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Hyperkoagulační stavy u žen po in vitro fertilizaci
HODINOVÁ, Lenka
This thesis is focused on hypercoagulable states in women after the method of assisted reproduction. Pregnancy can be defined as an acquired hypercoagulable state. There are physiological changes in blood coagulation during pregnancy, and these changes can lead to a risk of thromboembolism. The occurrence of another congenital or acquired hypercoagulable state increases this risk. The aim of this thesis is to describe the differences between two groups of pregnant women, namely spontaneous pregnancy and pregnancy after in vitro fertilization. The first part of the thesis compares the differences in the incidence of hypercoagulable states. The second part of the thesis is focused on the influence of the method of conception and other monitored factors on the pregnancy outcome. For analysis were used data from the women patients´ Clinical Hematology department and the department of Neonatology in the hospital České Budějovice, a. s.
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Hyperkoagulační stavy v graviditě se zaměřením na problematiku umělého oplodnění
HODINOVÁ, Lenka
This thesis is focused on hypercoagulable states during pregnancy, especially on pregnancy after in vitro fertilisation. Hypercoagulable states are a group of congenital or acquired states that lead to the emergence deep venous thrombosis, sometimes associated with pulmonary embolism. Pregnancy itself is indicated as hypercoagulable state, which is important for facilitating hemostasis during the childbirth to avoid bleeding. It occurs to hemostatic changes during the pregnancy when there is increased concentration of most coagulation factors. The aim of this thesis is to compare coagulation laboratory results in women with spontaneous pregnancy and pregnancy after in vitro fertilisation. The results of patients were monitored in the ambulance of clinical hematology in hospital České Budějovice, a. s. in 2015 and 2016.
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Nursing care about women with multiple pregnancy
LINHARTOVÁ, Petra
ABSTRAKT Nowadays the occurrence of multiple pregnancy is connected with methods of artificial insemination that bring along many other complications. A multiple pregnancy requires greater attention, care of the obstetrician and the midwife. Because the attendance care for these woment keeps developing at the same time with new findings, it is necessary to provide a quality care, of which is mostly in charge an experienced midwife. Multiple pregnancy is a state when there is more than one fetus developed in the womb. Mostly we are speaking of twins (gemini), triplets (trigemini) and quadruplets (quadrigemini). A multiple pregnancy is a greater burden to the organism of the woman during the whole period of pregnancy. Speaking of multiple pregnancy we should count with occurrence of various complications, e.g. premature labour, placental insufficiency, or occurrence of toxaemia of pregnancy. Therefore an early and regular prenatal care is so important for women with multiple pregnancy. To find out whether the nursing care for woman with a multiple preganancy is carried out according to given nursing standards, we chose a quantitative survey and used the questionnaire form. There were 27 open questions, semi open and closed questions. Midwives could cross or fill in their answers. The questionnaires were distributed in Hospital České Budějovice a.s., Hospital Nymburk s.r.o. and in Hospital Český Krumlov s.r.o. and they showed that the nursing care, e.g. blood pressure measurement, pulse measurement, weighing pregnant women, fetal auscultation is fulfilled from 100%. It was further found out that the nursing standards are carried out from 83% and that the ultrasound examination of fetuses is carried out in 100% according to the recommendations of the Czech Gynecological and Obstetrical Society. 43% of midwives do not consider the care for women with multiple pregnancy more complicated than other hazardous pregnancies and 57% of midwives claim that the care for women with multiple pregnancy is not more complicated at all. The survey has shown that the nursing care for women with multiple pregnancy corresponds to nursing standards, which confirms the working hypothesis at the same time the goal of the paper concentrated on carrying out of nursing care according to nursing standards was fulfilled.
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Psychosocial problems of infertility verbaled by patients of fertility treatment ambulance.
DVOŘÁKOVÁ, Alena
Infertility is the inability to naturally conceive a child or to carry a pregnancy to full term. There are many reasons why a couple may not be able to conceive, or may not be able to conceive without medical assistance. Infertility may have profound psychological effects. Partners may become more anxious to conceive. Marital discord often develops in infertile couples, especially when they are under pressure to make medical decisions. Women trying to conceive often have clinical depression. Even couples undertaking IVF face considerable stress, especially the female partner. In vitro fertilisation (IVF) is a technique in which egg cells are fertilised by sperm outside the woman's womb. IVF is a major treatment in infertility when other methods of achieving conception have failed. The process involves hormonally controlling the ovulatory process, removing eggs from the woman's ovaries and letting sperm fertilise them in a fluid medium. The fertilised egg (zygote) is then transferred to the patient's uterus with the intent to establish a successful pregnancy. In this study ten couples using fertility treatment were analysed. The purpose of this study was to follow and describe their problems during the treatment, troubles with partners, jobs and friends. The author tried to find a solution how to communicate with patients, how to help them to manage the treatment. The elected experimental strategy was qualitative analysis. This study could be used by stuff in centres of artificial reproduction.
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