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Evaluation of satisfaction with maternal and child care in a perinatology centre - cultural differences
Machová, Petra ; Vaisová, Veronika (advisor) ; Němcová, Alžběta (referee)
The bachelor thesis focuses on the evaluation of the quality of care provided in a perinatology centre from the perspective of women after childbirth. The aim of this study is to find out how satisfaction with the care provided varies according to the culture of the woman. The thesis consists of theoretical and practical parts. The theoretical part deals with the concept of perinatology centres, the quality and evaluation of the care provided, followed by the satisfaction of expectant mothers. Finally, the theoretical part includes a chapter on multicultural care, cultural minorities and multicultural communication. In my practical part I have processed the results of standardized questionnaires of the perinatology centre of the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine of the Charles University in Prague. The survey highlights the main indicators of satisfaction with the care provided and cross-cultural differences in the perception of the quality of care. Women of other nationalities were also included in the survey and were given questionnaires in their native language to highlight cross-cultural differences in satisfaction with the care provided. Key words: satisfaction, expectant mother, childbirth, care, perinatological centre, questionnaire, cultural differences
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A satisfaction of expectant mothers with care in the perinatology center
Klejová, Nikola ; Čábela, Radek (advisor) ; Přáda, Jan (referee)
This thesis is split into two parts, theory, where I primarily define terminology of perinatology, medical staff, perinatology itself in Czech republic, neonatology, which the Apolinář centre is very well known for. And also research theory. Second part is so called practical part of the bachelor thesis, which concerns the area of research into satisfaction of mothers in care in the perinatology centre of Apolinář in Prague. It is primarily focused on satisfaction of mothers with intimacy, privacy, care, staff behaviour, quality of food, cleanliness of the facility and the impression of the environment, in which the woman experiences the most important moments of her life. Research has been conducted by surveying mothers in care of the facility, as the simplest most effective, anonymous and least time consuming method. This research has pointed out the strong ant he weak points of perinatology centre. The weak points are also addressed in more detail in chapter ,,Recommendation and prevention", where I try to present viable solutions for those issues. The aim of this work was to determine the level of care in the maternity hospital at Apolinář and based on the results to recommend appropriate improving measures not only for the care of mothers and newborns. Keywords: perinatology, mother, maternity...
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Female Sexual Needs during Pregnancy
Veselá, Lucie ; Endlicherová, Jana (advisor) ; Školoudová, Markéta (referee)
This presented Bachelor thesis deals with the female sexual needs during pregnancy. Given the focus of the thesis, in the theoretical part is described the sexuality of the woman, the sexuality during pregnancy period and here is also found the history of human sexuality and the history of sex during pregnancy. The practical part is devoted to research. In total, four goals were set. The first objective was to find out if pregnancy had an effect on women's sexual needs, the second was to find out whether sexual life was changing during pregnancy, and third and fourth targets focused on informing women about sexuality during pregnancy and about the sources of information. On the basis of the objectives set, research questions were selected. A method of qualitative research was chosen to elaborate the research part. Data collection was conducted using semi-structured interviews with women within five years of delivery. The research sample consisted of ten women and the interview contained ten open questions. The obtained data were analyzed by the hand-coded method, paper and pencil. The results of research have shown that sexual appetite changes during pregnancy. Changes in frequency of sexual activities correspond to these appetite changes. The unsatisfactory result has emerged from testimonies...
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Comfort of mothers during childbrith
HANZALOVÁ, Martina
This thesis for a bachelor's degree is dealing with the comforts of expectant mother in the process of delivery. A theoretical part is divided into three main chapters. The first chapter covers the delivery description and its classification. The second chapter deals with an inclusive nursing care for a mother-to-be in the process of delivery and a midwife's care during every particular labour phase. The last chapter describes all aspects which affect the delivery process. The exploratory part of this thesis is focused on the contentment of women in labour with the offer of comforts during their delivery. I have set two aims. The first aim was focused on the women awareness of pharmacological and non-pharmacological techniques which cope with the pain in the process of delivery. The second aim was focused on the women contentment with comfort offer in the labour ward and the treatment of nursing staff. I have chosen three research questions: Which possibilities of pharmacological and non-pharmacological techniques do the women know and use to ease the pain in the process of delivery? Which relaxation aids have been offered in the process of delivery? To what extent the woman has been satisfied with the ambience and the nursing staff treatment? I chose the method of qualitative research. I carried on a survey to get the detailed and comprehensive information. The whole research was transferred to two main categories and its subcategories. During investigations it emerged that most respondents found the information on the Internet, in professional literature, antenatal courses etc. Hydroanalgesia appeared to be the most known alternative to ease the pain in the form of shower or bath. As far as pharmacological possibility is concerned the respondents mentioned only epidural analgesia. The comforts category describes general comforts which the midwife offers to the expectant mothers in the process of delivery. Antenatal preparation was given to most respondents with the previous consent and they were offered drinks in the labour ward. Most respondents were also offered non-pharmacological techniques to ease the pain such as relief positions, gymnastics ball, massage, hydroanalgesia etc. No respondent was offered epidural analgesia, however, one respondent was relieved with the help of pharmacotherapy. The thesis also deals with the people present in childbirth and the influence of ambience. It was shown that most respondents had no reservations. The category which assesses the women contentment with the midwives attitude towards expectant mothers shows that most women were satisfied. The midwives were not only mental support but also they took care about their comfort and informed about the process of delivery. There was only one case when the woman was not satisfied and she would appreciate to get more information from the midwives. Unprofessional attitude of the midwives has an influence on the respondent assessment. The research shows that public health needs not only routine work but mainly human attitude and communication. Midwives should behave sympathetically, be assertive towards the women in labour and relieve the pain with the help of all available techniques in such a demanding situation as delivery is.
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The importance of pre-natal preparatione.
BUREŠOVÁ, Markéta
Antenatal preparations during the period of pregnancy have an important role. This includes professional healthcare workers getting to know the women during pregnancy, establishing how to work together the most effectively during the period before the birth, how to cope with the postnatal period and women also learn about the basic care of their baby. The value of antenatal preparation for future mothers is not insignificant and cannot be separated from the role of the professional midwife. Part of the physical care of pregnancy belongs within the realm of the midwife and is covered by the paragraph MZ CR no.55/2011 clause 5 which refers to the competence of the midwife. For 10 years I have been in charge of antenatal provision in Klatovy and therefore selected this topic for my research project. I wanted to assess if the antenatal preparations in this region were sufficient and the reasons the midwives had for taking charge of such antenatal courses. The method I used was a semi-informal interview. The respondents were midwives working in the maternity suite of the gynecological and maternity department of Klatovy hospital. Following the interviews I was able to address the first question posed in this research project: ?How do midwives evaluate the antenatal provision in Klatovy region?? A clear picture emerged that antenatal provision in this region is of a high quality and organized. . The second question: ?For what reasons had the midwives become involved in leading these antenatal preparations?? was also addressed. Respondents were in agreement that the main motivation for being in charge of such antenatal courses was to work together with pregnant women. . I believe that the results obtained from this research could be used for further improving and extending care of pregnant women via antenatal course provision in Klatovy and in addition the data could be incorporated into a manual.
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