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Nursing care about woman with diagnosis fetus mortuus in delivery room.
Rus, Alice ; Endlicherová, Jana (advisor) ; Kulhavá, Miluše (referee)
This bachelor thesis deals with the issue of dead fetus. The thesis has a theoretical and practical part. In the theoretical part, the terminology distinguishing birth and abortion, delivery of a dead fetus including the appropriate use of epidural analgesia are analyzed in individual chapters. I also deal with psychological issues that occur during childbirth. The last chapter of the theoretical part is devoted to social and legal support. The practical part is devoted to cases from the birth hall, where I analyze a particular case from the delivery room. The main emphasis is placed on the importance of the nursing process in the care of a woman with a suitable determination of nursing diagnoses and their complete realization. The output of my bachelor thesis is a recommendation for a practice devoted. The work as a whole is intended for midwives and midwifery students. The bachelor thesis is supplemented by annexes for clarity. keywords: Nursing proces, stillbirth, delivery room, perinatal death
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The role of midwife at the birth management techniques Frederick Leboyer.
RUŠIKVASOVÁ, Dana
The role of midwife at the birth management techniques Frederick Leboyer A birth is an event of a great importance not only for a woman but also for a child, who should be taken into consideration as well. According to Frederick Leboyer, it is important to welcome a newborn into life in the best way possible, as the birth has a major impact on the rest of the newborn´s life. Frederick Leboyer, a French gyneacologist and obstetrician, has made an assertion that birth trauma should be minimized and maximum ephasis should be laid on a newborn child. The theoretical part of my bachelor thesis deals with Frederick Leboyer´s birthing method and the role of a birth attendant performing a childbirth in accordance with the Leboyer´s method. The birth according to Leboyer is divided into an obstetric and a paediatric part. The obstetric part includes the psychological preparation of the mother, silence during the birth, patience, attention, deep concentration and birthing techniques. The paediatric part includes the observation of the beginning of the newborn´s breathing, a postponed cut of the umbilical cord, the newborn´s back massage and bathing of the newborn after giving birth. The purpose of the bachelor thesis research part was to discover whether any elements of the Leboyer´s method are incorporated in birthing at the present time and whether mothers-to-be, given the possibility, would be agreeable to give birth according to Leboyer´s method. Additionally, midwives were asked for their opinion about the method. The participatory action research was done during observing a number of birthings which took place at the Departments of Gynecology and Obstetrics of several chosen hospitals. In addition, semi-standardized interview with midwives, who work at the hospitals, and their clients, who were interviewed after giving birth, is included in the research. The aim of the research was to discover to which degree is Leboyer´s method incorporated in delivery rooms. On the basis of this aim a research question was set: ?How is the method used during birthing in delivery rooms?? It was discovered that, in the hospitals where the research was done, some of Leboyer´s techniques, such as to lay a newborn on the mother´s abdomen, a massage of the newborn and the newborn´s presence by his mother during the whole stay in the delivery room, are used. This bachelor thesis might serve as study material for those who study midwifery and as informational material about the technique for birth attendants and mothers-to-be in Czech hospitals. This bachelor thesis may as well serve as inspiration for creating a Leboyer-based norm for birthing practices.
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