyle between individual groups of pregnant women. In general, the survey shows that majority of women know very well what they can and cannot afford during pregnancy in order not to endanger themselves and their baby in particular. This especially regards the elimination of risk factors and maintaining of healthy lifestyle. The degree paper shows that correct diet composition during pregnancy is important not only for the mother but namely for the baby. With a suitable diet, complications during pregnancy, labour as well as in the later child{\crq}s age can be prevented.
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Unplanned pregnancy issues of drug-addicted women.
SALVOVÁ, Denisa
At present the number of drug addicted women who incidentally become pregnant is increasing. The children of such woman usually end in care of their grandparents, in infantile institutions and children homes. It is important to prevent unplanned and unwanted pregnancies in drug addicted women. Institutions providing service to drug addicted should concentrate on prevention of unplanned pregnancy. Women should be informed on risks of possible pregnancy in the context of their drug addiction. If a woman becomes pregnant and pregnancy is wanted it is necessary to enable a women treatment which would take into account the stay of a mother with a child. The impossibility of treatment of a mother with a child is a very discouraging factor of treatment. Most of drug addicted women are not willing to admit their drug addiction because they are afraid of losing a child. The cooperation of treatment facilities and gynaecology-maternity departments of hospitals should be common. With regard to the insufficient treatment facilities enabling common stay, it is not easy to ensure that a mother and her child start treatment in time. The more available the treatment for a mother the more probable is the mother ´s decision for the treatment. It is necessary to build the net of treatment facilities where mothers would be enabled to undergo the treatment with their children.
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Thromboembolic disease in pregnancy
ŠOTOVÁ, Karolína
This thesis was about thrombomebolic disease in pregnancy. The incidence of venous thromboembolism (VTE) probably increases 2- to 4-fold when a woman becomes pregnant. I looked on this problem from many aspects. I looked on health care from her gynaecologist and eventually hematologist, recognition her VTE risk, laboratory tests and her medication. I looked on effectivity of medication too.
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Related injuries during pregnaney and nursing care matters.
ČERMÁKOVÁ, Alena
This bachelor{\crq}s thesis focuses on the injuries in pregnancy and the issue of nursing care. The theoretical part characterises the occurrence of injuries, moreover it deals with individual types of injuries and healing, poly-traumas and prevention of pregnant women travelling by car. In the practical part, four goals and four research questions were prepared. The target of this thesis was to find out what kind of injuries occur in pregnancy at most, what is the impact of the injuries on the health of the pregnant women, if the pregnant women realise the danger while utilizing the public transport means and what are the most frequent problems in the nursing care of women after the injuries.
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Sexual Life in Pregnancy
JURIGOVÁ, Gabriela
Abstract The public, often also medical professionals, live under the influence of widespread sexual myths and half-truths which substantially affect their attitudes towards sexuality. Sexuality in pregnancy is all the more encompassed with a lot of superstitions, myths, prejudices and fear. There is a lack of quality information and even professionals, physicians and midwives, often give partners inadequate recommendations. Essentially, pregnancy is a natural fulfillment of biological sense of sexual life. It affects a mental condition not only of a woman but both partners, and consequently influences their sexual life. The objective of this thesis was to determine the level of pregnant women´s knowledge about sexuality in pregnancy and to analyze sexual life in pregnancy. To meet the objective of the research, the quantitative research technique using anonymous questionnaires was applied. Three kinds of anonymous questionnaires were used: one was my own questionnaire focused on finding the level of pregnant women´s knowledge on sexuality in pregnancy. The second and third questionnaires were standardized questionnaires SFŽ ( Sexual Function of a Woman) and Erotic Stimuli Inventory (Hoon - Winoze) (Annex 1). Women were asked to fill in questionnaires both from the perspective of their current situation and from the perspective matching their experience prior to pregnancy. The research set were comprised of women in the third trimester of pregnancy attending the antenatal clinic of the obstetrics-gynaecological department of 1. LF UK (Medical Faculty of the Charles University) and VFN ( the General Faculty Hospital) in Prague. The data stated in the standardized questionnaires were assessed and thereby sexual life of women in the period before pregnancy and during pregnancy was analyzed, the research goal was met. In this thesis the following hypotheses were tested. Hypothesis 1 assuming that pregnant women do not have sufficient information about changes in sexual life during pregnancy and research has been confirmed. Although most women considered the level of their knowledge as sufficient, a proportion of women who want to be informed about the changes in sexual life during pregnancy is prominent. Most women want to be informed about changes in sexual life during pregnancy in an anonymous form. This finding confirms the hypothesis 2 assuming that pregnant women want to be informed about the possibilities of sexual satisfaction during pregnancy. Hypothesis 3 assuming that pregnant women are not satisfied with the level of information about sexuality in pregnancy provided in prenatal counseling has been confirmed. Low percentage of women receives information from a physician or a midwife and they themselves do not ask questions mostly because of shame. Communication about sexuality in our society is still taboo for both professionals and the general public. Hypothesis 4 assuming that the need for sexual intercourse is decreased in pregnancy has been confirmed by the survey. In pregnancy libido, the frequency of sexual intercourse, the need for contact and the ability to achieve orgasm are reduced. Responses to erotic stimuli are shifted to a lower degree of erotic excitement according to the results of the research. The results of the research carried out in the obstetric-gynaecological hospital have revealed the need to improve communication and the information supply provided by the medical staff members to pregnant women and their partners. It is necessary to consider the possibility of anonymous forms of providing information that is not affected by prejudices, attitudes, myths. An information booklet seems to be an appropriate resource. Women in pregnancy want more information and have the right to get it. This is where a midwife can play a significant role by giving professional advice and having open communication with a pregnant woman and her partner.
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Educations concerning problems of gravidity and labour at women with aural handicap in the regions South Bohemia and Passau.
FILIPOVÁ, Marie
A midwife working in the delivery room can get into a situation where communicating with an aurally impaired pregnant woman and effectively educating her becomes essential. Pregnancy and birth represent considerable stress, whether physical or mental, for the organism of every woman. Owing to more complicated communication, aurally handicapped women in particular are subject to increased fear and distress. The theoretical part of the thesis focuses on the question of physiological pregnancy and birth as well as the specification of aural disability and educational process. The differences in care for pregnant and birthing women in the Czech Republic and Germany are mentioned at the end of the theoretical part. Studying aural disability more consistently as well as possible contradictions and consequences of insufficient communication during pregnancy, birth and subsequent care for the newborn between the staff and the aurally impaired woman enables a more professional view, thus contributing to a better level of prevention of the woman?s physical and mental problems. The empirical part of the thesis aims at finding out the skills and knowledge of the ways of communication and education of midwives within their work responsibilities as far as aurally handicapped women are concerned. The research also consists of deeper understanding of the area where the necessary educational process should be aimed from the point of view of aurally impaired women?s needs. Quantitative and qualitative research methods were used to get and process data for the empiric part. The quantitative research survey was carried out through the method of data collection by a questionnaire for midwives working in the delivery room. The qualitative part of the research survey was carried out via framework analysis of the output gained from half-structured interviews conducted with aurally handicapped women. Identifying the communication skills of midwives with aurally impaired women in the obstetrics can result in the optimization of the mutual cooperation between a client and the nursing staff. Upon the learnt facts, the thesis points put potential problems in the area of education of aurally handicapped women. At the same time, suitable communication and education strategies are recommended within the professional powers of a midwife in the area of informing aurally handicapped women about pregnancy and birth.
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Pregnant women and their perception of nursing care provided by midwifes during their stays at the Department of Gynekology and Obstetrics.
VONDRÁKOVÁ, Alena
Hospitalisation is a very stressful moment in everyone?s life. It is even more stressful for a pregnant woman. Woman?s worries about her healthy pregnancy development and child?s life become even greater at such time. Pregnant women are more sensitive and receptive to people and environment that surround them. Out of all medical staff, midwives spend the largest portion of time with pregnant women. Midwives utilize not only their nursing skills while providing nursing care to their clients, but also provide support and take care of clients? emotions. The theoretical part of the bachelor?s thesis at hand focuses on descriptions of physical and mental changes during pregnancy, and provides explanations of risk and pathological pregnancies. Subsequently, it provides information on psychosomatics during pregnancy, indications for hospitalisation during gravidity, and nursing care during the stay of a pregnant woman in hospital. This thesis identified two objectives. The first objective was to find out how hospitalised pregnant clients perceive the nursing care provided by midwives. The second objective was to observe whether the pregnant clients trust the medical staff. Based on these two objectives, five research questions were developed. Information needed for data processing and meeting the objectives was gathered by qualitative research using the technique of interview that was held with nine pregnant women. The data were collected in three different hospitals: a regional hospital, a district hospital (both in the South Bohemian Region), and a university hospital in Prague. Research corpus comprised of nine pregnant women that had been hospitalised with risk pregnancies at the department of gynecology for a period longer than 10 days. The research was carried out on the basis of the two defined objectives and five research questions. Both of the identified objectives have been met. The clients assess the nursing care provided by midwives positively and they trust the medical staff. The research questions were answered in full and necessary information was retrieved. The interviewed respondents would most preferably welcome antenatal courses held during their hospitalisations; more information given during their treatment process; and better quality communication with the medical staff. The author would welcome the idea that this thesis helps the other medical staff in better understanding of emotions, feelings and perceptions experienced by hospitalised pregnant women, which may in result help diminish some of the negative effects observed while staying in hospital.
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The pregnancy problems by the women at the age after 35 years
LEDVINOVÁ, Lucie
Though medicine and nursing care have been advancing steadily, everybody is well aware that gravidity in older women poses certain risks, and after the 35th year of age it is not completely trouble-free. At the early stages of gravidity the fetus is endangered by a range of congenital defects of development. The expectant mother can experience problems not only during her pregnancy but also throughout the delivery itself. The pregnancy period may be accompanied by bleeding with the threat of possible miscarriage, premature delivery or some other serious complications looming. The paper aimed at finding whether women in the reproductive age were informed about the hazards of pregnancy after the age of 35; whether women used the method of in-vitro fertilization (IVF); what was the reason behind their decision to put off conception beyond the 35th year of age; and, finally, which nursing problems (nursing diagnoses) emerged attributable to the after-35 gravidity. The survey employed quantitative and qualitative methods. The quantitative investigation followed two objectives and examined two hypotheses. To obtain the required information, the survey relied on an anonymously completed questionnaire. The qualitative investigation pursued two objectives and research inquiries. The data were gathered through interviews and documentation processing. Both the objectives have been accomplished. Hypothesis 1: women within the age of fertility are familiar with the risks posed by the after-35 gravidity - confirmed. Hypothesis 2, not confirmed, expected women older than 35 years not to use the IVF method. With the research questions answered and the qualitative survey results evaluated, the author formulated these hypotheses: (1) Some women became pregrant after the age of 35 as they were unable to conceive earlier; (2) a difficulty that nurses have to tackle in the over-35 women is fatigue. The results of the paper could be beneficial for midwives or students in their future encounters with this subject, topical even today. The paper could also be found instructive by mothers contemplating gravidity after the age of 35.
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