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Women´s interest in care provided by a community midwife during pregnancy, childbirth and the confinement period
CHRSTOŠOVÁ, Alena
The period of pregnancy, childbirth and confinement is a big milestone in a woman's life. Since ancient times up until recently it had been a midwife who took care of a woman in childbed in that period. The midwife was not just a provider of professional care, but also a mentor. Till the nineties of the last century this kind of care was provided also in our country, but, unfortunately, in connection with changes in the health care system the visiting midwife service has almost disappeared. If we want to improve the care for women during this period, it is necessary to offer this service to women again. The aim of this thesis was to determine whether women take interest in physiological pregnancy care by a community care midwife, whether they would make use of her services during childbirth in hospital and whether women miss services of a community care midwife during the confinement period. Hypotheses assumed that pregnant women prefer a doctor's care, are interested in services provided by a community care midwife during childbirth and they miss care in the confinement period. In the thesis the quantitative research method using the questionnaire data collection technique was applied. The questionnaire was anonymous and was composed of 25 questions. The survey was carried out from the end of February till the beginning of April 2011 in consultant gynecologists´ surgeries in Vimperk. The total number of distributed questionnaires was 120, 112 questionnaires were returned, 7 questionnaires were excluded. Therefore, the total number of respondents was 105 (100%). The stated objectives of the thesis were met. The hypothesis assuming that pregnant women prefer a doctor's care was not confirmed. The other two hypotheses were confirmed. At present, there is no community care midwife providing the visiting service in Vimperk and its surroundings. Therefore, the results of this investigation could be a good argument for community care midwives who want to make a contract with health care insurance companies. The outcomes may also influence decisions of midwives who consider the visiting services provision, but are afraid of disinterest on the women´s part.
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