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Childbirth formerly and today
SVOBODOVÁ, Kateřina
This bachelor paper deals with the development of obstetrics since the very beginnings when all connected with birthgiving was tinged with something ``mysterious, empirical{\crqq} up to the present day when obstetrics is grounded on many facts. The care for the birthgiving woman is continuously innovated. First, the birthgiving woman was taken care of by older women of her family who had already given birth to their children and had therefore experience they could pass further. Nowadays it is the midwives who take care of the woman during her delivery. As well as in the past women close to the birthgiving woman the midwives are with the woman and they try to make the delivery easier for her. The development is still progressing but there is still the fact that a delivery is a situation when health is at stake, for both the newborn and the woman. The survey aimed at drawing an outline of the development of the care provided to the birthgiving woman. The methodology of the paper is a semi conducted interview. The first variant of the interview was prepared for woman who gave birth 50 years ago, 20-25 years ago and for woman who gave birth 7 years ago. The second variant was prepared for midwives without the difference of age. When interviewing women having given birth 20-25 years ago I was very surprised by their unified opinion. They agreed on the fact that the care for them and the attitude of the medical personal was inadequate to them. They were very malcontent. Mostly they complain about the first stage, when they had to lie on the bed, mostly with a drip-feeding. On the other hand women having given birth 50 years ago were satisfied with the care they had during their delivery. The greatest satisfaction is however declared by women who gave birth 7 years ago, who consider the medical personnel obliging and regardful. Especially they speak about the possibility of movement which was not allowed to women 20 years ago. The interviews with midwifes confirm that the development in obstetrics is progressing. Midwives who entered their employment after 1990 claim that competencies are increasing while older midwives claim the contrary, they say that at the beginning of their carreer their competences were greater than they are today. However all midwives agree that women nowadays are more informed on delivery than they used to be. Unfortunately, they are sometimes overinformed so that they do not know what to choose. Therefore the midwives recommend prenatal courses organised by the materninty clinic where it is the midwife of the particular clinic who informs women on possibilities and procedures which are recommended and carried out at the clinic. The survey has therefore shown, that the care for birthgiving woman is improving. And women are very satisfied at present.
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Prevention of Precipitous Labour and Possibilities of Its Encompassment before Hospital Care
SÁKOVÁ, Erika
This thesis is aimed at mapping the possibilities of precipitate birth prevention outside medical institutions and the possibilities of its managing by ambulance service members. The term prevention covers a set of theoretical, organizational knowledge and practical skills in pre {--} hospital deliveries. The results of this thesis points out that the secondary health {--} care staff is theoretically prepared to assist at birth, but in practice they are not so sure. It is thinkink as subject matter for their dispersion They are able to attend the newborn after birth.
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Low informatik about the process of child bearing
PISCHEKOVÁ, Markéta
The bachelor thesis describes current problematics of information provided to the first-time-paras on the childbirth course. The birth today is an issue very much promoted in the media, being particularly interesting for the pregnant women as well as for the whole society. Paras can find the new findings in magazines concentrating on this topic, in books designed directly for the pregnant women or, for example, in the antenatal courses lead by midwives. The most accessible source of information of today is Internet, where the expectant mothers can find all knowledge, starting with theoretical one and ending up with consultations of experts or chat with other paras. Thanks to the high level of general public awareness on the childbirth course, alternative ways of childbirth become more common. From the analysis of data it ensued that state of first-time-paras{\crq} awareness and their interest to get new information grows up disregarding the fact, if they are before or after the childbirth. It is the training institutions for medical staff in gynaecology and midwifery that has the significant influence on this result. The knowledge got here can be used in the areas of gynaecology and midwifery, either in primary care of obstetricians, or in midwifery institutions, as well as during training of students
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Course of antepartum preparation
KASTENMAJEROVÁ, Lucie
This bachelor{\crq}s work is divided into practical and theoretical section. The theoretical part describes history of antenatal preparation and its current conception. Next it deals with courses of antenatal preparation, mission of midwife in their leading and with preparation of persons who accompany the mother to the childbirth. The objectives was managed to fulfill. First hypothesis - pregnant women don{\crq}t have enough information about antenatal preparation courses - wasn{\crq}t confirmed. Second hypothesis {--} courses of antenatal preparation are financially accessible for pregnant women {--} was confirmed. Third hypothesis {--} courses of antenatal preparation are accessible for the women in their area of living {--} was confirmed.
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Knowledgeableness of patients before and after an operation of the intervention
PRSKAVCOVÁ, Hana
Based on the information within the Bachelor{\crq}s thesis titled {\clqq}Knowledgeableness of patients before and after an operation of the intervention``, which was aimed at the knowledge women have about pre-operative care before planned and acute caesarean section and about post-operative care, hypothesis 1. Women consider themselves to be well informed before the planned caesarean section. According to my research, this hypothesis was confirmed. Hypothesis 2. Before the caesarean section, women do not feel to be properly informed about the surgery. However, research did not confirm this second hypothesis. Hypothesis 3. Women that underwent the caesarean section are comfortable with the way they have been informed about the operation. The quantitative research method through questionnaires was used for data collection. The questionnaire contained 24 queries and was anonymous. The questionnaires were determined for women after the caesarean section and were issued at the Puerperium ward of the general hospital in České Budějovice. A total of 114 questionnaires were handed out and 111 of them were returned filled out, from which 103 of these were used within the final processing procedure. The results clearly show that women consider themselves as sufficiently informed before planned as well as acute caesarean section and consider themselves sufficiently informed of post-operative care.
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Satisfaction of women in childbed with nursing care on obstetric auditorium
MAŠKOVÁ, Jitka
The nursing care has in the care for health unreplaceable position. The attribute of the present nursing are individualized care and an independent working of the obstetricians centred on the prevention and on the support of the patients health. The satisfying and the dissatisfying of the patients needs reverberates in their consciousness as subjectively felt content or discontent with the care. The effort of the obstetricians has been the focus on the client. The new philosophy of the health services is to meet patients wishes and achieve therethrough their contentment. The patient{\crq}s satisfaction with the nursing care is an important information which predicate about the functioning of the individual departments in the health care institutions. {\clqq} The patient{\crq}s notifications is an valuable advice as well as an important motivating step to the improvement of the care quality.{\crqq} The nursing sees the patient with all the negative as well the positive sides and therethrough the patient{\crq}s contentment is understood as the priority objective wich cannot be marginalized. The satisfied patients have more confidence in the physicians in the nurses. They also much better cooperate during the labour. The objective of this thesis has been to state if the patients are satisfied with the nursing care on the labour ward. The supposal saying that ``The patients are satisfied with the nursing care on the labour{\crqq} ward has been stated. The supposal should be confirmed or disproved on the basis of the executed research. Hereat has been chosen the quantitative research in the questionnaire form. The question forms have been given to the mothers after the physiological labour on the confinement department in the hospital in České Budějovice, Tábor and Jindřichův Hradec. For research it has been used the set of 145 properly filed questionnaire forms. The research has proved that from the total number of questioned mothers 145 (100 %) the number of 142 mothers (97,9 %) were satisfied ewith the nursing care on the labour ward. The supposal has been confirmed by the research, the patients are satisfied with nursing care on the labour ward. The thesis shall be used within the tuition in the University of South Bohemia, published in the specialized publications and on the internet. An absolute majority of the patients has been satisfied with the nursing care on the labour ward. It is very pleasant conclusion of this thesis. In formed times to the patient has been often dictated what should or should not be done and therethrough the possible effect on the labour has been limited. Present is many respects different. It is more disposed for the changes in the nursing and puglic health in general. There is bigger space for the cooperation between the obstretricians group and the patient. It creates the safe enviroment in which both the patients and the nursing taff feel considerably better.
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Both parents´ retrospective view of a labour in the presence of fathers
MATYÁŠOVÁ, Monika
Assistance in childbirth differed in various cultural communities and historical periods. However, childbirth was always a family matter in which father participated either directly or indirectly. The last ten years revealed that the role of a man was absolutely irreplaceable in the relationship between mother, a new-born child and father, and that the role reflected itself in the relationship not only with mother {--} the mate but also with the child. The objective of the bachelor thesis was to ascertain to what extent the father's attendance to the childbirth was a spontaneous wish of both the parents, and to what extent it was rather a wish of the woman in childbed. On the basis of my own experience, the following hypothesis was determined: ``Father{\crq}s attendance to the childbirth is predominantly a spontaneous wish of both the parents.{\crqq} In order to verify the hypothesis, I used the form of a quantitative research. The data were collected using the questionnaire containing 16 questions for mothers and 16 questions for fathers. The questions for both the groups of informants were identical. The questionnaire was anonymous. The research group consisted of the mothers giving birth to their child in the hospital in České Budějovice (a joint stock company) and their mates attending to the childbirth. The research group comprised 56 pairs of informants. The results of the thesis reveal that the mate{\crq}s attendance to the childbirth is largely a spontaneous wish of the parents-to-be. It is obvious that as early as during the pregnancy the fathers-to-be search for the information on gravidity and childbirth. They enjoy the pregnancy together with their mates and do not assume an uninterested attitude to the gravidity of their mates. Active preparation of the pairs for the childbirth is also apparent. Assessment of negatives and positives of father{\crq}s attendance to the childbirth is subjective and very individual. If the mate{\crq}s attendance to the childbirth is a common wish of both the parents-to-be, the delivery of their child is an invaluable experience in their life.
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Midwife´s opinion onto labours at domicilary environment
PRŮCHOVÁ, Dominika
Delivery at home is not a non {--} standart way to due, but that is also not legal. Someone who is helping with due at home on his own is absolutely responsible for all and he is support to answer all aftermacht if some complication will come. This is a decision of Czech gynekology-delivery copany and this decision is full law binding. Childbearing at home doesn´t the alternative for every woman. We thing that childbearing has plenty of merits, but we must know risks of childbearing at home for para and baby. The survey was quantitative by the way of questioners. My goal was to find what do midwifes thing about delivery at domicilary environment. This one says, midwifes have negativ position to delivery at home. They rate this way like dangerous. The inference is confirmed, all midwifes said the best place to delivery is Materna hospital. This work can be use for education and source informations for people, students and midwifes.
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Socioeconomic Status and it´s Influence on the Course of Gravidity
ZIKMUNDA, Tomáš
Socioeconomic status and its influence on the process of pregnancy. The dissertation deals with the problems of the influence of the socioeconomic status on the development of pregnancy pathologies. The dissertation is divided into practical and theoretical parts. The aim of the theoretical part is to inform about problems of pregnancy from the medical standpoint and from the social point of view. There is also a treatise about socioeconomic status and its attributes, about fertility and about natality. In the dissertation there is also a chapter that with the problems of family. Research in the practical part was concentraced on the analysis of socioeconomic status and the pregnancy complications of women that gave birth to a child in Havlíčkův Brod Hospitál in a certain period of time. Complex of women was divided into two groups according to the presence or absence of pregnancy and obstetrical complications. Both groups were compared. As the instrument for the data acquisition and questionnaire, the quantitative research strategy was used. The aim of the dissertation was to find some factors refering to the socioeconomic status that might influence pregnancy complications. As the attributes of socioeconomic status that influence pregnancy complications following factors were marked: the highest finished education of woman and profession of woman before maternity leave.
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BABY BOXES - THEIR IMPORTANCE AND USE IN PRACTICE.
ALEXANDEROVÁ, Marcela
Babyboxes in Czech Republic have been active since 2005. It works as a new possibility for putting off an unwanted baby. The citizen who came through the survey have proved to be well informed about the function and necessity of this device. This device is therefore needed. It has helped six babies since 2005.
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