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Community midwife in the care of women in postpartum period and newborn
LANDOVÁ, Lucie
The bachelor thesis focuses on the topic of community care provided by community midwives to women and newborns in the six-week period. The thesis consists of theoretical and practical part. In the theoretical part of the bachelor thesis, the reader is first introduced to community care. The subchapters dedicated to community care describe the history of community care, then describe the activities of community midwives in the Czech Republic and the last subchapter is dedicated to community midwifery care abroad. The theoretical part of this bachelor thesis also characterizes the six-week period. The chapter about the six-week period is divided into subchapters that describe anatomical and physiological changes in the six-week period, midwife care of the six-week period woman, breast care, lactation and breastfeeding, and last but not least midwife care of the newborn. For the practical part of the bachelor thesis one goal was set. The goal of the thesis was to map the care of community midwives in the South Bohemian Region. Two research questions were formulated for this goal. The first research question focuses on women's attitudes towards community-based care in the six-week period. The second research question investigates which care is provided by community midwives in the South Bohemian Region. The practical part of the bachelor thesis was done by a qualitative research investigation in the form of individual semi-structured interviews. The data collection for the research survey took place from January to March 2022. Two research sets were defined. The first research set was composed of six community midwives from the South Bohemian region, designated as KPA1 to KPA6 to protect anonymity. The second research set was composed of six women between 7 and 42 days after childbirth, they were designated as Š1 to Š6. The obtained data were analyzed by text coloring. The main categories and subcategories were established for data analysis and are described in the research section of this bachelor thesis. From the statements of the informants of the first research set, three main categories were obtained, which contained a total of eight subcategories. In the second research set, we analysed three main categories, that were divided into five subcategories.
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Creating of local network of community midwives (Action research)
Zachová, Tereza ; Hájková Klíčová, Kateřina (advisor) ; Bosá, Monika (referee)
This thesis is based on action research which sits at the interface of midwifery and the management of health and social organizations. It maps the development of a local network of community midwives in Brno between 2021 and 2022. In the beginning, a Brno community midwife had a dream to work in a birthing house (midwifery unit). However, as this is currently impossible in the Czech Republic, she looked for different ways to work with her colleagues to provide accessible and quality care to women who demanded it. Thanks to a grant from the Brno-Centre district, five facilitated meetings of midwives were held. These meetings explored the motives and needs of midwives, the obstacles they face and their experiences in their practice. In this way, a service was being gradually designed that could provide women with individualised comprehensive support and care during pregnancy, birth and the postpartum period, provided by midwives. Today, the original dream has taken concrete form - Nest. It is a (for now informal) group of midwives who meet regularly, have a defined common vision, shared values and principles of care, collect statistics from births, have regular supervision and gradually implement a system of substitution. They are becoming recognised among other professionals in their locality and...
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