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Nursing care for pregnant women after assisted reproduction
BUDÍNOVÁ, Michala
This bachelor thesis deals with the issue of infertility and also of the midwife care of a pregnant woman after assisted reproduction. The thesis is divided into the theoretical and the research part. The theoretical part initially defines the terms of infertility, fertility and sterility. Since infertility is always a diagnosis of a couple, the anatomy of a woman and of a man is described. Subsequently, the thesis focuses on the issue of infertility, i.e. assisted reproduction. What are the methods, risks and financing of assisted reproduction? The most common method of assisted reproduction includes Artificial Insemination and In Vitro Fertilisation. Assisted reproduction is a field of medicine that works with sperm, ova and embryos outside the body of a person, in order to make the woman pregnant. These methods carry certain risks, which are also being described in the thesis. The theoretical part is concluded with a description of the midwife care of a pregnant woman after assisted reproduction, where the midwife education and the term of nursing are emphasised. The aim of the bachelor thesis was to find out the specifics in the care of a pregnant woman after assisted reproduction. Three research questions had been asked: What is the nursing care of a pregnant woman after assisted reproduction like from the viewpoint of pregnant women? What is level of satisfaction of women with the nursing care after assisted reproduction? What are the specifics of experiencing woman's pregnancy after assisted reproduction? A quantitative research survey was used for the research, and data collection was conducted through individual interviews. The basis for the interview were 13 questions prepared in advance, 4 of which were the identifying questions. The research group was formed of eight female respondents. The interviews with women took place in quiet, predetermined places. Prior to the interview, a written request for co-operation was submitted to the respondent. In this request, the respondents were informed about the aim of the research and preservation of anonymity, see Annex 2. The request was signed by all eight female respondents before the actual interview. The interviews were recorded in writing continuously, analysed and divided into the main categories and subcategories, based on the answers of the respondents, using coloured text. The aim was to identify the individual consensus in the opinions of the addressed pregnant women after assisted reproduction. The first category examined the issue of assisted reproduction and was divided into ten subcategories, which dealt with the reasons for going through assisted reproduction, the methods of assisted reproduction, the environment of the centre of assisted reproduction, the personnel of the centre of assisted reproduction, experiencing the assisted reproduction prior to pregnancy, experiencing pregnancy after assisted reproduction, lifestyle during pregnancy after assisted reproduction, complications during pregnancy, opinions on financial burden of the clients and availability of information about assisted reproduction. The results of the research have shown the lifestyle of a woman after assisted reproduction, where the trend of activities was yoga, but at the same time limiting activities and inability to work from the very beginning of the pregnancy. The most common method in infertility treatment is IVF, where there is a high financial burden. The bachelor thesis has shown that women who have undergone assisted reproduction experience fear. Most often it is the fear of miscarriage. And that the infertility is not just a problem of women, but also of men.
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Does the child born from donated gametes right to know its biological parents?
TOŠNEROVÁ, Jana
This thesis deals with the issue of assisted reproduction, ethical aspects of infertility treatment and in particular looking for the answer to the question of whether they have children from donated gametes natural right to know their biological parents, the gamete donors. The diploma thesis is devoted to the topic of infertility and description of some of the methods of assisted reproduction. Emphasis is on the status of child from gamete donation, especially with regard to its natural right to know the donor. Children only have the right to know the donor of the gametes from which it originated in countries, where the donation is not anonymous.. For these countries, the Czech republic does not belong. Seeking an answer to the question whether it is these children's natural right to know the identity of the donor, is started from how the natiral law is understood in general and also from a bio-psycho-social needs that children have. The work also includes a description of an exploratory survey realized in one of the reproductive clinics. Through survey, Infertile couples commented on the topic of organ donation and the possibility to confer children the natural right to know their biological parents.
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Surrogare maternity
Masaříková, Andrea ; Salač, Josef (advisor) ; Švestka, Jiří (referee)
Surrogate maternity ABSTRACT This graduation theses deals with surrogacy, which is really an actual and discussed issue at the present time. The thesis is divided into three main chapters, the first one is devoted to assisted reproduction, the second one belongs to surrogacy, the third chapter deals with determining parentage of artificial insemination. The first part considering assisted reproduction contains a short analysis of this issue from the medical and juridical point of view and also shows an overview of interfility causes and their therapies. The second chapter shows legal regulations of surrogacy abroad that could be seen as an inspiration for both, the current and future legislation of the Czech Republic. This chapter also pays attention to particular law institutes that temporarily adjust this subject-matter, especially the contracts between surrogate mother and requesting couple, adoptions by surrogate mother and is briefly focused on criminal legislation. A view at the change of legislation in connection with acceptance of new civil code is part of this chapter as well. The third and the last chapter is devoted to determination of parenthood. As regards the paternity, there are three basic hypothesis accepted, that are however modificated by the legislation of asisted reproduction in some...
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Strategies for coping with stress and personal causality orientation in women undergoing infertility treatment
Kellnerová, Kristýna ; Niederlová, Markéta (advisor) ; Štětovská, Iva (referee)
This master thesis deals with infertility and its treatment. Both in the theoretical and empirical part, it focuses on the female aspects of the issue. The theoretical part summarizes the knowledge which is important to understand the presented problems. We define the terms; we describe the psychological and physiological causes of infertility, the process of treatment of infertility and aspects thereof. We focus on the role of stress and the strategies of coping with stress related to infertility and its treatment; furthermore, we deal with personal causality orientation related to the experienced level of stress as one of the determinants of coping with stress. Our aim in the empirical part is to describe the use of strategies of coping with stress within the sample of women acquired by us, the distribution of personal causality orientation of these women and to capture the possible connections. The sample is made of 57 women who are currently undergoing a treatment for infertility. To collect the data, we used the SVF 78 Inventory, the DOPO Questionnaire of the Personal Causality Orientation and a self-developed anamnestic questionnaire. Based on acquired data, we established some specificity in the use of strategies of coping with stress and the distribution of personal causality orientation...
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The problem of infertility and the methods of resolving..
Semyakina, Anastasiya ; Peterka, Miroslav (advisor) ; Novotná, Božena (referee)
4 Abstract This diploma thesis is concerned with modern methods of treatment for infertility. It examines to what extent and in what cases are these methods used and what risk does it pose for a woman's and a child's health. Paticular emphasis is placed on the methods of assisted reproductive technology as the most used, effective and the most invasive. Nowadays 10-15% of couples face the problem of infertility. In most of the cases this problem can be solved with the help of hormonal therapy, surgery or assisted reproductive technology. The most common complication of ART (assisted reproductive technology) is ovarian hyperstimulation syndrome which leads to higher frequency of miscarriages and can be fatal for a woman. Since more that one embryo is usually transferred in ART children conceived with the help of this method can face different problems related to multiple pregnancy such as higher risk of preterm birth, higher risk of congenital disorder or intrauterine growth retardation. Key words: ART, assisted reproductive technology, infertility, congenital disorder, multiple pregnancy
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Voluntary and involuntary childlessness: From relatively high birth-rate to absence of children
Hrabánková, Anežka ; Balon, Jan (advisor) ; Pašková, Miroslava (referee)
The aim of presented bachelor work is the problem of progressive reduction of the birth rate from its beginning up to present , when the phenomenon of childlessness is occurred relatively frequently. Intended childlessness begins to be the rightful alternative of living or reproductive strategy. At the same time the number of couples unable to deliver baby from the biological causes continues to increase. These facts weakens the position of parenthood. Subsequently the parenthood is not viewed by the society as a natural and self-evident phenomenon as it was formerly. My work also deals with the phenomenon of voluntary and involuntary childlessness, their extent in the Czech society is evaluated. The view of the society and the childless people themselves concerning this problem is also mentioned.
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The role of LIF gene mutations and the relative distribution of NK cells, NKT and T lymphocytes in follicular fluid and blood of women with different history of infertility
Křížan, Jiří ; Šíma, Petr (advisor) ; Jonáková, Věra (referee) ; Kročová, Zuzana (referee)
Charles University in Prague Faculty of Natural Sciences Summary of Ph.D. thesis The role of LIF gene mutations and the relative distribution of NK cells, NKT and T lymphocytes in follicular fluid and blood of women with different history of infertility Jiří Křížan Prague 2010 1 | P a g e Doctoral degree programs in biomedicine Charles University in Prague and the Academy of Sciences of the Czech Republic Programme: Biomedicine Chairman of the Subject Board: Doc. RNDr. Vladimír Holáň, Dr.Sc. Place of study: Institute of Microbiology, v.v.i., Academy of the Czech Sciences Vídeňská 1083, 142 20 Prague 4 phone: +420 296 442 318 Autor: Mgr. Jiří Křížan Supervisor: RNDr. Petr Šíma, CSc. The dissertation can be found at Dean's Office Faculty of Charles University in Prague 2 | P a g e CONTENTS Contents 2 Summary 3 1. Introduction 5 2. Hypotheses and aims 6 3. Material and methods 7 Material: 7 Methods: 8 4. Results 10 5. Discussion 12 6. Conclusion 15 7. References 16 Bibliography of Autor: 18 1. papers in extenso (thesis background) 18 2. papers in extenso (without regard to thesis) 19 3 | P a g e SUMMARY The aim of the dissertation thesis "The role of LIF gene mutations and the relative distribution of NK cells, NKT, and T lymphocytes in follicular fluid and blood of women with different history of infertility"...
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Molecular cytogenetic analysis of marker chromosomes and related abnormalities
Semanko, Adam ; Kočárek, Eduard (advisor) ; Holá, Dana (referee)
The primary focus of this diploma thesis is on marker chromosomes and phenotypically similar human karyotype polymorphisms, variants of short acrocentric arms in particular. The first half provides a very useful review of literature concerning different aspects of both sSMC and human polymorphisms such as their origin, inheritance, associated phenotype, formation and molecular cytogenetic methods that are applied in the process of identification of these aberrations. The methodical emphasis is on FISH and its modifications (e.g. M-FISH, acro M FISH, cen M-FISH) as well as on the CGH methods. The main objective was to test the above-mentioned methods and state their limitations and applications. Thus, in the other half we provide evaluations of commonly used methods and introduce new strategies that could be implemented to make the identification of these additional chromosomes or satellite translocations more effective. All the conclusions are based on the analysis of 7 patients with sSMC and 4 patients with variants involving acrocentric NOR regions. The results of our thorough research into their karyotypes have been compared with similar findings in the literature. Last but not least, we tried to establish a link between observed abnormalities and the type of a chromosomal aberration at hand.
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The issue of infertility in the Czech Republic: an analysis of the success of assisted reproduction
Plačková, Veronika ; Lešetický, Ondřej (advisor) ; Kandilaki, Daniela (referee)
The subject of my thesis is to analyze the evolution of the reproductive behavior of the Czech population to assess changes over time, especially after 1989 and to analyze the success of assisted reproduction in the Czech Republic in the period 2007 to 2013. It is divided into several parts. The first theoretical part describes the change in reproductive behavior after 1989, risk factors and causes of female and male infertility, possible tratments of diagnosed infertility and various methods of assisted reproduction. Another analytical part is dedicated to the evolution of fertility and the phenomenon of childlessness of young women. Some indicators are compared with selected European countries for an overall assessment. Subsequently are analyzed in detail the most widely used methods of assisted reproduction IVF, ICSI and kryoembryotransfer and of using indicators Pregnancy rate and Take-home baby rate is assessed their effectiveness. The thesis is supplemented by own research reproductive and family behavior on a selected sample of the Czech population.
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Reproductive disorders in dogs
Szabová, Martina ; Rozinek, Jiří (advisor) ; Karlasová, Barbora (referee)
This labour is about reproductive disfunctions of dogs males and females. Prevention and early diagnostics can help to start with medical cure and finaly reinstate animal. Vaginal cytology is cheap, simple, considerate method, which helps define stage of females cycle or diagnose some patological conditions of organism. Bacterial cultivation of vagina or uterus shows natural microflora or pathogenical microorganism, who cause inflammation or sepsis. Sonography helps to find tumors,infections, mineralization or cysts.
The most common tumors are males prostate tumor or females tumor of mammary glands. New studies speculated about global genetic expresion of classification tumors depends on specific examples. Pyometra is one of the most common reproduction disease of females before they reaches ten years. It is an inflammation of uterus with cumulated septic fluid inside and mostly graduaded to ovariohisteroctomy. High concetration of chemokine helps to better diagnose inflammation of organism. Brucella cannis is serious disease, which seriously harms juveniles. In that case we talk about zoonosis which harms humans as well. Common tests who help us to diagnose problems are ELISA, PCR or serology. Canis herpes is expanded around whole world and its prevalency antibodies are very different. For detection of virus is mostly used VNT test, ELISA, PCR or hemaglutination. Abnormal sexual diferentiation is mostly disorder of females reprodaction system, abnormalties of chromosomes and defects on fenotype. Abnormal chromosomes we can categorize as syndrome XXY, syndrom XO, syndrom XXX or real hermaphrodites and chimers. Individuals with defects at gonades have chromosomes XX or XY, but their sexual glands are in contradiction with chromoses. Fenotype problems at individuals mostly have same chromoses as their sexual signs, but their fenotype does not fit to their sexual glands. For example pseudohermaphrodism.
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