|
|
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.
|
|
|
The needs of women after delivery by caesarean section
MÁCHOVÁ, Vlasta
This thesis is focused on the needs of women aftergiving birth by caesarean section. The theoretical part describes what a caesarean section is, its history, indications, the methods used to perform a caesarean section, the types of anesthesia and the complications that may occur. Subsequently, human needs are described, as well as the hierarchy of needs by A.H. Maslow, as well as the midwifery care during the preoperative preparation of the patients with acute and planned caesarean section and subsequently the midwifery care during the postoperative period. A semi-structured interview was used to collect the data, which was conducted in the postnatal ward with those women who had experienced a caesarean section. The research was conducted from April to May, 2018. The interviews with women were conducted anonymously and after their approval, they were recorded on a mobile device. Subsequently, the interviews were literally transcribed, analyzed and processed using pencil-paper encoding. The semi-structured interview consisted of 10 open questions and, if required, the questions were supplemented by subpoints. The respondents' answers were categorized into subcategories. The target research group consisted of seven women after a caesarean section between the ages of 20 and 36. The first research question identified the needs of biopsychosocial needs to be met by the midwife in women after the cesarean section. The research survey found that five out of seven women interviewed had satisfactory biopsychosocial needs and were satisfied with the care provided by the midwife. Two women said they lacked awareness of movement, nutrition, and surgical wound care. One respondent stated she was not satisfied with the midwife's communication and approach. The second research question identified the expectations of women in the postoperative period in relation to midwife care. All women were expecting the midwives to assist them with care during the postoperative period. Five respondents said they expected further physical and psychological support from midwives. The results show that all women have met their expectations regarding midwife care. The results can be presented at seminars for midwives and may be useful in meeting the biopsychosocial needs of women who had a pregnancy completed through a caesarean section.
|
guest ::
