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Influence of the war in Ukraine on delivery and postpartum adaptation of newborn babies of Ukrainian refugees
Jelínková, Johana ; Buslenko, Iuliia (advisor) ; Perebyinis, Daryna (referee)
This bachelor thesis is studying the influence of the war in Ukraine on the delivery and postpartum adaptation of newborn babies of Ukrainian refugees. Analysed factors are ways of giving birth, blood loss, perineal tears, and the Apgar score of newborn babies. This thesis is further divided into theoretical and practical parts. The theoretical part is dedicated to the anatomy of women`s pelvis, perineal muscles, physiological delivery, operative vaginal birth, caesarean section, newborn adaptation, transcultural nursing, and the war in Ukraine. The practical part is made as a research survey for which analytical collecting of data was used. The data used in the practical part is taken from NIS MEDEA at the Department of Obstetrics and Gynaecology of the 1st Faculty of Medicine and General University Hospital in Prague, Apolinářská 18, Prague 2. Given data was further processed into tables and charts. Key words: Refugee, caesarean section, newborn, operative vaginal birth, delivery, perineal tears
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Možnosti fyzioterapie u žen po císařském řezu v poporodním období
ČALOUNOVÁ, Magdaléna
The bachelor thesis deals with the possibilities of physiotherapy for women after ceasarean section during the postpartum period. It is mainly focused on working with the scar and overall therapy for these women. In the theoretical part I describe the anatomy of the abdominal wall, the ceasareann section itself, healing of wounds, scars and physical therapy. In the chapter methodology I describe methods which I used in therapy for women after SC. The practical part was made in a form of a qualitative research. Four women participated in the study. The research lasted two months. In the chapture results I describe the therapies and the results on the women.
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Prevention of Postoperative Complications in Women after Caesarean Section
MUNKOVÁ, Eliška
The bachelor thesis deals with the prevention of postoperative complications in women after caesarean section. The thesis was divided into theoretical and practical parts. The theoretical part of the bachelor thesis explains the problems of caesarean section and its definition, history, indications, surgical techniques and types of anaesthesia that could be used during this operation. Last but not least, the thesis focuses on possible postoperative complications associated with caesarean section and on preventive steps for postoperative complications. At the same time, the theoretical part deals with the care provided by the midwife to the woman before, during and after the procedure. The aim of the qualitative research part was to find out what is the prevention of post-operative complications in a woman after caesarean section. One research question was set and that was: what care midwives provide to women after caesarean section in the prevention of post-operative complications. The data collection was done during the month of February and March 2023. Two research sets were set. The first research set was midwives working in the six-week care unit, providing care to women after caesarean section. The second research set was women who had a history of but-at least one caesarean section. Midwives PA1-PA9 and women I1-I8 agreed to provide a semi-structured interview. In the semi-structured interview, midwives were asked a total of 10 questions regarding the preventive measures they provide to women in their post-operative care. Women were asked 15 questions and were asked about their experiences of the post-operative care provided. After the interviews were transcribed verbatim, they were analysed by colouring the text. The midwives' and women's responses were coded and the main categories and their sub-categories emerged from the data analysis. The categories of midwives' data were titled: Care of the woman after SC and Postoperative complications. The women's data categories were called: Pre-operative phase, Post-operative phase, and Care provided. The research findings revealed that midwives working in the six-week care unit care for the woman after surgery by monitoring her health status to prevent postoperative complications along with education. As part of their continuing education, they regularly attend seminars on the prevention of post-operative complications and the care to be given to women after a caesarean section. This bachelor thesis could provide midwifery students with inspiration to improve the quality of care provided to the woman. Despite the significant positives of the results obtained, the research part also revealed shortcomings in the care provided after caesarean section. The shortcomings were mainly found in ineffective communication between the midwife and the woman, as well as inadequate education.
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Women's views on caesarean section
PUMPROVÁ, Karolína
This bachelor's thesis is dealing with women's opinions about Caesarean section. The thesis consists of two parts - theoretical and practical part. The theoretical part is describing the course of vaginal delivery. We also focused on the description of the caesarean section. The next chapter deals with the midwife's care for a woman before and after caesarean section. We also processed the care of the scar after a caesarean section. Finally, we focused on the complications and consequences of a caesarean section. The practical part describes the research investigation. The aim of this bachelor thesis was to map the opinion of women on caesarean section. Two hypotheses were established. H1: Women prefer vaginal delivery rather than caesarean section. H2: Women think that caesarean section does not affect the health of the child. To achieve set goal, we chose a quantitative research survey using a questionnaire. 19 questions were used in the questionnaire - closed questions and 1 open question. 209 respondents participated and completed the survey. These were women active on social media. The questionnaire was designed for all women, regardless of age. Women who had experience with pregnancy and childbirth or even those who did not have this experience could respond. The study involved women who were or were not pregnant. Most respondents, 92 (44%), were aged 18-25. The most frequent response to completed education was a high school with a high school diploma. The questionnaires were evaluated using the chi square test. The significance level was determined to be 5%. In the research survey, 87.6% of women said that they would prefer vaginal delivery to caesarean section. According to a statistical survey, the p-value was less than 0.05, thus confirming hypothesis 1 "Women prefer vaginal delivery rather than caesarean section". Furthermore, hypothesis 2 was tested using the questions. 64.5% of women answered that they do not think that children after a caesarean section have worse immunity than children after a vaginal birth. Furthermore, 82.5% of women do not think that these children suffer from more allergies. 60.4% of women believe that caesarean section has no effect on breastfeeding. 53.5% stated that separation after a caesarean section does not affect the child's mental health. According to a statistical survey, the p-value was less than 0.05, which means that the second hypothesis was also confirmed. The findings of this thesis could be used in seminars for midwives or in antenatal courses.
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The influence of selected factors on the method of childbirth and perineal lacerations
Jančíková, Barbora ; Dvořák, Jan (advisor) ; Šimják, Patrik (referee)
This bachelor's thesis describes if selected factors influence the method of childbirth and injuries during childbirth. These factors are the mother's BMI before pregnancy, the number of births to date, mother's age and the weight of the fetus. The data in the practical part are collected from the NIS MEDEA, Department of Obstetrics and Gynecology 1st Faculty of Medicine of Charles University and General University Hospital in Prague, Apolinářská 18, Prague 2, Czech Republic. The theoretical part of the work focuses on the general anatomy of the female pelvis, and describes the types of perineal lacerations and surgical vaginal births and their risks. Key words: labour, pregnancy, perineal lacerations, cesarian section, operational vaginal birth, pelvic anatomy, pelvic floor
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The influence of gestational diabetes mellitus on managememt and course of labour
Martináková, Kristýna ; Anderlová, Kateřina (advisor) ; Šimják, Patrik (referee)
The bachelor thesis deals with gestational diabetes and its influence on the management and course of labour and early neonatal adaptation. Gestational diabetes mellitus (GDM) is one of the most common perinatal complications that poses risks to both mother and fetus. The fetus is particularly at risk for diabetic fetopathy with macrosomia, which can be a complication during the labour. Depending on the compensation of diabetes and the birth weight of the baby, the mother is at risk of more severe birth injuries. The aim of this study was to determine whether gestational diabetes has an effect on the management and course of labour compared to women without diabetes. We also attempted to clarify whether mothers with gestational diabetes suffer more extensive perineal lacerations, whether the average birth weight of newborns of mothers with GDM is higher, and whether GDM is associated with poorer postpartum adaptation. These objectives were complemented by 3 hypotheses that helped to meet the stated objectives. The research part of the study consisted in retrospective collection of patient data from the MEDEA system at the Department of Gynaecology and Obstetrics, First Medical Faculty of Charles University and General University Hospital in Prague. The data were collected from November 2021 to...
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Preeclamsia and selected immunogenetic factors
Hradecký, Libor ; Ulčová-Gallová, Zdeňka (advisor) ; Madar, Jindřich (referee) ; Oborná, Ivana (referee)
Preeclampsia and selected immunogenetic factors Our objective was to evaluate plasma levels of the eight most common antiphospholipid antibodies (antiphosphatidylserine, antiphosphatidylethanolamine, antiphosphatidylinositol, antiphosphatidylglycerol, antiphosphatidic acid, antiannexin V, anticardiolipin and anti 2-glycoprotein I antibodies) by ELISA method and selected inherited thrombophilia (F V- Leiden mutation, FII mutation G20210A, C677T and A1298C variants of the gene for methylene tetrahydrofolate reductase-MTHFR) by DNA analysis of peripheral blood lymphocytes using the real-time PCR in fifty-five women with preeclampsia in the period immediately before urgent termination of pregnancy. Fifty-five healthy women without preeclampsia was considered as a controll group. Entered data were examined using a non-parametric Wilcoxon's test, univariate analysis were perfomed using the Fisher's exact test and statistical dependence between variables was assessed using Spearman's rank correlation coefficient. We demonstrated that women with preeclampsia had significantly higher levels of anticardiolipin antibodies in the isotope IgG (p <0.01) and IgM (p <0.01), elevated levels of antiphosphatidylserine antibodies in the isotope IgG(p <0.01) and antiethanolamine antibodies in the isotope IgM (p <0.01) when...
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Prevention of complications in pregnancy after laparoscopic myomectomy
David, Martin ; Kučera, Eduard (advisor)
Gynecology and obstetrics monitor many clinical areas, which are very complex and not only medical side of things. Uterine myomatóza between such areas undoubtedly belongs. In the last time monitor several important phenomena occurring at the same time, giving rise to many questions. In recent years we have witnessed not only the rising birth rate but also shift to higher fertility age groups. According to data from 2007 significantly increased the number of pregnancies after twenty-fifthyear of age (> 70%) and rapidly increases the fertility of women between 30 and 34year (35%) [1]. In this age group is also a high incidence of uterine fibroids. We speak a very frequent clinical finding - fibroid is the most commongynecological tumor. It is therefore of considerable morbidity originator. So there is a growing group of women in roughly the same age, at where there is a fibroid, which are planning pregnancy andpregnant more often not. Symptomatic myoma is obviously an indication for its removal through various treatment modalities including surgical therapy. The result is a subgroup of patients who need to predict subsequent course of pregnancy, including mode of delivery, to analyze
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Caesarian Section on Demand - Yes or No
Skřivanová, Eva ; Kulhavá, Miluše (advisor) ; Hrdličková, Renáta (referee)
The topic of this bachelor thesis is "Caesarean section on demand". The thesis deals with women's interest in undergoing the surgery at their own request and with the reasons behind their choice. It consists of a theoretical and an empirical part. The theoretical part of the thesis focuses on the history of obstetrics, on Caesarean section, indications for a Caesarean section, possible methods, anesthesia, potential complications and spontaneous delivery. The empirical part is based on quantitative research. By means of a questionnaire, women have been asked whether they are interested in undergoing Caesarean section at their own request and what are the reasons behind their choice. The empirical part further examines whether women are interested in choosing their preferred type of anesthesia and what this type is. The total number of respondents who participated in the survey was 82; they had been chosen randomly. The survey was conducted in January 2014. Its results have shown that only 37,80% of respondents are interested in Caesarean section at their own request. The most frequent reasons for this choice are their concern for the child's health, fear of pain and previous bad birth experience. 30 respondents out of the 31 interested in Ceasarean section on demand are interested in choosing their...
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