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Bonding - opinions of medical staffs and mothers
KŘIVANOVÁ, Šárka
Bonding is a process by which is created a relationship between mother and child. The foundations of emotional bonds are built, foundations of a loving relationship. In its course we try to aim a maximal contact between mother and her newborn child and so improve its start to life. Right support of bonding contributes not only to psychological and emotional site, but to immunologic as well. (Mrowetz a kol., 2011). The theoretical part is concerned mainly with bonding description, further description of a delivery without bonding support and the participation of nearby persons by the delivery or the woman psychic and prenatal psychology. Research part of this thesis was concerned with investigation about bonding as a whole by 3 groups of respondents. The first group was built by six midwifes working in delivery rooms in different hospital in the area of Czech Republic. Second part was put together from six children's sisters, who work with at newborn department and came to care for newborns after delivery. Sisters form different hospitals were approached in this case too. To the last group were six women integrated in various stage of pregnancy. What pregnancy was it for the woman was not decisive for interviews. Before processing of this thesis were set two goals. First goal was to find out, if mid wives and children's sisters at delivery room know, what it is bonding and how to use it with advantages for the newborn and how to establish the first contact between mother and child. Second goal is to find out, to what extend is a pregnant woman informed about possibilities to improve the start of the newborn to life with the help of bonding. From these two goals emerged tree research questions, from which two were for medical staff (Does the medical staff have suitable and adequate conditions for bonding? In what does medical staff see the contribution of bonding?) and one for mothers (What do you imagine under the term bonding and in what do you see its sense?). For these research questions were seeked answers by getting and processing of each half structured interviews. For the research process was used the qualitative method. From the results of the research emerged, that medical staff does not have sufficient information about bonding usage by delivery. They answered identically to given bibliography to the basic questions, however they did not fully master particular elements of bonding. Midwives and newborn´s sister believe they do not have enough staff for adequate bonding usage, however they are willing to support bonding on mother-to-be wishes. They are not so obliging by the C-section. In this case they present unsatisfactory conditions for its usage like not enough staff, time and space. To the second research question was given this answer. The contribution of bonding sees the medical staff in the creation of positive bond between mother and child and in god adaptation of the child to new environment. According their meaning does bonding bring a positive experience form the delivery and improving of mother role admission, less stress for mother and child and even quicker after-delivery adaptation. Mothers imagine under the term bonding a contact of a mother with her child. The meaning of bonding they see in the building of psychic contentment and general soothing of mother and her child, in reaching better relationship between mother and child and in quicker lactation start. It is necessary to continue in raising of public awareness concerning bonding. In my opinion is necessary to realize more lectures and trainings about bonding contributions, especially from the site of psychologist so the contributions of bonding to the benefit of mothers and newborns can be used.
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