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Approach towards women in birthing and postnatal care
Černá, Johanka ; Kotherová, Zuzana (advisor) ; Hasmanová Marhánková, Jaroslava (referee)
This thesis focuses on the approach of obstetric and postnatal care providers towards women in the Czech Republic. To identify what experiences the mothers deemed essential and to explore the impact of physicians' approach towards them, qualitative research based on semi-structured interviews was conducted. Those interviews were later analyzed using mainly the sociological framework originating from Talcott Parson's role-based theory of the doctor-patient relationship, namely the paternalistic and partnership models of the doctor-patient relationship and the concept of person-oriented care. The main findings of the research are that interviewed women who experienced rather paternalistic model tend to imply overall dissatisfaction with the obstetric and postnatal care, meanwhile those women who experienced rather partnership model described their experiences as rather pleasant and stated they would choose the same hospital for labor again. The research identified six key topics, that interviewed women referred to as crucial for them in care providers' approach. These topics are routine, privacy, information, physical integrity, method of communication, and degree of empathy. Aside from the main findings, the research has also discovered that the paternalistic and partnership approaches can create...
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Reprodukce na okraji: Morální ekonomie romské fertility
Szénássy, Edit ; Stöckelová, Tereza (advisor) ; Jakoubková Budilová, Lenka (referee) ; Šmídová, Iva (referee)
Situated at the intersections of reproduction, population politics, health care services, and marginality in Central Europe, this dissertation explores the diverse ways Romani women living in precarious circumstances demonstrate reproductive agency. In particular, it examines the ways their agency critically engages with the discourse of responsibilization (Rose 1996, 2007) on the affective and social levels in a context ruled by a moral regime that calls for reproductive governance (Morgan & Roberts, 2012, 2019). Discussion and analysis are based on long- term participant observation in a segregated Romani settlement in Slovakia, as well as a short- term observation of staff and patients at a maternity ward in the Czech Republic. The ethnographic methodology and analysis are inspired by critical medical anthropology and the anthropology of reproduction. Building on this mixed-method approach, the analysis focuses on the individual, communal, and societal aspects of reproductive decision-making. It discloses the significant material and moral constraints surrounding women's reproductive decisions and it shows that marginalized Roma women both revere and refuse the discourses of self- governance, responsibility, and accountability in their reproductive practices. The text tackles the economics of...
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Psychosocial aspects of intrapartal and postpartal care
Takács, Lea ; Horáková Hoskovcová, Simona (advisor) ; Weiss, Petr (referee) ; Vavřinková, Blanka (referee)
Title: Psychosocial aspects of intrapartum and postpartum care Author: Mgr. Lea Takács Department: Department of Psychology Supervisor: PhDr. Simona Hoskovcová, Ph.D. Consultant: MUDr. PhDr. Pavel Čepický, CSc. Abstract Background: Satisfaction with perinatal care is largely a result of psychosocial aspects of the care provided. However, despite a considerable body of research, the concept of satisfaction with perinatal care is not sufficiently defined and understood, being often confused with other concepts, particularly with that of satisfaction with childbirth experience. The lack of knowledge concerns especially the psychosocial dimensions and determinants of the care, most importantly for different groups of women, and the level of importance of psychosocial factors for satisfaction compared to biomedical variables. Objective: The aim of the present dissertation is to contribute to the theory of satisfaction by investigating the psychosocial and biomedical factors that affect satisfaction with perinatal care and satisfaction with childbirth experience in different groups of women depending on the mode of delivery (vaginal delivery, emergency caesarean section or elective caesarean section). Method: Ordinal logistic regression was used to identify the key predictors of satisfaction. The data were...
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Psychosocial aspects of intrapartal and postpartal care
Takács, Lea ; Horáková Hoskovcová, Simona (advisor) ; Weiss, Petr (referee) ; Vavřinková, Blanka (referee)
Title: Psychosocial aspects of intrapartum and postpartum care Author: Mgr. Lea Takács Department: Department of Psychology Supervisor: PhDr. Simona Hoskovcová, Ph.D. Consultant: MUDr. PhDr. Pavel Čepický, CSc. Abstract Background: Satisfaction with perinatal care is largely a result of psychosocial aspects of the care provided. However, despite a considerable body of research, the concept of satisfaction with perinatal care is not sufficiently defined and understood, being often confused with other concepts, particularly with that of satisfaction with childbirth experience. The lack of knowledge concerns especially the psychosocial dimensions and determinants of the care, most importantly for different groups of women, and the level of importance of psychosocial factors for satisfaction compared to biomedical variables. Objective: The aim of the present dissertation is to contribute to the theory of satisfaction by investigating the psychosocial and biomedical factors that affect satisfaction with perinatal care and satisfaction with childbirth experience in different groups of women depending on the mode of delivery (vaginal delivery, emergency caesarean section or elective caesarean section). Method: Ordinal logistic regression was used to identify the key predictors of satisfaction. The data were...
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Discourses of Birth Management in Czech web articles
Tichá, Kristýna ; Kabele, Jiří (advisor) ; Hájek, Martin (referee)
I focus on the nature of the discourses of the birth themselves and on the form of their controversies, which are tied to their confrontations in Czech web articles. I examine the discourses and their strife in the articles of active participants of the dispute and on the most popular website in the articles dedicated to (future) parents. The discourse of the actively medically controlled delivery, perceives a birth as an inscrutable risky phenomenon which is medically necessary to keep always in a hospital with a staffing and material background to deal with possible complications. This discourse criticizes the births that are led outside hospitals. The discourse of the natural birth sees a birth as a natural part of life, during which usually no complications occur, if there is present a trained expert, who does not interfere in the natural process of labor, except any required medical reasons. A natural birth can be taken place in home. The reader are warned by this discourse on the improper routine care in Czech hospitals, which is inconsistent with the needs of the mother and the child, and on complications of a birth caused by the active medical leading of labor. The articles on the popular website are mainly influenced by the discourse of the actively medically controlled birth. These...
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Ten steps for optimal birth care.
JEŽKOVÁ, Anežka
Topic of this bachelor thesis is 10 steps for the optimal obstetric care. The theoretical part is focused on general aspects of obstetric care, individual birth times, which includes not only a physiology, but also an obstetrician's role in these times and a competence of a midwife. The theoretical part is also focused on International initiative for obstetric care for mother and child - 10 steps for optimal obstetric care and describes in detail individual points of the initiative. The first goal of the research was to find out how well midwifes know the initiative. The second goal was to find out how midwifes provide optimal obstetric care and finally the third goal was to find out what experience with obstetric care puerperal women have. Qualitative and quantitative research was used to achieve these objectives. Opinion of midwifes about the IMBCI initiative and its individual steps was found out by interviews. By questionnaires was discovered what experience with obstetric care puerperal women have. The research group consisted, 10 midwives and 110 puerperal women. It was discovered that midwifes perceive the IMBCI initiative as beneficial, they mostly agree on its individual points, however they add that points presented in the initiative should be standard for every midwife. According to the obtained results it came out, that the care is provided optimally only particularly, in accordance with recommendations of IMBCI. Midwifes responded, that they agreed on individual points and they tried to follow them, but they saw a problem in necessity of respecting orders of doctors who had tendencies to rush for a childbirth and intervene in a physiological process of a birth. An estimated hypothesis has been confirmed, because it was discovered that there are differences in perceptiveness of obstetric care between midwifes and puerperal women. Results point out that women have lack of information about the care which is provided for them although midwifes claim they inform them enough. Almost half of puerperal women quoted that they were not informed about massage as a pain reducing method. Results are consistent with the statement of midwifes about too frequent interventions to the natural birth process. A navel cord is immediately after the birth cut off to most women and they are often limited in eating and drinking. Some of them felt a rush for giving a birth and it was prohibited to have a long contact with the neonate immediately after birth. In connection with potentially harmful procedures, most women confirmed repeated vaginal examinations and performing of episiotomy. Most women underwent artificial rupture of the membrane sack. This imply that these procedures are executed often, sometimes even as a routine, although they are not, according to actual science results, beneficial in any way, only in specific situations, when its benefit is higher than its risk. From interviews with midwifes it came out, that they totally automatically fulfil ten points of Initiative for a support of successful breast-feeding. Puerperal women sensed it differently. This bachelor thesis can be used by midwifes or student of this field for acquiring a greater perspective in a care, which is presently described as optimal. It is up to them if they will follow individual steps of the initiative or if they will be inspired and find their own optimal way. These lines could help women to clarify what they expect from a care in a maternity hospital and how it should properly look in an ideal case.
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