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Impacts of COVID-19 Pandemic on the Mental Health of Pregnant Women in the Czech Republic
Venclů, Viktorie ; Pařízek, Antonín (advisor) ; Richtárová, Adéla (referee)
This bachelor thesis examines the impact that the COVID-19 pandemic had on the mental health of pregnant women in the Czech Republic. The theoretical part includes the fundamental information essential for understanding the context of the topic. It focuses on the disease itself, the emergence and development of its pandemic in the Czech Republic, and its course in pregnant women. Additionally, it delves into the psychology of pregnant women and into mental health in general. The thesis also summarizes the results of some Czech studies investigating the impact of the pandemic on the mental health of the Czech population. The research section investigates the influence of the pandemic on the mental health of pregnant women through regression analysis. The numbers of births among women who required a certain form of psychiatric intervention during pregnancy, or within six months after childbirth are examined. The analysed dataset was obtained from the national registers NRRZ and NRHZS and includes records from January 2015 to December 2021. A regression log- log model was created for analysis, which did not show a statistically significant impact of the pandemic on the number of births for these women. Possible reasons for the different results between this research and mentioned studies are discussed...
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Identification and analysis of therapy used by pregnant women II.
Vachudová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women II. Author: Eliška Vachudová1 Tutor: PharmDr. Josef Malý, Ph.D.1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Taking medication during pregnancy often implies higher risk of adverse effects for pregnant woman as well as for the foetus. In the Czech Republic, there is not enough information for rational drug taking during gravidity yet. The purpose of the practical part was to identify and analyze therapy used by pregnant women by questionnaires, in which respondents could show their knowledge and awareness of over-the-counter drugs, medical devices, food supplements and herbal and homeopatic remedies. Methods: The data collection lasted from August 2017 to March 2018 and was performed in the form of questionnaires at the Domažlice Hospital, Department of Gynecology and Obstetrics. Nurses played a vital role to distribute the questionnaires and instruct every newly admitted woman how to fill them. The questionnaire was anonymous, contained 50 questions of open, semi-open and closed types and included introduction letter with the entrance criteria. After filling in, they were transformed into electronic ones using Google Forms. Collected data were...
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Identification and analysis of therapy used by pregnant women III.
Cimbálová, Edita ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women III. Author: Edita Cimbálová Thesis Supervisor: PharmDr. Josef Malý, Ph.D. Thesis Consultant: Mgr. Pavel Horký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: Therapy of pregnant women is accompanied by a variety of changes that need to be accounted for. The purpose of the theoretical part was to summarise available information in selected health issues of pregnant women. The purpose of the practical part was to identify and analyse the therapy used during pregnancy and the attitudes, opinions and awareness of women after delivery about over-the- counter drugs, medical devices and other forms of complementary and alternative medicine. Methods: The data were collected at the maternity ward of Jičín Hospital from November 2017 to February 2018 via questionnaires. The questionnaire contained information about the study and it was consisted of 50 questions of open, semi-closed and closed format focused on health issues during pregnancy, attitudes and opinions about homeopathy, herbal medicine, vaccination and the way to get informations during pregnancy. The collected data were transfered into an electronical form and subsequently analysed by methods of...
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Identification and analysis of therapy used by pregnant women II.
Vachudová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women II. Author: Eliška Vachudová1 Tutor: PharmDr. Josef Malý, Ph.D.1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Taking medication during pregnancy often implies higher risk of adverse effects for pregnant woman as well as for the foetus. In the Czech Republic, there is not enough information for rational drug taking during gravidity yet. The purpose of the practical part was to identify and analyze therapy used by pregnant women by questionnaires, in which respondents could show their knowledge and awareness of over-the-counter drugs, medical devices, food supplements and herbal and homeopatic remedies. Methods: The data collection lasted from August 2017 to March 2018 and was performed in the form of questionnaires at the Domažlice Hospital, Department of Gynecology and Obstetrics. Nurses played a vital role to distribute the questionnaires and instruct every newly admitted woman how to fill them. The questionnaire was anonymous, contained 50 questions of open, semi-open and closed types and included introduction letter with the entrance criteria. After filling in, they were transformed into electronic ones using Google Forms. Collected data were...
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Identification and analysis of therapy used by pregnant women II.
Vachudová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women II. Author: Eliška Vachudová1 Tutor: PharmDr. Josef Malý, Ph.D.1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Taking medication during pregnancy often implies higher risk of adverse effects for pregnant woman as well as for the foetus. In the Czech Republic, there is not enough information for rational drug taking during gravidity yet. The purpose of the practical part was to identify and analyze therapy used by pregnant women by questionnaires, in which respondents could show their knowledge and awareness of over-the-counter drugs, medical devices, food supplements and herbal and homeopatic remedies. Methods: The data collection lasted from August 2017 to March 2018 and was performed in the form of questionnaires at the Domažlice Hospital, Department of Gynecology and Obstetrics. Nurses played a vital role to distribute the questionnaires and instruct every newly admitted woman how to fill them. The questionnaire was anonymous, contained 50 questions of open, semi-open and closed types and included introduction letter with the entrance criteria. After filling in, they were transformed into electronic ones using Google Forms. Collected data were...
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Identification and analysis of therapy used by pregnant women III.
Cimbálová, Edita ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women III. Author: Edita Cimbálová Thesis Supervisor: PharmDr. Josef Malý, Ph.D. Thesis Consultant: Mgr. Pavel Horký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: Therapy of pregnant women is accompanied by a variety of changes that need to be accounted for. The purpose of the theoretical part was to summarise available information in selected health issues of pregnant women. The purpose of the practical part was to identify and analyse the therapy used during pregnancy and the attitudes, opinions and awareness of women after delivery about over-the- counter drugs, medical devices and other forms of complementary and alternative medicine. Methods: The data were collected at the maternity ward of Jičín Hospital from November 2017 to February 2018 via questionnaires. The questionnaire contained information about the study and it was consisted of 50 questions of open, semi-closed and closed format focused on health issues during pregnancy, attitudes and opinions about homeopathy, herbal medicine, vaccination and the way to get informations during pregnancy. The collected data were transfered into an electronical form and subsequently analysed by methods of...
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Identification and analysis of therapy used by pregnant women II.
Vachudová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
Identification and analysis of therapy used by pregnant women II. Author: Eliška Vachudová1 Tutor: PharmDr. Josef Malý, Ph.D.1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Taking medication during pregnancy often implies higher risk of adverse effects for pregnant woman as well as for the foetus. In the Czech Republic, there is not enough information for rational drug taking during gravidity yet. The purpose of the practical part was to identify and analyze therapy used by pregnant women by questionnaires, in which respondents could show their knowledge and awareness of over-the-counter drugs, medical devices, food supplements and herbal and homeopatic remedies. Methods: The data collection lasted from August 2017 to March 2018 and was performed in the form of questionnaires at the Domažlice Hospital, Department of Gynecology and Obstetrics. Nurses played a vital role to distribute the questionnaires and instruct every newly admitted woman how to fill them. The questionnaire was anonymous, contained 50 questions of open, semi-open and closed types and included introduction letter with the entrance criteria. After filling in, they were transformed into electronic ones using Google Forms. Collected data were...
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The lifestyle of pregnancy women
VOLFOVÁ, Veronika
The bachelor thesis is focused on the of pregnant women´s awareness in the field of healthy lifestyle. In the theoretical part there are described individual parts of healthy lifestyle and their problems. It also describes care of the midwife and her education in individual areas of healthy lifestyle. For the research I have used a qualitative method. Data collection was done with using semi-structured interviews with pregnant women who attended pregnancy counseling. The sample was selected from pregnant women who wanted to participate in the bachelor thesis research. The research was made at the turn of February and March 2018. Women's interviews were made anonymously with privacy interest and recorded on a dictaphone after their agreement. The interviews have been carefully handwritten, analyzed and coded. The interview included 11 questions that were supplemented by sub-questions, if it was necessary. Answers were divided into individual categories and then subcategories. There were 7 pregnant women in the research group, with age from 23 to 42. There was only one goal set for this bachelor thesis. It was to find women's awareness of healthy lifestyle during pregnancy. Based on this objective, two research questions have been defined. The first research question looked at how the eating habits of women in pregnancy have been changed. The survey showed that almost all women tried to improve their eating habits during their pregnancy. Respondents often reported eating light and healthy food and adding much more fruit and vegetables to the diet. In the meantime, they have been eating regularly and have been interested in from where the food is. Respondents also reported food that they tried to eliminate in their diet. They included fried, fat meals, and sweet or salty snacks. Although respondents were aware of the inappropriateness of these foods, some of them still have consumed something like this because of their pregnancy tastes. Talking about the drinking mode, research shows that all women think they should increase their fluid intake. They mostly drink water, tea or fruit juice. Some women also tried to avoid some fluids, just as they did with food. According to all respondents, coffee is inappropriate, as well as drinks such as Coca-Cola or Kofola. One respondent mentioned that coca-cola was a great help to her during the first trimester of pregnancy sickness. Only three women said they did not change their eating habits. One of them thought that she had the right eating habits even before she was pregnant. Two other respondents did not plan their pregnancies so they did not focus on changing the diet. The second research question was about how women get information about the right lifestyle. The survey revealed that six out of seven respondents get information from the internet. Three respondents mentioned other mums or friends as their source, and only two respondents said that some information had been received from midwives at pre-natal courses. It follows that no respondent was looking for information about a healthy lifestyle in pregnancy from midwife in prenatal care at a gynecologist's office. The information and knowledge gained during the bachelor's thesis may be helpful to midwives in the context of pregnant women's education about a healthy lifestyle during their pregnancy. The result of the bachelor thesis is an informative leaflet focusing on keeping the principles of correct lifestyle in pregnancy.
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Quality and quantity of motion activities during pregnancy
OŠMEROVÁ, Lucie
The thesis is aimed at physical activities exercised by pregnant women, for whom the physiological pregnancy is in progress. The theoretical part characterizes physiological, risk and pathologic pregnancy. The pregnancy symptoms, physical and psychological changes connected to pregnancy are also characterized. Next part is based on the importance of physical activities, the impact on a women's health and the impact on an unborn baby. The thesis describes the appropriate physical activities for pregnant, such as walking, swimming, dancing, cycling, yoga, special exercise and so on. Moreover, it mentions inappropriate physical activities, such as downhill skiing, tennis, squash and skating. The thesis also includes the contraindication of physical activities for pregnant. The practical part of the thesis is aimed at finding out preference of physical activities for pregnant, their opportunities to exercise the physical activities nearby and it also explores if the pregnant are informed by their gynaecologist about some appropriate possibilities of exercising physical activities. The quality research was chosen for this thesis. The research survey took place via controlled interviews, which were recorded on a recording device and then the results were transcribed into a written form. The interviewed women were addressed through the centres for pregnant and gynaecologic clinics of South Bohemian Region. The survey took place from the 3rd of March to the 18th of March 2016. The interviews, which were composed of sixteen questions, were provided by sixteen pregnant women. The information from all the respondents was used to create Mind Maps. In total there were eight categories, which show a total of nine Mind Maps. The aim was to explore how the pregnant women perceive the physical activities and what is the awareness of possibilities to exercise physical activities. There were three research questions. First of them was: In what kind of physical activity are the pregnant interested the most? The second question was: What are the possibilities for the pregnant to exercise physical activities nearby? The last question was related to providing some information to pregnant by their gynaecologist: Are the pregnant informed by their gynaecologist about the possibilities to exercise physical activities? According to information from all questioned pregnant women, the most preferred exercise was walking. The exercise for pregnant and yoga are also favourite. Futhermore, the respondents mentioned riding a stationary bicycle, gymnastic ball exercise and agility. As well as this, the pregnant exercise enough and they also think so. The pregnant women also list swimming, yoga, ball exercise, Pilates, running and Nordic walking as some other possibilities to exercise. According to interviews, the pregnant women are not enough informed by their gynaecologists about the possibilities of physical activities. Despite the currency, this issue is still incomprehensible. The survey could be a good source of information mainly for gynaecologists or midwives. The survey could improve providing some information for pregnant women about possibilities of physical activities, which would not endanger both the pregnant and an unborn baby.
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The influence of physical exercises on pregnant women on the development of labour
JEŽKOVÁ, Jana
My work deals with the topic of ``Influence of Physical Exercises during Pregnancy on the Course of the Labour{\crqq}. I decided to explore this subject when I visited a course for pregnant women. I enjoyed the lecture I attended and I was interested whether the time and efforts that the women spent on the exercises were truly worth it. Already in the Antiquity and in the Early Middle Ages people took interest in health of pregnant women and their preparation for the labour. Doctors recommended to them relaxing more, best in lying positions, and bathing in hot water, and they forbade them to bathe in cold water. Based on those recommendations we can see that today{\crq}s psycho-prophylactic preparation of pregnant women has deep roots already in the old times of the Antiquity. The main objective of physical exercises in pregnancy is a good physical and mental condition. The labour and the actual pregnancy are very demanding in terms of the physical and mental fitness, and therefore it is good to be prepared for it. Proper physical exercises help women manage the increased demands on their organisms during the pregnancy, and after the labour it helps them with easier and quicker return to their body weight before the pregnancy. The exercises especially designed for pregnant women prepare them for the labour so that it was as easy for them as possible and did not exhaust them more than it was necessary. Whether the exercise is suitable for the woman or not must be assessed by her doctor on individual basis and based on the current health condition of the woman and her foetus, on the length of pregnancy, physical condition of the woman etc. The goal of this work was to find out whether the physical exercises during the pregnancy truly influence the course of the physiological labour. In order to collect all information I carried out a quantitative research in the form of a questionnaire and I also applied information regarding the length of the labour I had acquired from the medical documentation of women after their physiological labour hospitalized in the lying-in clinic. Before I launched the research I had established a hypothesis that women who had underwent any kind of physical exercises during their pregnancy had faster course of the labour than those who had not attended any such courses. A more significant difference in the length of the labour has been recorded only in case of multiparas who had not done any physical exercises during their pregnancy. The research showed that women (multiparas) who attended any course for pregnant women during their pregnancy have shorter labour approximately by 49 minutes than those women (multiparas) who did not do any exercises. This work could help midwives who lead antenatal courses for pregnant women as part of their primary care. The information could be also provided to the medical staff who meet pregnant women in their practice (for instance in gynaecological departments) and who could deliver the information to them.
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