National Repository of Grey Literature 3 records found  Search took 0.00 seconds. 
Newborn baby care at childbirth out of health facility
KOHÚTOVÁ, Tereza
This thesis deals with the assurance the necessary care of the newborns at birth outside of health facility. I emphasize that I do not deal with the issue of planned births outside of hospitals, but acute situations that could not be foreseen. I focus on the main principles of newborns care, where conditions are very limited for midwifes. I consider the main principles are the evaluation of risks of newborns based on anamnesis in pregnancy card, which pregnant woman is required to have with her at all times, also minimal disruption neonatal physiology adaptation and evaluation of the newborns after birth. The aim of the thesis was to catch midwive´s awareness to solving of newborns care at birth outside of health facility. I focused on methods, which formidwifes prefer for maintaining the knowledge about midwifery. I focused on their reactions about births outside of health facility, simultaneously that they have to be able to provide adequate care for newborns immediately after birth, including neonatal resuscitation. In the empirical part I used a metodology of structured interview with eight midwives from the South Moravia Region, who have at least two years experience in the practice. The interview took place in a hospital setting, on antenatal courses and home setting. Midwives answered very willingly and they sufficiently developed the questioned issues. They were asked on three research questions. The first research question concerned on the maintenance of knowledge of midwives. The following questions showed that midwives are forced to prioritize self study of literature or attendance on the courses. Specialized courses on my research topic is unfortunately missing in the Czech Republic. The second research question dealt with the issue of care of the newborns at birth outside of health facility and the ability of midwifes deal with this problematic. They are able to handle with childbirth of newborns outside of health facility. After the first frightining, they were be able to handle it as well as in the hospital, but unfortunately without aids, because the necessary aids had prepared with her only one of them. The newborn also should be adequately cared. Great attention should be devoted to thermoregulation. Newborn after birth can not keep warm. They had dried out of newborn and covered him of blanket. Some of them laid the infant on the mother's abdomen and followed by neonatal and maternal vital signs. The last research question related to neonatal resuscitation. The midwifes were not so sure in their answers in this problematic. They were be able to adequately begin of resuscitation, but unfortunately, as I already mentioned, they had not prepare with them the necessary aids, so they have to work without the aids. For the first they would ensure the airways and possible aspiration followed by mouth-to-mouth breathing, in the neutral position of newborn. Neutral position had in mind that the infant laid on a flat surface on the back, head toward to them, so the head was not too backswept or bend over. They would continue by indirect heart massage, where they used technique of using second and third or techniques of using inches. The research showed that the midwifes stand proof during the birth of newborn outside of health facility, but all of them would called the ambulance, due to possible risks incurred. Just would be the necessary to implement courses on this topic, encourage midwives to get a small package "in the pocket" and increase the number of practical training in neonatal resuscitation, becasue the theoretical training midwives is not enough. In my opinion, the results of the research could be used as educational material for working midwives, as information or educational resource for students of midwifery.
The role of a midwife and a pediatric nurse in ensuring termomanagement by a physiological newborn
BARTŮŠKOVÁ, Lucie
The theoretical part is focused in ensuring thermal management for a physiological new-born baby. To ensure the optimum thermal management for a new-born baby is very assential in order he/she can adapt to the external environment after the birth as a new-born baby is prone to loss of heat in the first moments after the birth. Body temperature regulation after childbirth is not sufficient and stable and therefore a new-born baby can get quickly cold when the surrounding temperature is low or, on contrary, he/she can get overheated when the temperature is high. That is why the nursing staff should minimize heat losses of a new-born baby and prevent his/her overheating. The first goal was to map out the knowledge of the nursing staff at the Department of Neonatology of ensuring thermal management of a physiological new-born baby at the labour ward. The other goal was to map out the way of ensuring thermal management of a physiological new-born baby at the labour ward. The research investigation was conducted by means of a qualitative survey using in-depth interviews and hidden observations of paediatric nurses at the Department of Neonatology at the Hospital in České Budějovice. All interviewed nurses have proved they know the way of ensuring thermal management of a physiological new-born baby at the labour ward correctly and at the same time all nurses observed have followed the Nursing Care Standard in Neonatology No. 513 Thermal management of a new-born baby when ensuring thermal management. This bachelor thesis could be used as a study material for students of the following years of midwifery studies. Further, it could be used as information material for the already experienced or fresh midwives and paediatric nurses. The outcome of the bachelor thesis is a leaflet providing information on ensuring thermal management of a physiological new-born baby.
Nursing care of physiological newborns nowadays ane future trends
LÍZALOVÁ, Karolína
This bachelor thesis has two parts: the theoretical and practical ones. The theoretical part describes the care of physiological newborn infants from the moment of their birth until discharge from hospital. It also includes the physiology of newborn infants and a summing up the history of this subject. In the practical part, investigations focused on the opinions and the common practice of nurses taking care of physiological newborn infants were conducted. Investigation reveals that nurses working in departments of physiological newborn infants mostly work according to present-day trends of care of physiological newborn infants.

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