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Women´s Attitudes towards Alternative Birhting
TESAŘOVÁ, Blanka
The bachelor's research work "Women´s Attitudes towards Alternative Birhting" is focusing on the topic of alternative birthing, especially birthing outwith the medical facilities, that are currently quite often discussed issues. Alternative birthing is the matter of historical, legislagive and personal aspect. The objective of the research is to find out more about the women´s attitude towards the alternative birthing and reasons that lead to this choice, or, on the contrary, the reasons that discourage them from it. The historical development of obstetrics and birth assistance in the Czech Republic and abroad is described in the theoretical part as well as gradual transition of childbirths from homes to medical facilities, where the main objective is to secure the accessible medical care and to reduce the risk of birth in injuries for mothers and children. Appropriate attention is also paid to current situation and legislation in the Czech Republic, as the alternative birthing issues are not satisfying in this matter. Contemporary pressure of some experts as well as non-professionals on the freedom of making decisions about the births and place of births is mentioned here. The summary of opinions of supportes and opponents of this possibility is presented . Positives, negatives, complications and health hazards of deliveries, not only outwith the medical facilities, are described briefly. The post of midwifes and their qualifications embodied in legislature is also mentioned. Practical part of the dissertation is the qualitative research of the sample of four women who were asked about their attitude towards the alternative birthing issue through the designed indepth interview. These talks are processed and analysed. The result is the attitude of the presented sample of women towards this issue, which, however, does not respond to neither supporters´or opponents´ view. All the interviewed women appreciate the intimacy of alternative birthing, its course, familiar and informal atmosphere and a certain possibility of motion during the birth itself. On the other hand, they also realize possible complications related to the delivery and they are aware of the fact that if the medical help is late or not possible, there is an enhanced risk for mother and child. From the survey with this presented sample of respondents it can be concluded that all these women would welcome the posibility to deliver at the maternal hospital with the immediate medical care, in case of complications, but they would appreciate the stay with more privacy,comfort, possibility to move and certain freedom to cooperate on the procedures. Some of the women would appreciate delivery with the help of midwife who would be appointed in advance, if the physiological delivery is without problems. That means that there would be only the midwife during the delivery but the doctor would not be present.
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