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Porodní a poporodní bolest
FILAUSOVÁ, Drahomíra
The objective of the work I am hereby presenting was to map pain by women during and after delivery with regards to age, number of births, attendance in prenatal courses and satisfaction of women in labour. The secondary objective was to find out the influence of interpersonal relationships during the hospitalization of the woman in labour and her perception of pain. Methodology: The set-up goals were accomplished through a quantitative research carried out in hospitals across the South Bohemian region with the use of a questionnaire consisting of two parts. The first part included a questionnaire of my own construction and the second part involved a standardized PCS questionnaire dealing with catastrophization of pain. The questionnaire was filled in by women after vaginal delivery with an interval of 48 - 72 hours after birth. Results: The testing sample involved 635 women giving birth in maternity hospitals in South Bohemian region. The average age of the respondents was 29,7. 49,1 % were primiparas and 50,9 % were women giving birth for the second or several times. The results of the research showed that the age of the woman in labour does not affect the perception of pain during the delivery, on the contrary the post-labour pain decreases with the increasing age of women in labour. Primiparas stated bigger pain than women who were giving births for several times. Undergoing the prenatal course did not prove any relationship with regards to pain during the labour. On the contrary the information they had gained in the prenatal course were proved to be beneficial for the evaluation of post-labour pain as respondents who participated in these courses stated lower level of pain in post-labour period. Statistically significant factors that respondents stated as the most helping in relieving pain, was the support of the midwife, communication with the midwife, staying in the shower, support of the doctor and communication with him/her, interpersonal relationships of the medical staff and the environment of the delivery room. The least satisfied with their delivery were women that used pharmacological treatment for reduction of pain. Women with lower stated labour pain described greater satisfaction with birth. The perception of pain during the delivery is influenced also with the interpersonal relationship at that given maternity hospital, on the contrary these relationships do not affect the evaluation of pain in the post-labour period. Conclusion: This thesis provides a view at the problematics of pain during and after delivery. The results of the research showed the important role of the midwife as well as the doctor's role in the process of care of woman in this uneasy period. The midwife not only evaluates the pain, but also offers the possibility of pain relieve and her behaviour can influence this pain.
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The need of community care for a women during childbirth
VNOUČKOVÁ, Marie
This thesis focuses on support of community care during pregnancy, birth and the puerperium for low risk women. It points out the effectivness of care, where midwives are the primary care providers. It takes into consideration health and well-being of mothers, children and whole families. It deals with different systems of care in various european and non-european countries. It gathers knowledge about possibilities of community care and possibilities for its inclusion in the array of maternity health services. It searches for options of succesful development of community care in the Czech Republic in order to satisfy the needs of pregnant women.
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Midwifery of Period Called Pobelohorska Infanticide
Surá, Alexandra ; Říhová, Milada (advisor) ; Čechura, Jaroslav (referee) ; Pařízek, Antonín (referee)
I initially explored historic figures of European accoucheur of the 17. and 18. century. Beyond this I focused on a period called "Pobělohorská" in Czech countries. I summarized the health conditions of the population during this period, and described medical professions, midwifery and emergency Christening ceremonies. One chapter discusses partnerships and considers women who hid their pregnancy to avoid the prospect of caring for their children in the future. For this reason I present questions relating to how women hid their pregnancy during the Early Modern period. In the next chapter I discuss aspects of the process of giving birth, the locations where women gave birth and the moments thereafter. I present the circumstances of the death of the baby and the possible causes of death. The process of investigation of the scene, an assessment of the body and the search for the mother of the baby (as a potential murderer) are all considered. The assessment of the body was in the hands of the regional physiciusurgeon and a midwife. In my work I describe how the body was assessed, how they judged the maturity of the newborn baby and if the baby was born dead or alive. Further chapters explain the treatment of the umbilical cord, the inquisition of the witnesses and the suspect, and the next steps of...
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Statistika & My (č. 10/2016): měsíčník Českého statistického úřadu
Český statistický úřad
Měsíčník informující o aktuálním dění v Českém statistickém úřadě. Přináší analýzy, komentáře, výsledky statistických šetření realizovaných a organizovaných ČSÚ, statistické údaje o ČR, jejich obyvatelích včetně mezinárodního srovnání. Uveřejňuje informace o ediční činnosti úřadu, odborných úspěších pracovníků, již uskutečněných a plánovaných tiskových konferencích, seminářích, akcích a dalších aktivitách.
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History of midwifery in South Bohemia
NEUBERGOVÁ, Michaela
The History of Midwifery in South Bohemia Abstract This bachelor thesis is processed as a theoretical thesis and deals with the education of midwives in the region of South Bohemia from 1950s until today. In the beginning of my thesis, midwifery situation as well as the education of midwives from the middle ages until the first half of the twentieth century are described. The bachelor thesis focuses on the education of midwives since the 1950´s in South Bohemia in more detail. Because in that period healthcare legislation used to change quite often, laws that were valid for midwives education at that time are an integral part of the thesis as well as chapters that outline the social situation in the Czech Republic. Curricula since 1972, valid for midwife education, are processed carefully in the thesis. Chapters dealing with midwife professional organizations and magazines devoted to midwives make up a part of this treatise. Appendixes No. 1 and No.2 contain a witness narrative interview. The thesis conclusion is devoted to the present of midwifery, to the information on where they have an opportunity to study their bachelor and master programmes, as well as what specialization they may reach in the National Centre of Nursery and Paramedical Fields in Brno. The aim of this bachelor thesis is to map out the education and professional development of midwives in the region of South Bohemia since the second half of the twentieth century, and to portray all the significant changes concerning midwives.
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Ceremoniousness connected with birth of a child in Pelhřimov distrikt. The Role of the Midwife from the viewpoint of etnology.
Kubíčková, Kristýna ; Krupková, Jaroslava (advisor) ; Štěpánová, Irena (referee)
The main theme of this bachelor's thesis is ceremoniousness, which is connected with the birth of a child in Pelhřimov district in the 2nd half of the 19 and the beginning of the 20 century. The second part of the thesis is primarily devoted to related ceremonial acts. The individual chapters are focused on conception of pregnancy, childbirth and puerperium in the folk environment. This very intimate and rarely mapped area of family ceremoniousness is thus seen by means of period literature, articles, archive matters, records and registers. Considering the fact that midwives used to be the principal performers of ceremonial acts connected with the birth of a child the first part of the thesis concetrates on the midwifery issues. It deals with midwives education, their competences and collegial relationships.
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Midwifery psycho-socio-spiritual care for a woman after perinatal loss
RATISLAVOVÁ, Kateřina
The dissertation discusses theis sues of psycho-socio-spiritual care of midwives for a woman after perinatal loss and is mainly focused on interventions that help building an attitude towards perinatal loss (farewell rituals with a baby, collection of mementos) and their influence on grieving process of women after perinatal loss. The objective of the empirical part of the study was to thoroughly describe the experiences of Czech women with parting with a child after perinatal death and investigate the impact of this experience on the grieving process after the perinatal loss. Thesub-objective of the thesis was to validate the Czech version of the Perinatal Grief Scale. We used a mixed methods research design to fulfill the dissertation's objectives. The analyses of qualitative and quantitative data were performed separately and integrated during the interpretation of research findings. The study sample comprised of total 102 women who experienced perinatal loss. The detailed description of experience of Czech women with interventions related to parting with the deceased child was dominated by the decision making process of women about farewell rituals (seeing and holding the baby, receive mementos of it). The key factors that influenced the decision making process were classified as internal (the need of the woman to get to know her child, doubt and fear of contact) and external (emotional support, information provided and a relationship with the midwife/ attending doctor) during our research. The research proved a significant influence of the independent decision of the woman about the contact with her deceased child on the intensity of grief. Grief of women who decided on their own and were confident about their decision was statistically less severe than grief of women whose decision was made by the medical personnel instead. We were checking the intensity of grief of women after perinatal loss using the newly validated Perinatal Grief Scale instrument that can be used as a single factor scale in the Czech Republic. Reliability of the research instrument was established using Cronbach alpha coefficient (? = 0.9545) and indicated high reliability. The outcomes of the mixed research point towards necessary changes in the psycho-social care of midwives for women after perinatal loss.
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Public awareness of the work of midwives
REICHLOVÁ, Markéta
This Bachelor Dissertation aims to address problems general public has in understanding of a midwife's work and midwifery profession. This is currently a hot topic due to changes in midwifery today. This work concentrates not only on public information about the work of a midwife but also on all wider aspects her work. The main aim is to map the knowledge of current public information about midwifery in general. From that knowledge a question arises: How does general public understands the role of a midwife? Work and role of the midwife is described in the theoretical part of this work and covers a period of known history to present day. A special consideration is given not only to the historical connections but also to the development of educational systems, its past and present, last but not the least, the legislation. A midwife's competences are described in terms of legislative norms currently in place in the Czech Republic as well as roles and activities of professional institutions; another section of the work is devoted to the specific aspects of the profession. This research was focused on finding the existing levels of information and knowledge, in public domain, about midwifery education, the content of a midwife's work and the areas of her involvement in healthcare. A quantitative method of research was chosen as being the most suitable for the purpose of this work. Data was acquired by using a questionnaire. The non-standardised anonymous questionnaire was aimed at adults of both sexes' without age limitations, except for the minimum age limit of 18 years. To maximise the use of the limited available time, both printed and electronic distribution was chosen to run concurrently. The research was carried out during months of February and March 2014. Research sample size was 125, 30 men and 95 women. The result of this research shows that 68 % of participants did not know that a midwife's qualifications are obtained at university, at a degree level. Knowledge ofthe range of work a midwife does is very limited. Most respondents (119) expected a midwife to be present at birth in hospital. Another, rather large section of respondents connects a midwife with care of pregnant women on antenatal courses and with teaching expectant mothers relaxation exercise techniques. A midwife's work is not generally associated with gynaecology, gynaecology ambulance service and care for the newborn. Generally, a midwife is perceived to be a doctor's assistant and helper, not as an autonomous worker making independent decisions in the medical team. It was shown also, that in reality no distinction is being made between a nurse and a midwife. One of the aims of this research was to elicit the perceptions the respondents have about the level of healthcare a midwife can offer; to find if they would be interested in having independent working midwifes and if yes, then in what areas of healthcare. Respondents had only very minimal experience with independent or private midwifes. The research has shown that it is, imperative to improve the information for general public about all aspects of midwifery. Public awareness of this is not very high. This Bachelor Dissertation has highlighted that public knowledge about midwifery is insufficient. Only when people will be sufficiently well informed about the services on offer, have awareness of a midwife's competences and knowledge of all spheres of her work, then midwifery profession will be able to extend and develop more of its services. Everyone needs to know what services are available in order to use them fully. In conclusion, this work is recommended for midwifes in active service it provides an overview of level of information people have about the service, where the weak areas are, and what are current preferred options in midwifery healthcare.
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"Help for Pregnant Women as well as Women in Childbed and Pueperium" (Picture of Midwife in South Bohemia in 18th and 19th Century)
HRACHOVÁ, Helena
The objective of this diploma thesis is to map one of the evolution periods of midwifery with regards to the previous era of this profession and to emphasize the transformation of a non-professional granny to a serious medical occupation in the South Bohemian region. The first part of the thesis is dedicated to the development of midwifery from its beginning to the 20th century and the outline of the role of a midwife throughout the centuries. Based not only on available literature but on the original handbooks and archival resources as well, the particular chapters focus on physical as well as character requirements of the midwives, their duties, and activities related to birth giving. The thesis also looks into the alleged rituals that formed an integral part of child delivery. To sum up, a midwife is portrayed on many levels in order to get a better idea of women who performed their midwifery service and often dedicated their lives to it.
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