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Nursing care of women after operative deliveries
KREJCAROVÁ, Jana
Nursing Care in Women after an Operative Delivery The bachelor thesis focuses on nursing care in women after an operative delivery terminating pregnancy. The theoretical part describes the individual surgical procedures (forceps delivery, vacuum extraction, cesarean section), nursing care and educational activity accompanying them. Further, it also includes a brief history of these methods. In the practical part, four basic goals and hypotheses were stated. The goal of the work was to identify differences in taking care of women after operative deliveries, to find out whether the care is conducted in the form of a nursing process, whether the care follows nursing and obstetrical standards in the selected delivery wards. With the view of these goals the following hypotheses were formulated: nursing care in women after operative deliveries differs in selected delivery wards and that midwives use a nursing process meeting the nursing and obstetrical standards in care of women. The research was conducted by a quantitative method. Data were collected through the use of anonymous questionnaires. These questionnaires were given to midwives in selected delivery wards (České Budějovice, Plzeň and Písek). The respondents were nurses working in delivery rooms, puerperium wards and gynecologic intensive care unit. The goals of the work were fulfilled. The hypothesis regarding the differences in care between individual delivery wards was confirmed. The second hypothesis that the care in women after operative deliveries is conducted in the form of a nursing process was proved in 72% cases. The third hypothesis confirms using of nursing standards in this care in 92% and the fourth hypothesis reveals that obstetrical standards are met in 75%. The results for the analyzed set of cases as a whole show certain definite tendencies, however the care differs among individual places and even among various wards within one institution. Therefore it would be useful to asses the organization of work, technical conditions and possible modifications that could improve the nursing care.
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Nursing care of women in childbirth completed VEX (vakuum extraction)
KŘÍŽOVÁ, Michala
My thesis is focused on nursing care for a woman during the childbirth ended with VEX (vacuum extractor). The first part of my thesis is the theoretical part where the method of vacuum extraction in obstetrics, its indications and conditions and the procedure technique is introduced, as well as nursing care of a midwife for a woman in the childbirth ended with VEX in the delivery room and the confinement department. The aim of the thesis was to determine if midwives have experience with care for a woman in the childbirth ended with VEX. Whether they know the conditions and indications for using VEX during childbirth on the part of a mother and fetus and in what maternity hospitals in the South Bohemian region the VEX method is used. To meet the objectives, hypotheses were stated. The first hypothesis: Midwives have experience and know how to take care of a woman during the childbirth ended with a VEX. The second hypothesis: Midwives know the conditions for ending the childbirth with a VEX. Third hypothesis: Midwives known indication on the part of a mother and fetus for childbirth ended with a VEX. Research Question 1 In what hospitals in the South Bohemian region is the VEX method for childbirth ending used? The quantitative research method was used to find the answers. The data were collected by the interview method, the questionnaire technique. The questionnaire was anonymous, it was composed of pre-formulated questions, which served as identification data. The questionnaire contained 23 questions. The research respondents for the quantitative research were midwives working in the delivery room and confinement department in selected hospitals of the South Bohemian region. The questionnaires were distributed to seven selected hospitals in the South Bohemian region (České Budějovice, Český Krumlov, Jindřichův Hradec, Strakonice, Písek, Tábor, Prachatice). The total number of distributed questionnaires was 100, 20 of them were not returned, namely from the hospital in České Budějovice. Therefore, the total number of responses was 80 (100%). The results are processed into graphs. The goals of the thesis were met. The research survey has shown that midwives are experienced and able to take care of a woman in the childbirth ended with a VEX, the first hypothesis was confirmed. The second hypothesis was also confirmed because midwives know conditions for the childbirth ended with a VEX. The hypothesis on indications on the part of a mother and a fetus was also confirmed. The second and supplementary technique was an inquiry intended to determine in what hospital in the South Bohemian region the method of childbirth ending with a VEX is used. The inquiry was addressed to head nurses of gynecological and obstetrical departments in hospitals in the South Bohemian region (České Budějovice, Český Krumlov. Jindřichův Hradec, Strakonice, Písek, Tábor, Prachatice). The total number of distributed inquiry questionnaires was 7, 1 of which was not returned, it was from the hospital in České Budějovice. The inquiry contained seven questions. It was found out that the vacuum extraction method is used in hospitals in Strakonice, Český Krumlov and Prachatice. In other maternity hospitals this method is considered to be used in the future. In the final part of the thesis a standard for midwives concerning the care for women in the childbirth ended with a VEX was created supposing that the standard will be used in nursing care.
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