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The importance and benefits of skin to skin contact in care of extremely premature newborns
NEJDROVÁ, Tereza
Introduction: The term "skin to skin contact" is a term for a method of contact between a mother and her child. The early contact of the newborn with the mother's skin in the shortest time after birth has very positive effects for the newborn but also for the mother herself. In most maternity hospitals, the newborn is placed on the mother's bare abdomen or chest immediately after birth without being dried. This method has a positive effect on the mental and physical needs of the newborn. Children are happier, cry less, gain weight faster, and their body temperature, heart rate, and breathing stabilize. It also matters to his parents. Objectives of the work: Our first goal was to identify the effect of the skin-to-skin method on thermoregulation, lactation, and mental and physical needs in the newborn and also in the mother. The second goal was to find out what possibilities there are to support skin-to-skin contact in severely and extremely premature newborns. The last goal was to reveal the reasons that most often prevent the provision of skin-to-skin contact in severely and extremely premature newborns. Methodology: The research part of the work was processed by the method of qualitative research, using in-depth and semi-structured interviews with nurses. The research group consisted of nine nurses from the Department of Neonatology at the Hospital of České Budějovice a.s.. The interviews were divided into four categories and subsequent subcategories. All data are shown in clear diagrams for individual categories. Results: Based on the obtained analyzed data, it follows that the skin-to-skin contact method has more benefits than risks that would prevent the development of a parent-child bond. At present, the reasons and potential risks that would prevent skin-to-skin contact have rapidly diminished. The research shows that the most serious risk remains the unstable condition of the newborn. The cooperation of the nursing team and the newborn's parents is important. If the child could not be kangarooed, there are alternative methods that help to create an emotional bond between mother and child. The nursing staff allows kangaroo care for fathers if the mother is unable, due to her health condition. Conclusion: As a result, the skin-to-skin method reduces crying and stress in children. Newborns are calmer and sleep better and thrive. This method also strengthens the relationship between mother and newborn. Premature newborns are usually placed in incubators, connected to monitors and hoses, often with respiratory support. All of these factors often make parents feel guilty, failing, disappointed, or lonely. It is important to be able to participate in the care of their newborn. In this way, they also obtain information about the child's health condition. During kangarooing, the emotional bond deepens. The results of the research survey can be used to improve nursing care for premature newborns, as well as in the lifelong education of nurses and in teaching in the field of pediatric nursing. The results will be presented in an article in the journal Pediatrics for Practice.
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Breastfeeding issues of women using tobacco products
KUBÍNOVÁ, Magda
Introduction Breastfeeding is the most optimal and natural way to feed all newborns and infants. It brings many benefits to both mother and baby. Breast milk has an ideal ratio of sugars, fats and proteins, as well as vitamins, minerals and trace elements. Tobacco use should be taboo during lactation. Nicotine, together with other harmful substances, passes into breast milk and thus affects its composition and taste, and has a negative effect on the health of the breastfed baby. Objectives Four objectives were set for this thesis. O1: "Find out the level of awareness of the risks of using tobacco products while breastfeeding." O2: "Find out what problems are associated with smoking while breastfeeding." O3: "Find out what motivates mothers to continue smoking during breastfeeding. O4: "Create an educational material for mothers about the risks of smoking during breastfeeding." Methodology During the implementation of the research survey, a qualitative research survey was used in the form of in-depth interviews with mothers who have experience with smoking tobacco products during breastfeeding. The mothers' answers were recorded in writing and then transcribed into the Microsoft Word program. Subsequent coding and diagram creation was performed using the Atlas.ti program. The research group consisted of eight mothers. The snowball method was used. Results The research shows that smokers mothers knowledge of the risks and problems associated with the use of tobacco products during breastfeeding is unsifficient. Some mothers were unable to identify a single risk. Mothers reported restlessness, insomnia, and frequent crying as the most common problems with smoking while breastfeeding. The reason for continuing to smoke is better for mothers to manage stress, feelings of calm and relaxation, the desire to have a moment for themselves and the associated escape from reality, addiction and bad habit.
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Midwife's care of a woman at risk of imminent preterm birth
BUBENÍČKOVÁ, Veronika
This bachelor thesis deals with the topic of care for a pregnant woman with impending preterm birth. The bachelor thesis is divided into theoretical and practical parts. In the theoretical part, the is described preterm birth, its incidence in the Czech Republic, causes of preterm birth, diagnostic methods, therapeutic procedures in preterm birth, the needs of pregnant women with this diagnosis, and the care of midwives for women at risk of preterm birth. Qualitative survey research was used to develop the practical part. The first research group consisted of 10 women with a diagnosis of preterm birth, who answered questions in a semi-structured interview. The second research group consisted of 7 midwives at the Risk Pregnancy Station. The research was conducted during April and July 2021. Participation in the research was entirely voluntary. Before the start of the interview, the participants of the interview were informed about the topic of the bachelor's thesis and about the protection of personal data. The interviews were conducted anonymously and, after approval by the informants, recorded on a mobile phone. To maintain anonymity, the informants were marked with numbers I1 to I10 and P1 to P7. After that, the interviews were literally transcribed, analyzed, and processed using coding, the paper and pencil method. For the research of this bachelor thesis, two research questions were determined to find out how women perceive the care of a midwife in case of imminent preterm birth and how midwives perceive the care of a woman with a diagnosis of preterm birth. Based on the research survey, it was found that all informants were satisfied with the care of midwives. Research has shown that there were several factors for women's satisfaction with the care of midwives during hospitalization. These factors included the approach of midwives to their willingness and ability to communicate with women. Even though all informants were satisfied with the care and communication from the midwives, the research showed the dissatisfaction of women with the communication with the attending physicians. Dissatisfaction was expressed by informants I1, I3, and I6 when information from doctors seemed to be insufficient to them. Research has further shown that midwives are aware of the importance of their empathic approach in the care of women hospitalized with a diagnosis of preterm birth and also perceive the changing needs of women during hospitalization, which need to be taken into account during care. This work points out the importance of a kind and empathic approach of a midwife to a woman with a diagnosis of preterm birth because that approach of a midwife is one of the most important aspects for a woman to overcome hospitalization at the Risk Pregnancy Station of the gynecology and obstetrics department. The work also shows the influence of the communication of doctors to patients on the female psyche and the experience of hospitalization. The results within this bachelor's thesis can be used as feedback on the work of midwives at the Risk Pregnancy Station of the Gynecology and Obstetrics Department to improve the care of midwives for women with imminent premature birth and increase client satisfaction in the medical facility.
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Satisfaction of women with the midwife's care during childbirth
LEBEDOVÁ, Veronika
This bachelor thesis focuses on the satisfaction of mothers with the midwifery care during childbirth. Two goals were set for the elaboration of the bachelor thesis. The first goal was to find out how mothers perceive the care of midwives during childbirth. The second goal was to record what factors are important for the satisfaction of mothers during childbirth. The bachelor thesis is divided into theoretical and practical part. The theoretical part is divided into four main chapters. The first chapter deals with the description of childbirth and the care of the midwife during the various periods of childbirth. In this section we will also find a section on preparation for childbirth. The second chapter deals with the issue of pain during childbirth, discusses the pharmacological and non-pharmacological control of labour pain. The third chapter describes the issue of the presence of a close person in childbirth and the fourth chapter is devoted to the characteristics of a midwife. In the practical part of the bachelor thesis, a qualitative research survey was used. The research group consisted of ten women after childbirth. Data collection was performed through semi-structured interviews. The interview was completely voluntary. All informants were acquainted with the topic of the bachelor's thesis before the start of the individual interviews and were also informed about the protection of personal data during the processing of interviews (GDPR). The informants were marked with numbers I1 to I10. The informants expressed their verbal consent to the processing of the obtained information, and at the same time they agreed to the recording of the interview on a dictaphone or a mobile phone, if the interview was conducted via a mobile phone, due to easier elaboration of interviews. During the data processing, the interviews from the Dictaphone or mobile phone were transcribed in detail. The research survey lasted from March to April 2020. The research was divided into two main categories and further divided into individual subcategories. In the research part of the work, two research questions were chosen. The first research question asked how mothers evaluate the care of midwives during childbirth. The results of the research showed that all informants were satisfied and evaluated the care of midwives during childbirth very positively. Only informant I1 stated that her midwife was great, but during the reception she was cared for by another midwife whose behaviour she did not like. She was reportedly noisy, forceful and uncomfortable. The second research question dealt with the satisfaction of mothers during childbirth. Research has shown that maternal satisfaction during childbirth has several factors. As the most important factor of satisfaction during childbirth, the informants mentioned enough information and the overall approach not only of the midwife but also of the entire medical staff in the maternity hospital. Other important factors of satisfaction during the birth, the informants mentioned the presence of a close person at the birth and the pleasant environment of the delivery rooms. From the results of the research survey, it was found that mothers are satisfied with the care of midwives. All the interviewees informed that they were satisfied with their midwife during the birth. This work points out that it is important for the midwife to be friendly, kind and empathetic to the mother, because the midwife's approach is one of the most important aspects of satisfaction for the mother during childbirth. The results of the work can be used to improve and enhance the care of midwives, as well as for future midwives who acquire professional qualifications and are preparing for this profession. The results will be published at professional conferences for midwives and the results will also be presented to the maternity hospital in which the informants gave birth.
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The partnership's feelings about the child, who has attention deficit disorder
VACKOVÁ, Aneta
The aim of the bachelor thesis is to map the family situation and experience relationships between partners in families with a child with attention deficit disorder. The bachelor's thesis focuses mainly on how the child's attention deficit disorder "enters" the family, as experienced by the child's parents from the mother's point of view. The aim is also to monitor how the mother perceives the effect of the child's attention deficit disorder on her own partner's life and what strategies she has with the partner to manage the family situation. Data are collected through an in-depth semi-structured interview with the child's mother and evaluated in a qualitative way. The practical part contains three case studies that focus on the mother's view of her own partnership, a description of changes in connection with the transformation of the partnership after the birth of a child with attention deficit disorder and the way the mother perceives and experiences what the child with attention deficit disorder brings to the relationship.
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Mothers with visual impariment and their experiences
Parkanová, Eva ; Kucharská, Anna (advisor) ; Presslerová, Pavla (referee)
The present bachelor thesis deals with the issues and possible specifics that come up in context within the scope of motherhood when the mother is visually impaired. The aim of this thesis is to compare what is known so far about parenting whilst destitute of vision with the real experiences of specific visually impaired mothers whom I have interviewed. The thesis is divided into a theoretical and a practical part. The theoretical part consists of three sections. The first section is included in the thesis in order to define visual impairment and to illuminate the specifics of the personality development of the visually impaired individual, focusing on the periods of adolescence and adulthood. The second chapter defines parenting, outlines for the reader the current state of research on the topic of parenting by individuals with visual impairment and presents the essential specifics of this parental role and their children. The third chapter characterizes the prejudice against people with visual impairments, followed by a closer look at the biases against these women and mothers. The empirical section includes findings from a qualitative study. The research method chosen was semi-structured interviews conducted with four mothers with visual impairment from Prague, which were later transcribed...
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Contact restoration between mothers, former substance users, and their children in an environment of assisted contact services
Černá, Adéla ; Fidesová, Hana (advisor) ; Šťastná, Lenka (referee)
Background: Substance addicted women face many problems such as stigmatization, discrimination or lesser social support. When addicted woman become a mother, this social-perception usually escalates. It is common that addicted women lose their status as a mother and are deprived of custody of their child, which furthermore leads to estrangement and decrease in mother-child relationship intensity. Mothers effort to regain her status tends to be more complicated in spite of her history, conflicts originating from marriage annulment, concern from childs guardians or lack of trust from the child itself. In situations like this, there are organizations that provide unbiased insight and are able to arrange assisted and monitored parent-child contact. Aims: Intent of this diploma thesis is to explore and describe the process of contact restoration of mothers, that successfully finished their addiction treatment, with their child using services of assisted contacts. Research questions aim to describe mainly the process of mother-child relationship restoration with mentioned services as a provider of environment for their meetings. Secondarily the aim focuses on exploring and describing barriers that might interfere in the process. Methods: Research was accomplished using qualitative methods with attempt of...
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Motherhood as the breaking point in the life of a young Roma mother
Obručová, Markéta ; Doubek, David (advisor) ; Bittnerová, Dana (referee)
The aim of this thesis is to look into the lives of young mothers of Roma nationality and to get better understanding of influences that affect them and their adoption and perception of their maternal role. The choice of this theme is based on experience with previous working with Roma families. For the research, it has been chosen five mothers aged under 25 years, with whom were conducted unstructured interviews. In the theoretical part, there is a discussion about motherhood in general and later about its specifics in the Roma community. The greatest emphasis is taken on the receiving parent role. Firstly, the empirical part is a discourse about the choosen method - grounded theory. Then there is detailed description of data processing and data analysis. The following chapters are devoted initially to environmental influences to motherhood and later to the concrete experience of the respondents. The experience of motherhood is viewed from several angles - the time horizon (from conception to birth and the first reaction to child) and the importance of her baby to the mother, especially in terms of commitment and in the context of plans and wishes. This work gives an insight into the lives of five Roma mothers. Mothers have the greatest influence on the upbringing of a new generation - for those who are...
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Child in Ancient Egypt
Scholzová, Alena ; Janák, Jiří (advisor) ; Vymětalová Hrabáková, Eva (referee)
This thesis is focused on the child's status in ancient Egyptian society, mainly deals with the context of the family. It examines the child education and development. The aim was to provide a different view of the child's status in ancient Egyptian society. For this reason, the knowledge of psychology and social work, which examine interpersonal relationships on a different level than the historical sciences was employed. The conclusion is that the status of children in ancient Egypt has been good, because the Egyptian company reported strong social conscience, which both protect the child in the family, and beyond.
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