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Preparing for fathering - Role of midwife
HRKĽOVÁ, Markéta
The theme of this bachelor thesis is the preparation for fathering the role of a midwife. This work is composed of two parts, the theoretical and the investigative part. The theoretical part deals with three main chapters. In view of professional literature there is described the theme of midwifery in the first chapter. There is outlined the history and the present of midwives and also their competence. The second chapter is devoted to the involvement of father during pregnancy and childbirth. There is described an antenatal preparation, experience the pregnancy from the view of a partner. We explain the term couvades and we bring nearer the outlook at the issue of the attendance of a father by childbirth. The third chapter is named fathering. There is the description of fatherhood, its history and present in this part. We also deal with the matter of active fathering and other types of fathers in this unit. The investigative part is focused on anxieties and readiness of fathers for their first child. We set three basic aims in this bachelor thesis. Aim No. 1: To find out, how the midwife provided the information to the future fathers and what info the fathers missed. Aim No. 2: To find out, what the future fathers felt apprehensive about, where they searched for information, help and advice. Aim No. 3: To find out, if the attendance at the antenatal course was practical. On the basis of given aims there were settled research questions focused on midwife´s education in the preparation for the role of a father and also focused on the way of searching for information which the fathers missed. The goal of this work was to find out, how the men were up to their new role and how the midwife became involved in the antenatal courses and at childbirth. It was chosen the qualitative research investigation for this matters processing and achievement of appointed aims. We selected the method of semi-structured interviews of own construction for data collection. The interviews were consequently processed by the method of content analyses. The research file made a random selection of men who were willing to cooperate, they agreed orally with providing the interviews and also with the publication of some identification details. The research sample was made by ten men who expected their first child and they took part in the antenatal course. The gained information is written in italics. The answers of respondents are described in the practical part of this work. Then there is the summary assessment of the most important data from the interviews and also the table with identification details of the participants. This investigation was made from January to March 2015. We find out from the results that the most common way of education went in lecture completed with presentation and video about childbirth. The other ways were e.g. monologues with the possibility to ask questions and informative brochures. Men very often felt the lack of preparation from the midwife especially about the postpartum period. They missed the sample of manipulation with newborn infant, changing nappies and bathing. We found out the lack of time devoted to men at the antenatal courses where they missed the theme of first aid for newborn infants. The men were especially afraid of the birth, health of their partner, child and also of their new life role. They get the most information from their mothers, partners, friends and on the internet. Men think that the antenatal courses were good, they helped them to develop gained information and clarify some situations they didn´t know much about. This work points to the importance and necessity of education of future fathers at the antenatal courses.
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Effect of antenatal preparation for childbirth first female nascent and cooperation with the midwife.
HANZLÍKOVÁ, Hana
Effect of antenatal preparation for childbirth first female nascent and cooperation with the midwife. Birth has always been perceived as a difficult life situation, which requires necessary preparation, even if it was mere passing on the wisdom from one generation of women to another. An expectant mother has a possibility of attending antenatal courses alongside with her partner. There, the parents-to-be gather information on the course of pregnancy, good nutrition, and possible complications during pregnancy. They become familiar with a might-be management of the birth, the issues relating to postpartum period, and the basics of how to take care of newborns. Since 2002, the author has organized antenatal courses for expectant women and their partners in Strakonice. This drew author?s attention to the question whether antenatal preparation of mostly primiparas has an impact on the management of the birth and postpartum period, and the question of collaboration between a prepared woman and a midwife. The first objective of the thesis was to confirm whether antenatal education of mothers-primiparas has an impact on the management of the birth and postpartum period. The second objective of the thesis was to observe the impact of the antenatal preparation on the collaboration between a woman-primipara and a midwife during the delivery and postpartum period. The bachelor?s thesis is based on a qualitative research that introduced 2 objectives and 4 research questions. Data were collected by interview. For the purposes of the research, interviews were held with primiparas who had completed antenatal preparation, primiparas who had delivered their babies at the maternity hospital in Strakonice, and midwives currently working at the Department of Obstetrics and Gynecology of the Hospital Strakonice PLC. The results of the qualitative research were processed in the form of case reports and assessment tables. The established objectives were met. The research questions provided necessary data to accomplish the research. Based on the responses to the research questions, 4 hypotheses were established. The outcomes of the research point out the quality of care provided by midwives during the antenatal preparation. In practice, they might be utilized in negotiations with insurance companies that are welcome to contribute to women so as they do not have to pay the full price of the courses in question. The outcomes also raise questions whether they help prevent complications during the birth and postpartum period or not.
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