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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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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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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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