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The first treatment of a newborn after delivery in pre-hospital care
KOFROŇOVÁ, Erika
The bachelor's thesis discusses the treatment of a newborn after birth in pre-hospital care. In order to elaborate the bachelor's thesis, four objectives were defined. The first objective was to find out how paramedics prepare themselves for taking care of the newborn. The second objective was to record how they handle the situationS psychologically when it comes to the newborn care at fieldwork itself. Furthermore, the third objective ascertained the procedure of the newborn treatment by paramedics in pre-hospital care. Last but not least, the fourth objective was to explore the procedure of a premature newborn treatment. Four research questions were chosen for the research part of the thesis. The first research question dealt with how paramedics prepare themselves for taking care of newborns. The second research question carried out how stressful treating a newborn is for paramedics. The third research question examined the process of treating a newborn. The last research question discusses the treatment procedure in case of the premature newborn. This work highlights the importance of education and implementation of the defined procedure of the newborn treatment in pre-hospital care, as well as the implementation of the most essential interventions which leads to the correct adaptation of the newborn to the new environment. The bachelor's thesis is divided into a theoretical and a practical part. The theoretical part is divided into five main chapters. The first chapter deals with the legal definition of the emergency medical treatment services, pre-hospital emergency care and the profession of a paramedic itself. The competences of a paramedic as well as further educational possibilities are discussed here. In the second chapter, the issue of the childbirth is introduced alongside the labour process itself, its classification, and particular stages. It is complemented by the process of the childbirth and the treatment of the newborn in a health facility as well. The third chapter deals with the childbirth in pre-hospital care. The fourth chapter discusses the various complications that can arise during the birth. The last one describes the care of the pathological newborn and the process of a resuscitation. In the second part of the thesis a qualitative research was applied. The research sample consisted of 8 paramedics who had encountered a newborn after the birth at least once.
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Importance of thermomanagement in the care of premature newborn
Stránská, Monika ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
The thesis is focused on premature newborn thermomanagement. It is focused particularly on very premature and extremely premature newborns which suffer the highest level of thermolability. The theoretical part deals with the particularities of premature newborn thermoregulation, newborns' reactions to thermal stress, thermomanagement in the delivery room and providing a thermoneutral environment in the incubator. The thesis describes a method of servo-control mode of body temperature, which has not been utilised for premature newborns in Czech Republic. The aim of the thesis is to start using this method and compare it with the method of manual control. Based on the total time not meeting the standard, number of failures and other parameters to assess which method is more suitable for body temperature regulation. The research sample consists of 47 newborsn who were born between the 24th and 32nd gestational week. Quantitative data collection at one-minute intervals was conducted in the 72 hours after birth. The method choice was random. Statistically important differences between the two methods were measured regarding the total time not meeting the standards. The incidence of hyperthemia was higher during manual method, hypothermia when servo-control. Total failure amount was 19%. However, the...
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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.
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