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The effect of epidural analgesia depending on the time of administration and female parity
Hanusová, Aneta ; Laštůvka, Zdeněk (advisor) ; Čiháková, Karolína (referee)
The bachelor thesis focuses on the issue of epidural analgesia as one of the most effective methods of labour pain control. The main aim of the bachelor thesis is to evaluate whether epidural analgesia is administered more frequently in primiparas or multiparas, and what is the frequency of epidural analgesia administration depending on the time of day at the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine of Charles University in Prague. The thesis contains theoretical and practical part. The theoretical part is devoted to the definition of physiological labour, description of labour times, labour pain and epidural analgesia, which includes anatomy of the spinal canal, indications, contraindications, drugs and technique of application. The practical part is the research part. It was carried out using analytical data collection from medical records and Medea hospital information system. The retrospective analysis was performed at the Gynaecology and Obstetrics Clinic of the 1st Medical Faculty of Charles University and the General University Hospital in Prague. Keywords: epidural analgesia, time of administration, time of day, parity, primipara, multipara, effect, delivery, pain control
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Experiencing psychical and physiological transitions during primipara pregnancy
Hlávková, Hayarpi ; Kulhavá, Miluše (advisor) ; Pírková, Vendula (referee)
Background: Pregnancy is one of the life-changing periods of life for the first-time mothers. Every woman is experiencing psychical and physiological transitions in a different individual way. First-time mothers are learning how to accept and identify themselves with a role of mother. Social support is an important factor for pregnant women's assistance. First-time mothers are using books, internet, pregnancy counselling and prenatal courses as a way how to get needful information. Perception of their body image is changing during pregnancy and after delivery Objectives: The aim od this study is to capture individual experiences of woman with psychological and physiological transitions during their first pregnancy and to find out which factors are important in experiencing them. Secondary aims were discovering these areas: if women are identifying themselves with a role of mother, how are women getting information about pregnancy, how are women percieving physical changes of their bodies, how important is the role of social support in managing pregnancy, what kind of expectations did women have about pregnancy. Methods: The thesis is designed as a qualitative research carried out with six respondents from different parts of Czech Republic. The sample was selected by intentional sampling and a...
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Fear of Child birth - causes and coping strategies
VLČKOVÁ, Karolína
This thesis addresses fear of childbirth, causes of birth anxiety and effective strategies helping to deal with those above. Bachelor thesis is divided into two major sections, theoretical and empirical one. In the theoretical part, the issue of birth anxiety is elaborated based on academical literature and most recent scientifical discoveries in the field of gynaecology. Detailed step-by-step information about the pregnancy periods as well as list of the physical and mental changes experienced by mothers in different trimesters is provided. Empirical part of the bachelor thesis consists of investigation of pregnant women fears, causes of anxiety and methods how to effectively handle them. Three major objectives were stated for purpose of the research. First aim is to discover and map the most common causes and impulses of childbirth fear in pregnant women. Second is to identify childbirth fear overcoming strategies. Finally, third objective is to determine the effect of previous childbirth experience on next labor. In order to achieve conclusion five major experimental questions were presented: - How women experience and perceive childbirth fear? - How do they manage to moderate the childbirth fear? - Which everyday casual impulses women mark as trigger mechanisms of their personal childbirth fear? - What is the most common fear iniciating thought? - Does previous childbirth experience influence the perception of next one?
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