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Home birth from a women's point of view
DVOŘÁKOVÁ, Kristýna
This bachelor's thesis deals with the view of women on births in the home environment and their own experiences with home births. The theoretical part characterizes the issue of home births by their advantages, disadvantages, complications, and most importantly, the role of the midwife during birth and in the period after birth in the home environment. Additionally, the thesis explains the legislative framework for home births in the legislative Czech Republic. The practical part of the bachelor thesis defines two goals. The first one was to find out what are the most common reasons for women's choice to give birth at home and the second goal was to find out how women prepared for this birth. The research investigation was carried out by qualitative research method. Moreover, the practical part of the bachelor's thesis uses qualitative research using semi-structured interviews with women who had at least one planned birth at home. The participants were obtained using the snowball sampling method. The interviews with the informants took place during February and March 2024. The interviews were recorded on a dictaphone, transcribed, and then analysed using the pencil and paper method. In total, 3 main categories and 15 subcategories were created. The research shows that several reasons influenced the decision of the informants to give birth at home. Those were mainly personal negative experiences of the informants with medical personnel, incorrect approach, and communication. Others mistrusted doctors or medical professionals. The informants also mentioned the importance of preserving the naturalness of childbirth without unnecessary interventions and respecting their wishes. It is also evident from the research that women did not prepare for childbirth any more than for childbirth in a maternity hospital. A large part of the informants prepared mainly by self-study about childbirth, and they searched for information on natural birth in professional literature and on the Internet. For almost all informants, it was essential to secure a community midwife. The informants also stated that during pregnancy, they visited their midwife for regular check-ups and consulted with her about their childbirth visions. The bachelor's thesis could be a practical resource for both the lay and the professional public, and the results could be presented at conferences for midwives.
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The Controversy about Childbirths outside Hospitals
Pultarová, Jana ; Haškovcová, Helena (advisor) ; Pinc, Zdeněk (referee) ; Jedličková, Anetta (referee)
1 ABSTRACT The issue of births outside a medical facility is currently a controversial topic between specialists as well as in the public sector. While the specialists concur in refusing home births, the society is divided. There are voices that refuse home births but there are also plenty of people who support the right of mothers to give birth outside of a medical facility. Very sensitive topic is the legal and ethical aspects of the protection of unborn children and the issue of a safely conducted delivery. In the last decades, the life value of an unborn child has been seen as an ethical problem. The right to life is one of the fundamental human rights, which is enshrined in the constitutional system of the Czech Republic and also in the international human rights conventions. Because there are different opinions regarding this issue, it is necessary to establish a view that is widely accepted so that legal standards can be approved provided that the opinions of minorities are being respected. The main objective of this presented dissertation was to ascertain why are people losing confidence in a doctor's role during delivery and what is the reason for some of the mothers being unsatisfied with current institutional system of obstetrics. On the basis of these factual findings, which emerged during the...
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Childbirth as a journey
Haken, Petra Sofie ; Sokolová, Věra (advisor) ; Hrešanová, Ema (referee)
The childbirth in the medical discourse is still viewed as a proces of high risk. The birth at home is then in such a discourse considered to be hazardous practice which can threaten the life of the unborn child. This paper tries to contribute to the discussions about the freedom of choice of the place of birth. The birth is then viewed from the perspective of gender as a constructed phenomenon culturaly and socialy biased. The main focus is on the research of the experience of women who gave birth at home. Their experience is to be considered as constructed as well, therefore I investigate the leverages that influence their interpretation of the birth experience. I am also interested in researching how their experience influenced their futher life and what meaning they asign to it in the context of their life experience as such. Further interest of this paper is to research the knowledge that the women, who gave birth at home, used during the proces of childbirth. The main focus is to elicit the auhoritative knowledge based on which they make decisions and how this knowledge is constituted.
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Discourses of Birth Management in Czech web articles
Tichá, Kristýna ; Kabele, Jiří (advisor) ; Hájek, Martin (referee)
I focus on the nature of the discourses of the birth themselves and on the form of their controversies, which are tied to their confrontations in Czech web articles. I examine the discourses and their strife in the articles of active participants of the dispute and on the most popular website in the articles dedicated to (future) parents. The discourse of the actively medically controlled delivery, perceives a birth as an inscrutable risky phenomenon which is medically necessary to keep always in a hospital with a staffing and material background to deal with possible complications. This discourse criticizes the births that are led outside hospitals. The discourse of the natural birth sees a birth as a natural part of life, during which usually no complications occur, if there is present a trained expert, who does not interfere in the natural process of labor, except any required medical reasons. A natural birth can be taken place in home. The reader are warned by this discourse on the improper routine care in Czech hospitals, which is inconsistent with the needs of the mother and the child, and on complications of a birth caused by the active medical leading of labor. The articles on the popular website are mainly influenced by the discourse of the actively medically controlled birth. These...
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Choice of a maternity hospital by expectant mother
BARKOVÁ, Lucie
The birth of a child is one of the most beautiful experiences that is remembered by the woman throughout her life. Therefore it is very important to find the right place in which she wants to give birth and to understand what she expects from such a place. The theoretical part summarizes information about maternity facilities, as well as about various alternative childbirth options. It also deals with factors that influence the choice of the maternity hospital. The practical part investigates how the mothers are informed about maternity facilities and about the factors that influence their choices of where to give birth. In order to examine the topic and to achieve the objectives a quantitative research method using anonymous questionnaires was used; the questionnaires were distributed to women who had just given birth and were hospitalized at maternity wards in the hospitals in Benešov (Nemocnice Rudolfa a Stefanie Benešov, a.s.) and in České Budějovice (Nemocnice České Budějovice, a.s.) Two objectives and related hypotheses were established. The first objective was to find out which factors influence the women when they choose maternity facilities. The other objective was to find out whether mothers preparing for the first birth decide differently than mothers who already have a child or more children. Both objectives have been met. The hypothesis 1 states that ?Clients choose such maternity facilities where they feel that they and their children are safe? and it has been confirmed. Also the hypothesis 2, stating that ?Clients prefer maternity facilities which maintain privacy of mothers giving birth?, has been confirmed. The hypothesis 3 to the effect that mothers preparing for the first childbirth (primiparas) choose maternity facilities differently than mothers who already have a child (multiparas) has not been confirmed. The theory and results of the survey may be beneficial for nurses and for development of information brochures for pregnant women attending pre-birth classes to help them to select the maternity facility, as well as for midwives in practice.
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