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Nursing care about women with multiple pregnancy
LINHARTOVÁ, Petra
ABSTRAKT Nowadays the occurrence of multiple pregnancy is connected with methods of artificial insemination that bring along many other complications. A multiple pregnancy requires greater attention, care of the obstetrician and the midwife. Because the attendance care for these woment keeps developing at the same time with new findings, it is necessary to provide a quality care, of which is mostly in charge an experienced midwife. Multiple pregnancy is a state when there is more than one fetus developed in the womb. Mostly we are speaking of twins (gemini), triplets (trigemini) and quadruplets (quadrigemini). A multiple pregnancy is a greater burden to the organism of the woman during the whole period of pregnancy. Speaking of multiple pregnancy we should count with occurrence of various complications, e.g. premature labour, placental insufficiency, or occurrence of toxaemia of pregnancy. Therefore an early and regular prenatal care is so important for women with multiple pregnancy. To find out whether the nursing care for woman with a multiple preganancy is carried out according to given nursing standards, we chose a quantitative survey and used the questionnaire form. There were 27 open questions, semi open and closed questions. Midwives could cross or fill in their answers. The questionnaires were distributed in Hospital České Budějovice a.s., Hospital Nymburk s.r.o. and in Hospital Český Krumlov s.r.o. and they showed that the nursing care, e.g. blood pressure measurement, pulse measurement, weighing pregnant women, fetal auscultation is fulfilled from 100%. It was further found out that the nursing standards are carried out from 83% and that the ultrasound examination of fetuses is carried out in 100% according to the recommendations of the Czech Gynecological and Obstetrical Society. 43% of midwives do not consider the care for women with multiple pregnancy more complicated than other hazardous pregnancies and 57% of midwives claim that the care for women with multiple pregnancy is not more complicated at all. The survey has shown that the nursing care for women with multiple pregnancy corresponds to nursing standards, which confirms the working hypothesis at the same time the goal of the paper concentrated on carrying out of nursing care according to nursing standards was fulfilled.
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