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Early contact mothers and newborns at birth by cesarean section
VÍTOVCOVÁ, Lucie
The bachelor thesis Early contact mothers and newborns at birth by cesarean section divided to theoretical and practical part. Theoretical part focuses on caesarean section, it´s definition and reason of increasing numbers of them. The second chapter is aimed on influence of caesarean section on child and psychological aspects of woman, which is often happening with separation of child. Another chapter focuses on principles of looking after the new-born and doctor´s impropriate language in communication with parents. The fourth chapter focuses on contact of mother and newborn. There is the part about imprinting, embedding picture of mother to newborn´s subconscious. Another topic is attachment, as an emotional relationship with child. Bonding is more described in the next chapters. There are descriptions of bonding´s benefits for child or how it comes after caesarean section. The last theoretical part is focused on separation, therefore what are the consequences affecting child after separation. Research focuses on two objectives, which are related to early contact mother and newborn after caesarean section. The first one is aimed on fulfilling requirements of child and mother contact after the caesarean section. It focuses on cases when contact with mother and child is allowed after the section and how it goes. The other objective deals with problems encountered in hospital facilities in relation to fulfilling of mother´s and child´s bond. There is the description of their contacting problems and what can be done to improve. Research question focuses on realisation of mother and newborn contact after caesarean section in a practical way. Qualitative research was used to gathering data. Methods are technique of half-structured dialogue and method of questioning. As a set of researched subjects were used women in lying-in phase after caesarean section within 48-96 hours. As the result of research came up that some women can´t remember how the first contact with child went, because of sedatives. Other women remember that moment, but they regret that they were given newborn afterward in hospital room. Women usually undergo complete anaesthesia during the caesarean section. Only two respondents from all eleven underwent a nerve block. Some of the rest would take the nerve block as possibility, but without enough information they have chosen the complete anaesthesia. It´s possible that women after complete anaesthesia can remember nothing from the first contact with newborn. Separation is also happening, because of bringing the child only at the time of feeding. We can say that nerve block is more plausible path which prevents unwanted separation and it is more sensitive for newborn. It is possible to put newborn on body of mother, who undergoes nerve blocking, right in operation room to create biological relation with mother, thus bonding. The most important is well-timed education in possibilities of anaesthesia, especially of nerve blocking. This education should be made by professional anaesthesiologists and obstetricians.
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