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The possibilities of use of a psychologist in prenatal psychoprophylactic care
Sýkora, Jan ; Šulová, Lenka (advisor) ; Matoušová, Milada (referee)
The diploma thesis focuses on the possibilities of a psychologist in the process of psychoprophylactic care of the mother, or both expectant parents. The theoretical part is trying to define the term psychoprophylactic antenatal care and map the situation in terms of the important personalities in the field of antenatal psychoprophylactic care and in terms of its historical context. Furthermore, it attempts to define the tasks of antenatal psychoprophylactic care, introduce the structure of courses, and map the current situation in this field in the Czech Republic. The research project conducted examines the importance of the psychologist's role during the pregnancy of an expectant mother and in the field of the antenatal care for the foetus in a qualitative manner. It investigates both the needs and attitudes of pregnant women, especially in the third trimester, and experienced psychologists, concerned in the area by the selected method of the semi-structured interview.
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Satisfaction of pregnant women with prenatal care
KOUTENSKÁ, Michaela
This bachelor´s thesis is focused on the satisfaction of pregnant women with provided prenatal care. The thesis is composed of theoretical and practical part. The theoretical part contains a description of the origin and development of pregnancy, the prenatal care itself and the description of the examinations, which are performed under the terms of this care. Furthermore, the prenatal diagnostics is described. Subsequently, the profession of midwife and her role in the prenatal advice bureau is described. The thesis is also devoted on antenatal preparation of pregnant women. Last but not least, the theoretical part deals with the contentment of patients with provided medical care and factors, that can affect the satisfaction of patients. The quantitative research was used for the practical part. Altogether, two goals were determined for this thesis. The first goal was to find out, if the pregnant women are satisfied with the provided prenatal care. As following goal was to discover, if women are satisfied with the information given about the course of pregnancy and procedures performed in the prenatal advice bureau. Afterwards, two hypotheses were set towards the goals. The first hypothesis is: "The multiparous women are satisfied with the prenatal care more than primiparas." This hypothesis is not valid. The second set hypothesis is: "Women with secondary and lower education are more satisfied with the given information than women with higher vocational or higher education." This hypothesis is valid. The questionnaire survey emerged that 66,3 % of respondent are overall satified with the provided prenatal care. However, with the given information in basic area of care in the prenatal advice bureau were not always satisfied approximately 10 % of respondents. On the other hand, with the information about the procedures performed were satisfied 66,4 % of respondents. The results of research in this bachelor´s thesis can serve as feedback for providers of prenatal care in the Czech Republic in order to increase the satisfaction of their clients. Moreover, this thesis can also be used as informational material for pregnant women just when choosing some prenatal advice bureau.
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Pregnant woman in prenatal care
KRTIČKOVÁ, Michaela
The bachelor thesis deals with the issue of care for pregnant women in prenatal care. The thesis is divided into a theoretical part and a practical part. The theoretical part provides a summary of information about pregnancy, including its signs, classification, risk, dating and changes in the maternal organism during pregnancy. Attention is paid to prenatal care, its history, goals, system and examinations within prenatal care. The final theoretical passage deals with the role of the midwife in prenatal care and the education of the midwife in the prenatal clinic. The practical part of the bachelor's thesis aimed to find out: 1) what is the level of awareness of pregnant women attending antenatal clinics by midwives and 2) how much they understand the information provided. The research itself was carried out by means of a qualitative research survey in the form of individual semi-structured interviews. The research survey took place from March to April 2020. The research group consisted of 13 pregnant women attending prenatal counseling centers in Broumov and České Budějovice. Interviews with participants were conducted with their express consents, were anonymous and marked T1 to T13. The interview contained 17 basic questions and other additional sub-questions. The interviews were recorded on an audio recording, from which a literal transcript was made. Three categories and seven subcategories were identified for data analysis. The research showed that most pregnant women are satisfied with the method of transmitting information from midwives, but they do not have enough information about the course of the pregnancy. Most participants reported dissatisfaction with the scope of information provided in antenatal clinics and the need to seek information from other sources. Participants would welcome better communication and greater awareness of the pregnancy process from both the midwife and the doctor. Research has shown that pregnant women do not have sufficient knowledge about pregnancy, lifestyle during pregnancy, changes in the body accompanying pregnancy, or the reasons for examinations performed during prenatal care. The bachelor thesis demonstrates the importance of sufficiently informing pregnant women about the issue of pregnancy and prenatal care. It emphasizes the importance of access and communication by medical staff for the effectiveness of prenatal care. The work should help to bring prenatal care closer to future pregnant women and can help midwives to improve the quality of prenatal care provided and to inform pregnant women more appropriately.
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Influence of the psychosomatic situation of mothers in pregnancy on the prenatal development of the child and condition of newborn after delivery
ŠIMEČKOVÁ, Alžběta
Current status: Mental well-being in pregnancy is one of the most beautiful moments in a woman's life. It's such a miracle experience. There is a period of complete change with pregnancy. Both women and their partners are changing their living standards, changing their lifestyle, and changing their life position. A pregnant woman feels that nothing will be like before. A pregnant woman is very sensitive and also vulnerable. Purpose:The aim of the diploma thesis is to evaluate the psychosomatic situation of the pregnant woman and her influence on the prenatal and postnatal development of the child. Another goal is to determine the degree of mental (non) well-being during pregnancy and after delivery. Methods: Qualitative secondary analysis of data and documents and subsequent synthesis of the information obtained was used to achieve the objectives set. I used the data from the National Medical Library in Prague, the library of 2. LF UK and FN Motol in Prague, the library of National center of nursing and non-medical health providers in Brno and the Academic Library of the University of South Bohemia in České Budějovice. Also searched were the international internet database ScienceDirect, Ebscohost, PubMed. In the Scopus database, keyword search was unsuccessful. Results:The benefit of the diploma thesis is the degree of psychological well-being of pregnant women using the Freybergh scale on the basis of acquired data. Research method and research file: The diploma thesis uses a standardized evaluation method, using the Freybergh scale consisting of seventy closed questions. I will get the approval of the respondents and also Mr Freyberg, using a standardized scale. The annex is the approval of Professor Freyberghov, using the assessment scale in my diploma thesis. Respondents were ad-dressed from February 2017 until February 2018. A total of 30 pregnant women were approached by a written form, personal handover or social networking, of which fifteen were willing to engage in research. The research group was to consist of fifteen pregnant women, which is fulfilled. I responded to each respondent in third, sixth, ninth month pregnancies, and postpartum. When the respondents filled the same rating ranges from seventy questions both in the given months of pregnancy and postpartum, the respondents' task was to express the frequency of occurrence of feelings on a four-point scale from "never, at all", "rarely, exceptionally", "occasionally", "often" to "always, always, always". The nine respondents were first pregnant and six respondents had at least one pregnancy experience. The evaluation was performed using a qualitative method in the form of axial and selective coding of anchored claims using the Atlas.ti computer program. Conclusion: The paper deals with the degree extent of pregnancy psychosomatics of pregnant women using the Freybergh self-rating scale. The thesis is divided into two parts, namely the theoretical part and the practical part. The theoretical work focuses on the development of the fetus throughout pregnancy. It also focuses on prenatal psychology, prenatal history, and the most important part is prenatal communication. In the practical part is selected quantitative research focused on the psychological well-being of pregnant women using the Freybergh scale in selected months of pregnancy.
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The possibilities of use of a psychologist in prenatal psychoprophylactic care
Sýkora, Jan ; Šulová, Lenka (advisor) ; Matoušová, Milada (referee)
The diploma thesis focuses on the possibilities of a psychologist in the process of psychoprophylactic care of the mother, or both expectant parents. The theoretical part is trying to define the term psychoprophylactic antenatal care and map the situation in terms of the important personalities in the field of antenatal psychoprophylactic care and in terms of its historical context. Furthermore, it attempts to define the tasks of antenatal psychoprophylactic care, introduce the structure of courses, and map the current situation in this field in the Czech Republic. The research project conducted examines the importance of the psychologist's role during the pregnancy of an expectant mother and in the field of the antenatal care for the foetus in a qualitative manner. It investigates both the needs and attitudes of pregnant women, especially in the third trimester, and experienced psychologists, concerned in the area by the selected method of the semi-structured interview.
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The opinions of pregnant women of current possibilities of prenatal diagnosis.
DYKOVÁ, Iva
This bachelor thesis deals with the view of pregnant women on prenatal diagnosis. Prenatal screening includes many tests, where the aim is the versatile safety of pregnant women.The theoretical part of the bachelor thesis focuses on the pregnancy period which for most women is the most beautiful period during which the fetus develops in her organism.The purpose of prenatal care is primarily the consistent prevention of any possible pathological situations and timely capture of deviations from the normal course of gestation, with ensuring all available diagnostic and therapeutic measures. The goal of the prenatal diagnosis of congenital developmental defects is to detect congenital developmental defects as soon as possible and to help further approach strategy to pregnant women.Prenatal diagnosis is nowadays an integral part of prenatal care. It is subject to great demands in terms of safety and accuracy.The ethical viewpoint of prenatal diagnosis is just as important as technology by which testing and invasive performance tests are carried out. Prenatal genetic diagnosis has several important ethical issues. An important ethical procedure is proper information and consent of the pregnant woman to the testing, the interpretation of results, maintenance of privacy, medical confidentiality, the impossibility of abusing identified results, availability of further examinations and follow-up treatment at the highest level. The termination of gravidity in the event of statuses incompatible with life, or with permanent damage of the fetus, may be carried out solely at the request of the pregnant woman. The fundamental ethical issue is whether the fetus is regarded as an individual human being. Another dilemma resulting from this is whether a woman can take a decision for herself and the fetus, or whether the fetus is already a human being with its own rights.Furthermore, the theoretical work is devoted to the role of midwives in prenatal care. When providing care for pregnant women in the Czech Republic, the most commonly applied system is the close cooperation of the midwife with the physician. An integral part of the work of a midwife is the identification of anamnestic data by the nursing process method relating to pregnant women in the somatic, psychological, social, and also in the spiritual area. The objective of the bachelor thesis was to find out how pregnant women perceive testing carried out during pregnancy and how they experience situations where the invasive testing of congenital developmental defects of the fetus was recommended to them. The qualitative investigation using the interview method was used for the research investigation. An in-depth structured interview was selected for the data collection technique. The research group was composed of five pregnant women who had a positive screening to congenital developmental defects in I. or II. trimester and had to decide whether to undergo or not invasive testing to detect congenital developmental defects of the fetus. The research results have shown that women consider pregnancy screening tests as a compulsory part of the care for pregnant women. Women perceive non-invasive testing as safe and beneficial for both the fetus and the woman herself. Invasive testing is perceived by most of the women as beneficial despite all risks. During interviews we also met a woman who wouldn't accept any risks and therefore refused invasive testing. Despite the fact that every woman has the right to refuse such testing, this respondent noted how inappropriately most of the doctors and midwives were behaving towards her afterwards. The results also showed that women to whom invasive testing had been recommended experienced fear for the child and future pregnancy. According to the respondents, information in prenatal counselling proved to be clearly insufficient.
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Subjective perception of a prenatal care by pregnant woman.
UHLÍKOVÁ, Karin
My bachelor's thesis topic is "Subjective perception of a prenatal care by pregnant woman" and it is divided into theoretical and practical part. First goal of this bachelor's thesis was to find how is prenatal care perceive by women. Second goal was to find out opinions of pregnant women about birth attendants. Next aim of this work was find out discrepancies and compare prenatal care in Pisek and Tyn nad Vltavou from pregnant women point of view. Survey data were collected through the qualitative research method with semi-structured interviews. Survey sample was form by ten women. This size was divided into two groups, five women from pregnancy advisory center in Pisek and five women who attended same center in Tyn nad Vltavou. Data were recorded in written form or as audio notes, which were rewrite.As emerged from research pregnant women are satisfied with quality of offered prenatal care. Respondents would like to receive more information about pregnancy progress or checkups and prenatal tests. Women also want improve individual approach, better communication with doctors and decrease of the waiting time.As unambiguously follow from results all interviewed women confide in birth attendants.Based on the result of the research I found out that respondents from Pisek are satisfied with all components of prenatal care provided with medical personal.As distinct from situation in Pisek respondents from Tyn nad Vltavou want to improve individual approach and communication with doctor. Research outcome pointed out to the fact that health care is not only about routine work but also about human approach and communication. Results of this work could be used for improving knowledge concerning prenatal care, next is publish in specialized magazines.
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The system of prenatal diagnosis of fetal harm
ŠUSTROVÁ, Tereza
The bachelor's thesis deals with a topic: "The System of the prenatal diagnosis of fetal harm" and it's divided to two parts, the theoretical part and the research section. The theoretical part, which is the introductory part of the thesis, has three main chapters. The first chapter is focused on the prenatal care. This chapter describes the prenatal care in general, who provides that. It is dealt by pregnancy card, which is the essential component of the prenatal care and frequency of checks. The biggest part of the chapter is devoted to a detailed overview regularly and irregularly, or examination carried out in time. The second chapter is focused on prenatal diagnosis of congenital defects in the fetus and describes individual screening methods of investigation and diagnostic methods of congenital defects in the fetus. At the end of this chapter is a mention of Prenascan. It means new and only diagnostic noninvasive tests for congenital defects in the fetus. The last chapter deals with a role of the midwives in the prenatal care. In this chapter it doesn't lack the definition of the midwife, the psychological side of the midwife and the relationship midwife and clients. It's important that the interrelationship was based on trust and respect. The end of this chapter is focused on educational activities of midwives. The education has an important role in the prenatal care. It's very challenging activities from the perspective of midwives, which places demands on knowledge and skills. The midwife educates a pregnant woman about healthy habits, care of herself. It's in connection with prenatal diagnosis of congenital defects in the fetus. The research section focuses on worries of woman, maps quality and satisfaction of woman with the provided information and satisfaction with the attitude of healthy personal. The bachelor's thesis has these goals: The goal 1- Map methods prenatal diagnosis of fetal harm. The goal 2 Find out what information and approaches consider women as important in the area of prenatal diagnosis, when the screening in I. trimester of pregnancy is positive.Based on the above objectives were determined these research question: The Research question 1 What are women afraid of most? (There are women who have increased risk of birth defects). The Research question 2 What quality information have they about the fallowing procedures? The Research question 3 What satisfaction of women is whit attitude of health personal?
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Specifics of prenatal care for women from certain minorities in the gynecological clinic.
NOVÁKOVÁ, Markéta
Due to the fact that from the 1990s there has been a noticeable increase in the number of foreigners residing in the Czech Republic, it is necessary to respect their cultural specifics in health care. Many foreigners in our country have a long-term or permanent residence and have families here. Increasing emphasis is given to care for pregnant women. In the pregnancy period, the woman experiences significant physical and mental changes. The main aspect of caring for a pregnant woman is the continuous monitoring of the health and proper development of the foetus. For midwives to be able to provide quality care for patients from different cultures, they must be culturally competent and empathetic enough to handle the specifics of working with these pregnant women. Many complications in nursing care are caused by a communication barrier that arises between the medical staff and the patients, even if they are of the same nationality and speak the same native language. The risk of communication problems increases in the case of women from minorities. The objectives of this thesis are: Objective 1: Determine how women from selected minorities view the prenatal care in the country. Objective 2: Map the knowledge that midwives have of the specifics of care in individual cultures. The following research questions were determined: 1) How do women from selected minorities perceive the prenatal care in the Czech Republic? 2) To what extent is the culture of the client respected during care? The practical part was elaborated based on qualitative research. Data was collected using semi-structured interviews. Respondents were asked the same questions, but these were elaborated on during the interviews, which led to the subsequent categorization of interviews. A total of 20 basic questions were compiled. The research sample consisted of six pregnant women and four midwives. The criterion for selection of the pregnant women was Vietnamese or Ukrainian nationality. The criterion for choosing midwives was that they had to be employed at gynaecological and obstetric clinics. From interviews with midwives clear that they strive to respect the wishes of all patients, both those related to their culture and environment from which they came, as well as those related to their character and personality. However, the research also shows that there are also slight doubts that could lead to misunderstandings, and these are solely due to lack of information. Therefore, the output of this work should be the organization of a seminar or a contribution within a conference, which would provide healthcare professionals with basic information and experience in the care of patients from selected minorities in Czech health care facilities. The topic of this seminar could be: "The specifics of caring for selected minorities in Czech health care." The first part of the research sample consisted of pregnant women who have different experiences with care in their home country. In their testimonies they mention minor shortcomings, but are satisfied with the care provided in the Czech Republic and some of them expressed that they are certain that this level of care could not be provided to them in their home country.
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Risks and consequences of problem drug use in pregnant women
PŘÁDNÁ, Jana
The bachelor´s work describes the risks and impact of problem drug usage among pregnant women. It mainly views the topic from the health and social points. It characterizes drug addiction, drug addicts and their troubling pregnancy. It describes the possible impact of the drug usage on the woman and her fetus. The risks and impacts are divided by particular groups of addictive substances. The work further mentions the newborns´abstinence syndrome which those babies often suffer from after the birth. The bachelor´s work proceeds from an available specialized literature and my own vocational experience from the field social work with drug users.
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