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Frequency of complications and their prevention in women in the early puerperium after outpatient delivery
Nedvědová, Kateřina ; Sosna, Ondřej (advisor) ; Buryanek, Adam (referee)
This bachelor thesis focuses on the issue of postpartum complications in early puerperium in women who choose to deliver as an outpatient (i.e., leave the hospital within 72 h of delivery). It also discusses the prevention of these complications and subsequent postpartum care as a preventive measure. Outpatient delivery is a relatively new option for childbirth. The number of women going home after outpatient birth is increasing every year, and addressing postpartum complications and prevention of complications in these women therefore deserves attention. The work is conceived as theoretical-practical. The theoretical part defines concepts such as outpatient delivery, puerperium with a focus on early puerperium up to the 7th postpartum day. It then describes complications occurring in early puerperium and finally deals with the education of women. The practical part deals with the analysis and statistical processing of a questionnaire survey that focuses on the frequency of postpartum complications in early puerperium and their prevention. The main objectives of the study were to determine the frequency and severity of postpartum complications in women after outpatient delivery in early puerperium, the frequency of education of women about postpartum complications in early puerperium by medical...
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Outpatient delivery from the point of view of a midwife and child nurse
NOVOTNÁ, Kristýna
This thesis deals with outpatient childbirth, and the opinions of midwives, pediatric nurses and women on this topic. The first goal was to find out the opinions of midwives and pediatric nurses on outpatient birth and the second goal was to find out the reasons that women choose for outpatient delivery. This work is divided into two sections, the theoretical and the practical part. The theoretical part describes the competencies of midwives and pediatric nurses, the process of childbirth from admission to the delivery room, ultimately to the fourth stage of labor. Furthermore we describe the first treatment of the newborn, room-in neonatal care, examination of the newborn by a doctor and neonatal screenings. Furthermore, the theoretical work focuses on outpatient childbirth itself, following the law, and addressing outpatient childbirth complications from the perspective of both the mother and the newborn. The practical section consists of the methodology, results and discussion. The method of data collection was a semi-structured interview, whereby the research included midwives, pediatric nurses, and motherswho experienced an outpatient delivery. Interviews took place in March 2019. If the informant agreed, the interview was recorded, but in case of disagreement, spoken responses were recorded on paper. To maintain anonymity, the informants were designated as DS, PA, and Ž. Based on the obtained data categories and subcategories were created. Two categories were created for midwives and pediatric nurses (Outpatient Childbirth, Care during Outpatient Childbirth), which were subsequently developed into subcategories. Women after outpatient delivery had data divided into four categories (Previous births, Outpatient delivery, Postpartum care, Reactions of neighbors). Two goals were set for this bachelor thesis, on the basis of which three research questions were created. The first question dealt with the view of midwives on outpatient birth. Research has shown that none of the midwives took a negative attitude and are certainly not trying to change women's decisions about having an outpatient delivery. In this case, they are glad that women did not choose to give birth at home, this way the woman is under trained supervision in case of unexpected complications. The second research question examined the opinion of pediatric nurses on outpatient delivery. The research showed that more than half of nurses do not take a negative attitude towards this decision, and only one pediatric nurse doesn't recommend outpatient delivery even in a case of physiological pregnancy. Pediatric nurses educate women about the care of the newborn, necessary post-partum examinations, and where to go and what to do in case any complications occur. The third research question deals with the reasons for women to decide for outpatient delivery. Research has shown that women are most often led to this decision for the need of a more peaceful and their domestic environment, or negative prior experience that involved lack of communication or lack of sufficient information. The women also suffered from frequent staff interference, loss of privacy and the alienating regime of the delivery room, and therefore opted for outpatient delivery. The research showed that the majority of medical staff do not show a negative attitude towards outpatient births and try to reach a certain compromise related to hospitalization and dismissal. It also showed that the interest in outpatient births is risingslightly.
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