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The needs of women after delivery by caesarean section
MÁCHOVÁ, Vlasta
This thesis is focused on the needs of women aftergiving birth by caesarean section. The theoretical part describes what a caesarean section is, its history, indications, the methods used to perform a caesarean section, the types of anesthesia and the complications that may occur. Subsequently, human needs are described, as well as the hierarchy of needs by A.H. Maslow, as well as the midwifery care during the preoperative preparation of the patients with acute and planned caesarean section and subsequently the midwifery care during the postoperative period. A semi-structured interview was used to collect the data, which was conducted in the postnatal ward with those women who had experienced a caesarean section. The research was conducted from April to May, 2018. The interviews with women were conducted anonymously and after their approval, they were recorded on a mobile device. Subsequently, the interviews were literally transcribed, analyzed and processed using pencil-paper encoding. The semi-structured interview consisted of 10 open questions and, if required, the questions were supplemented by subpoints. The respondents' answers were categorized into subcategories. The target research group consisted of seven women after a caesarean section between the ages of 20 and 36. The first research question identified the needs of biopsychosocial needs to be met by the midwife in women after the cesarean section. The research survey found that five out of seven women interviewed had satisfactory biopsychosocial needs and were satisfied with the care provided by the midwife. Two women said they lacked awareness of movement, nutrition, and surgical wound care. One respondent stated she was not satisfied with the midwife's communication and approach. The second research question identified the expectations of women in the postoperative period in relation to midwife care. All women were expecting the midwives to assist them with care during the postoperative period. Five respondents said they expected further physical and psychological support from midwives. The results show that all women have met their expectations regarding midwife care. The results can be presented at seminars for midwives and may be useful in meeting the biopsychosocial needs of women who had a pregnancy completed through a caesarean section.
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