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Prenatal and perinatal loss entangled in Czech institutions
Hintnausová, Marie ; Zandlová, Markéta (advisor) ; Klepal, Jaroslav (referee)
PRENATAL AND PERINATAL LOSS ENTANGLED IN CZECH INSTITUTIONS Marie Hintnausová ABSTRACT An ethnographic research among women who experienced a loss of child during pregnancy or postpartum aims to expose contexts and backgrounds in which prenatal and perinatal loss emerges in the Czech Republic. This life event is delineated not only by unique biographies of affected mothers, but also by the societal understanding of prenatal life and institutional definitions of human reproduction. This thesis highlights various notions and meanings entangled in the event of prenatal and perinatal death and shows which trajectories women follow in the terrain of societal expectations and governmental and biomedical institutions when they lose a promised assurance of raising a new child.
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Perinatal loss from the perspective of midwives
SÝKOROVÁ, Eva
This bachelor's thesis deals with a perinatal loss from the view of a midwife. The perinatal loss is defined as an antenatal death of fetus between 22nd week of pregnancy until child delivery. This thesis is focused on the care of a midwife for a woman with a dead fetus from the time of the diagnosis to the delivery, during the puerperium and then in outpatient care. The goal of the thesis was to find out the care for woman with perinatal loss by midwives and the possibility for mothers to say goodbye after the birth of a dead fetus in selected Czech maternity hospitals. The research was conducted based on a qualitative analysis with using of semi-structured interviews. The research sample was represented by nine of midwives from six selected Czech maternity hospitals. The interviews were recorded, analyzed via the pencil-paper-method with permission of the respondents. The results were divided into two categories and related subcategories. The first research question dealt with how midwives care for a woman with perinatal loss. The research shows that midwife care is not neglected in selected maternity hospitals. The midwives, within their possibilities and knowledge, are trying to make support for women in this mentally difficult situation and to minimize trauma from loss of her child. The second research question dealt with how women can say goodbye after stillbirth in selected Czech maternity hospitals. In all facilities, parents and other family members are allowed to say goodbye to their child, cradle, care, make a photo or video. Making of memories materials is not standard in all maternity hospitals. In order to standardize the care for a woman with perinatal loss and become quality and accessible care for all concerned, there is a need to develop a unified concept of procedures and ensure the training of a sufficient number of midwives in this area. An information brochure for midwives is the output of the theoretical part of this thesis. This brochure contains elementary points of care, which midwife should not leave out during the care for woman with dead fetus. Based on the results of the research, it would be appropriate to implement a seminar for midwives. The goal of the seminar would not be only providing of expert knowledge, but also to inspire of midwives for self-reflection, to open a discussion about personal experiences and feels of midwives during the care of parents with prenatal loss. Key words
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Psychosocial intervention for women with perinatal loss
Borůvková, Klára ; Horáková Hoskovcová, Simona (advisor) ; Šivicová, Gabriela (referee)
This dissertation is focused on mapping the needs and development of experiencing the prenatal loss integration process in mothers, whose child died during the second or the third pregnancy trimester or suffered stillbirth. The goal of this dissertation is to suggest optimal intervention, which would prevent the progress of complications in terms of psychological disorders (PTSD, PAS). The theoretical part describes prenatal loss from the aspect of incidence and etiology and the loss of a close relative in general. It also focuses on the specifics of prenatal loss, the topic of crisis and its experience, phases of crisis, definition of the term "psychosocial intervention" and demarcation of its existing forms. This part also offers several perspectives and attitudes to the topic of grief as a process of hard life experience integration. It also describes several phases and problems connected with their fulfillment. The empirical part focuses on surveying the experiences and needs of women, who have suffered with prenatal loss. It also follows the approaches and circumstances, means of support, which helped women to cope with such an experience. It also tries to identify such aspects, which hindered this acceptation or made it more complicated. Research inquiry involves 13 depth interviews, which...
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