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Giving birth through the eyes of primipara
MACHOVÁ, Eliška
This bachelor thesis deals with the course of the childbirth of primipara and with the care of midwives during the whole childbirth. This bachelor thesis describes particular stages of the childbirth and the care of midwife during all stages of the childbirth. Bachelor thesis deals also with the courses of the prebirth training and with the alternative methods in obstetrics, accompaniment at childbirth, parturition and methods of its appeasement and birth´s injury. The research part of bachelor thesis is oriented on how primiparas have been thinking about their childbirth and how these conceptions differed from the reality thereafter. Two main objectives has been stipulated for this bachelor thesis. The first objective was to find out, how the primiparas concept their childbirth. The second objective was to find out how the conceptions of primiparas about their childbirth course differed from the reality then. To achieve and to discover the stipulated objectives three research questions has been chosen : How the primiparas prepare themselves for upcoming childbirth? Which conceptions and visions have primiparas about their childbirth? How primiparas perceived their childbirth then? To elaborate the research part of the bachelor thesis the method of qualitative research has been chosen. For the data collection the technique of semistructured interview has been used. The research panel, were primiparas before and after the childbirth. The each interview consisted from eight questions to be asked before childbirth and nine questions to be asked after the childbirth. The first question was the identifying one regarding the age of the respondent, family status, education achieved and the job position before maternity leave. The questions asked before childbirth were oriented to the following topics: preparation for the childbirth, conceptions about childbirth, accompaniment during the childbirth, choice of obstetrician, general women´s feeling regarding upcoming childbirth , perception of parturition and methods of their appeasement. The questions to be asked after the childbirth covered the following topics : the course of childbirth,how the conceptions of women differed from the reality of childbirth, who accompanied woman at childbirth, how this companion was helpful, perception of parturition, attitude and dealing of health service staff and the general influence of the enviroment when having the childbirth. The results of the research were split in to two main sections before the childbirth and after the childbirth , both are further split into subsections. The results of research showed that the most of primiparas tryied to find out the informations about childbirth on the internet. The other useful source of informations were the prebirth courses, the books about gravidity and childbirth, professional advices from the gynaecologist and advices from the friends who already had childbirth before. Among the most often conceptions regarding upcoming childbirth could be counted conception of smooth and fast course of childbirth without any complications and the birth of healthy neonate. Other conceptions women mentioned were spontaneous childbirth without surgery in perineum area, childbirth in peaceful atmosphere being accompanied by their partners or husbands and in the enviroment of pleasant health service staff. As the methods used for parturition appeasement has been mentioned mainly the use of epidural analgesia and using of warm shower in the combination with gymnastic ball. The childbirths of all the women in the research group ran in spontaneous way without any serious complications. All the women perceived the childbirth as a beautiful and emotional experience but very painful also in the same time . When being asked what was the main variation between their conception of childbirth in the comparison with the reality the women mainly mentioned the pain, which intensity surprised them.
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