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Birth Plan at Birth
HOUŠKOVÁ, Daniela
The bachelor thesis deals with the birth plan and its use during childbirth. It is divided into the theoretical and practical parts. The theoretical part is focuses on childbirth, birth periods, postpartum care, treatment of the newborn and caesarean section. Furthermore, the theoretical part deals with the birth plan, its writing and the various points that may occur in the birth plan. The practical part of the bachelor's thesis was carried out using a qualitative research investigation in the form of a semi-structured interview. The interview consisted of twelve questions. The interviews were conducted with eight women who used a birth plan during labor. For this bachelor thesis were set three main goals. The first goal was to find out the reasons for writing a birth plan by mothers. The informants wanted the birth to go according to their wishes. During the writing process, they sorted out what was important to them. Reasons for this included a negative experience from a previous birth. The second goal was to point out compliance with the birth plan at birth. The research investigation revealed that the birth plan is usually followed. Three of the eight informants indicated that not all points of the birth plan had been followed. Five of the eight informants said that their birth plan had been followed. The third goal was to determine changes in the birth plan during labor. During childbirth, the informants from the research surevy changed their attitude towards the repture of the bladder pouch and the intake of painkillers. Informants gave birth in a different position than they originally intended. Informants also changed their birth plan because of birth complications, namely that bonding could not take place or they were not allowed to move freely during labor.
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Problems in nurse care of delf birth women
KOTTOVÁ, Jiřina
Problems in nursing care of deaf women giving birth Thanks to opening the frontiers and migration of population, the structure of clients of Czech maternity hospitals has changed during the past fifteen years, and the hospitals have responded to this circumstance accordingly. We are able to create suitable conditions for women of various cultures and religious backgrounds. We should create unlimiting and friendly environment also for deaf women giving birth. I work in the Institute for Mother and Child Care, which became a center for deaf women giving birth in 2004. The main aim of this undergraduate thesis is to find out what are the major difficulties the nursing staff faces in care for deaf women giving birth. The theoretical part describes specific features of care for deaf women giving birth. Further chapters outline the anatomy of the auditory system, hearing impairments and their diagnostics and also deal with communication of deaf people and their identity. The objective of the thesis is to find out whether the nursing staff is able to communicate with deaf women, whether maternity hospitals can procure an interpreter and what are the problems deaf women and nursing staff face. As a hypothesis it was assumed that nursing staff does not have basic information on communication with deaf women giving birth, they are not acquainted with means of communication, that maternity hospitals can procure an interpreter for deaf women and that in health care the main problem for the nursing staff and the deaf women is communication. In order to achieve the research objective, quantitative survey was chosen in the form of a questionnaire for nursing staff in the Institute for Mother and Child Care, together with qualitative research, represented by four interviews with deaf women giving birth in the same place. Data were collected in February and March 2010. From the results of the survey it follows that nursing staff lacks basic information about communication with the deaf and is not acquainted with even the basics of the communication and the biggest problem in the nursing care for deaf women giving birth according to midwives, children{\crq}s nurses and the deaf women is communication. A conclusion was drawn from the results of the survey that the problem of communication with deaf women giving birth has to be addressed. One of the main recommendations is to improve informing the nursing staff about the world of the deaf, improving the attitude to the deaf and respecting their personalities. We do not have to know the sign language in order to communicate with the deaf, it is sufficient to be sensitive, kind and willing to understand.
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