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Home birth from a women's point of view
DVOŘÁKOVÁ, Kristýna
This bachelor's thesis deals with the view of women on births in the home environment and their own experiences with home births. The theoretical part characterizes the issue of home births by their advantages, disadvantages, complications, and most importantly, the role of the midwife during birth and in the period after birth in the home environment. Additionally, the thesis explains the legislative framework for home births in the legislative Czech Republic. The practical part of the bachelor thesis defines two goals. The first one was to find out what are the most common reasons for women's choice to give birth at home and the second goal was to find out how women prepared for this birth. The research investigation was carried out by qualitative research method. Moreover, the practical part of the bachelor's thesis uses qualitative research using semi-structured interviews with women who had at least one planned birth at home. The participants were obtained using the snowball sampling method. The interviews with the informants took place during February and March 2024. The interviews were recorded on a dictaphone, transcribed, and then analysed using the pencil and paper method. In total, 3 main categories and 15 subcategories were created. The research shows that several reasons influenced the decision of the informants to give birth at home. Those were mainly personal negative experiences of the informants with medical personnel, incorrect approach, and communication. Others mistrusted doctors or medical professionals. The informants also mentioned the importance of preserving the naturalness of childbirth without unnecessary interventions and respecting their wishes. It is also evident from the research that women did not prepare for childbirth any more than for childbirth in a maternity hospital. A large part of the informants prepared mainly by self-study about childbirth, and they searched for information on natural birth in professional literature and on the Internet. For almost all informants, it was essential to secure a community midwife. The informants also stated that during pregnancy, they visited their midwife for regular check-ups and consulted with her about their childbirth visions. The bachelor's thesis could be a practical resource for both the lay and the professional public, and the results could be presented at conferences for midwives.
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Not surrendering your power": Freebirth in the Czech Republic
Jiřičková, Barbora ; Hrešanová, Ema (advisor) ; Hájek, Martin (referee)
This thesis addresses the issue of unassisted childbirth from the perspective of medical anthropology, or the anthropology of childbirth. Particular attention is paid to the question of why some women choose to give birth this way, taking into account the (Czech) social and legal context in which this choice is made. The work is based on qualitative research, and draws primarily on in-depth interviews with nine women who have had their own experience of at least one birth without professional medical assistance. The main findings of this thesis are primarily based on thematic data analysis and its interpretation, which identified five main thematic categories: own (emic) conceptualization of childbirth; following one's own needs; distrust of doctors and the bio-medical system; authoritative knowledge; and care during childbirth. The overall overarching theme is women's desire to 'not give away (surrender) their power', which corresponds with their effort to establish and maintain agency within the pregnancy and birth process. In addition to the particular factors that influence the decision of the mothers, the thesis also presents structural barriers that may influence their decision, which is mainly the unavailability of community (certified) midwifes, caused to a large extent by the Czech legal...
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Gender analysis of the Department of Gynecology and Obstetrics in selected episodes of the TV series The Surgery in the Rose Garden 2
Mašková, Martina ; Dvořáčková, Jana (advisor) ; Jiroutová Kynčlová, Tereza (referee)
The thesis "Gender analysis of the Department of Gynecology and Obstetrics in selected episodes of the TV series The Surgery in the Rose Garden 2" introduces readers to problematic passages seen from a gender perspective in episodes 633 to 666 of the soap opera The Surgery in the Rose Garden 2. Research has found that doctors treat female nurses, female doctors and often female patients in a paternalistic manner (the exception are friends, such as a neighbour). The counterpart to the angry and conservative doctor Čestmír Mázl, who is stereotypically masculine (authoritative, aggressive), is the Ugandan doctor Aisha Nakabugo Kingi, who is stereotypically feminine (sensitive, empathetic). She is also progressive and is liked by patients and colleagues in the hospital. Her different ethnicity is a problem for Mázl and two other characters, but doctor Kingi disproves the racist stereotypes with her behavior and eventually befriends Mázl. Both surrogacy and home birth are presented as problematic ventures that are not recommended because they can turn out badly; in the soap opera, they only turn out well because of luck.
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Anthropological perception of current home births without medical assistance.
Drabantová, Lucia ; Brůžek, Jaroslav (advisor) ; Koudelová, Jana (referee)
The study discusses the current home births in developed countries. Introduction deals with the emergence of a model of human birth in the background of evolutionary mechanisms and the resulting biological risks, which are illustrated by data on maternal and neonatal mortality. Home births are understood in the complex scale, and so formation of current model of obstetrics in selected countries is shown in historical background. It brings most common image of women and the circumstances that lead to the choice of home birth. The study focuses on the comparison of home and hospital births due to the occurrence of undesirable health complications. As this comparison showed the results that births are largely influenced by medical interventions carried out, frequency of these procedures is also compared. Higher occurrence of interventions in hospital births can be partly explained by changes in the demographic profile of mother, which increases the risks associated with childbirth at home. Data processed in the study suggest that today's home births require extensive implementation of system changes, and therefore the home birth as a safe alternative is not recommended. It also doesn't consider hospital births appropriate in terms of excessive interventions, rather a compromise in the form of home birthing...
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The Controversy about Childbirths outside Hospitals
Pultarová, Jana ; Haškovcová, Helena (advisor) ; Pinc, Zdeněk (referee) ; Jedličková, Anetta (referee)
1 ABSTRACT The issue of births outside a medical facility is currently a controversial topic between specialists as well as in the public sector. While the specialists concur in refusing home births, the society is divided. There are voices that refuse home births but there are also plenty of people who support the right of mothers to give birth outside of a medical facility. Very sensitive topic is the legal and ethical aspects of the protection of unborn children and the issue of a safely conducted delivery. In the last decades, the life value of an unborn child has been seen as an ethical problem. The right to life is one of the fundamental human rights, which is enshrined in the constitutional system of the Czech Republic and also in the international human rights conventions. Because there are different opinions regarding this issue, it is necessary to establish a view that is widely accepted so that legal standards can be approved provided that the opinions of minorities are being respected. The main objective of this presented dissertation was to ascertain why are people losing confidence in a doctor's role during delivery and what is the reason for some of the mothers being unsatisfied with current institutional system of obstetrics. On the basis of these factual findings, which emerged during the...
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Home delivery - Czech reflection discussion
NĚMCOVÁ, Tereza
Periodicals are the topic a home birth engaged only in certain time waves, about whether a home birth is permissible or not. The views of the general public are greatly influenced by the media that report on these events. The professional public provides expert opinions on home birth. These views are supported by relevant research. And that's why the medical opinion carries a great weight for the view on this whole topic. In my bachelor thesis, I have dealt with home birth, as reflected in newspapers. In the theoretical part, I focused on defining the terms and the legislation associated with home birth, as midwife, doula, birth plan and others. I provided detailed history on the procedure of transfer of women from the home environment to the medical environment. I also explained the applicable laws relating to midwives and newborns. The aim of my thesis was to map the interest of press in the home birth. The reflections are associated with events in this issue. I also examined the reactions and opinions of journalists, lay and professional public. An integral part of this research was to monitor the trends and shifts in this debate. I used the qualitative research strategy in the form of analysis of printed documents in my thesis. The research group was based on the three most widely read journals - Lidove noviny, MF Dnes and Právo, and the three most read newsweeklies - Reflex, Respekt and Týden. The research cohorts were selected according to the readership criteria based on the data from the Publishers' Union from 2013. I identified two seasons for my research. The first one was the period from 1990 to 2012 for Mladá fronta Dnes. I performed a retrospective analysis of development in these data to explore the media interest in home birth over a longer period of time. The second period (for all media) was between January 1, 2013 and June 30, 2015. A deeper analysis of the articles was performed for a shorter period of time. The research showed that periodicals are not interested in home birth. It turned out that the discussion was based on an event. Mostly, it was a negative event. The highest increase in frequency of articles was found in the events associated with the judiciary and in the events associated with the death or adverse developments in home birth. The discussion is the last part of this thesis. The results are compared with the literature used in the theoretical part. In conclusion, I present a summary of my research and suggestions for solutions.
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