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Attitude of midwives towards physiotherapeutic interventions during pregnancy, childbirth and puerperium
BÁRTOVÁ, Anna
The purpose of this thesis investigates the attitude of midwives towards physiotherapeutic interventions during pregnancy, labour and puerperium. Two goals were defined for the thesis. The first goal was to investigate the midwives' interest in the inclusion of the selected methods to their practice and the second objective was to verify the midwives' interest in multidisciplinary cooperation with a physical therapist. The conducted research was based on a quantitative survey via a questionnaire of author's own construction. The questionnaire was distributed in electronic form. The research group consisted of 196 respondents, of which 195 were women and 1 of which was a man. Most respondents belonged to the age group between 25 and 36 years. 75 % of the respondents had a university degree, 11,2 % respondents stated that they graduated vocational school and 13,8 % respondents stated that that their highest reached level of education was highschool. The research showed that midwives are interested in inclusion of the methods in their practice and in multidisciplinary cooperation with a physical therapist. The midwives younger than 35 years showed higher interest in increasing their education than midwives older than 35 years. Correlation between the respondent's age and use of the individual methods was not proven by the research. The results showed that 94 % of the respondents considered multidisciplinary cooperation as important. 79,6 % respondents were interested in multidisciplinary cooperation with a physical therapist. The physical therapists that worked on the respondents' workplace mostly dealt with verticalization and scar care in women after caesarean section and in women after gynecological operations. The respondents themselves used the excercises of getting up sideways the most (93,9 %), verticalization (86,7 %) and breathing excercises. Respondents stated that they felt the greatest increase in the involvement of midwives in rehabilitation care is neeeded in birth injury and scar care (115x). The results can be presented at professional conferences for midwives.
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Physiotherapy in the III. trimester of pregnancy in primiparas with pain in the lumbar spine
PEITZOVÁ, Karolina
This thesis seeks to present the means of physiotherapy in positively influencing lower back pain during the last trimester of pregnancy, which is one of the most common complications of the musculoskeletal system during pregnancy. The objective of this thesis is to explore the physiotherapy methods suitable for women in the third trimester of pregnancy and to describe changes observed during the therapy. The theoretical part of the thesis describes the anatomy and function of the spine the lumbar spine in particular, stages of pregnancy, the associated changes of a mother's organism and the physiology of normal labour and delivery. The theoretical part also mentions the fundamentals of kinesiotherapy during pregnancy, the types of pain and its evaluation and the methods of physiotherapy during pregnancy. The practical part of the thesis contains a qualitative research, which presents three elaborate case studies. All three participants were first time mothers in their last trimester, 29 35 years old. The therapy sessions were taking place once a week for seven weeks. The participants also followed an at-home exercise programme. The research contains kinesiological assessments before and after the therapy, a photo documentation of two of the participants, a short-term rehabilitation plan, the description of the individual therapy sessions, the subjective reviews of the participants, the evaluation of the results, a proposal for a long-term rehabilitation plan and information of the participants' childbirths. The individual therapy sessions combined with the at-home exercising partly relieved the lower back pain. A distinct improvement of body posture, partial relaxation of hypertonic muscles, as well as overall physical and psychological well-being was achieved in all three participants.
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