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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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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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Reproductive ageing and its reflection in obstetrics in Czechia
Waldaufová, Eva ; Šťastná, Anna (advisor) ; Kocourková, Jiřina (referee)
Reproductive ageing and its reflection in obstetrics in Czechia Abstract The aim of this thesis is to explore trends in obstetrics in Czechia in the context of increasing maternal age. The key issue is the rise in the percentage of births performed by caesarean section. The first part of the work sums up the current knowledge of fertility development and describes the selected effects of fertility postponement, health risks, especially of caesarean sections. Subsequently, the evolution of fertility in Czechia between 1989 and 2018 and the development in the proportion of births by caesarean section from 1994 to 2018 are analysed. The incidence of caesarean section births is examined based on individual anonymous data from the National Health Information System in 2018. It considers the age of the mothers and other characteristics of the mothers and newborns in Czechia. The odds of giving birth by caesarean section are estimated using the binary logistical regression method. It turns out that in recent years the growth of births executed by caesarean section has stopped, although the age of mothers and the use of assisted reproduction methods continues to grow. Reproductive ageing is reflected in the increase in caesarean section births, but at the same time its occurrence is influenced by a number of other...
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Early contact mothers and newborns at birth by cesarean section
VÍTOVCOVÁ, Lucie
The bachelor thesis Early contact mothers and newborns at birth by cesarean section divided to theoretical and practical part. Theoretical part focuses on caesarean section, it´s definition and reason of increasing numbers of them. The second chapter is aimed on influence of caesarean section on child and psychological aspects of woman, which is often happening with separation of child. Another chapter focuses on principles of looking after the new-born and doctor´s impropriate language in communication with parents. The fourth chapter focuses on contact of mother and newborn. There is the part about imprinting, embedding picture of mother to newborn´s subconscious. Another topic is attachment, as an emotional relationship with child. Bonding is more described in the next chapters. There are descriptions of bonding´s benefits for child or how it comes after caesarean section. The last theoretical part is focused on separation, therefore what are the consequences affecting child after separation. Research focuses on two objectives, which are related to early contact mother and newborn after caesarean section. The first one is aimed on fulfilling requirements of child and mother contact after the caesarean section. It focuses on cases when contact with mother and child is allowed after the section and how it goes. The other objective deals with problems encountered in hospital facilities in relation to fulfilling of mother´s and child´s bond. There is the description of their contacting problems and what can be done to improve. Research question focuses on realisation of mother and newborn contact after caesarean section in a practical way. Qualitative research was used to gathering data. Methods are technique of half-structured dialogue and method of questioning. As a set of researched subjects were used women in lying-in phase after caesarean section within 48-96 hours. As the result of research came up that some women can´t remember how the first contact with child went, because of sedatives. Other women remember that moment, but they regret that they were given newborn afterward in hospital room. Women usually undergo complete anaesthesia during the caesarean section. Only two respondents from all eleven underwent a nerve block. Some of the rest would take the nerve block as possibility, but without enough information they have chosen the complete anaesthesia. It´s possible that women after complete anaesthesia can remember nothing from the first contact with newborn. Separation is also happening, because of bringing the child only at the time of feeding. We can say that nerve block is more plausible path which prevents unwanted separation and it is more sensitive for newborn. It is possible to put newborn on body of mother, who undergoes nerve blocking, right in operation room to create biological relation with mother, thus bonding. The most important is well-timed education in possibilities of anaesthesia, especially of nerve blocking. This education should be made by professional anaesthesiologists and obstetricians.
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Breastfeeding woman after sectio caesarea
MADARASZOVÁ, Lucie
The bachelor thesis is called Breastfeeding of woman after undergoing cesarean section. The thesis is divided into a theoretical and research part. The theoretical part deals with the theme of the cesarean section, it describes how the cesarean section is performed, what are the indications of it, and witch anesthesia can be used. Secondly it describes the care of a wife before and after the procedure which is carried out by a midwife. Another thing that is mentioned in this part are the complications of a cesarean section. Fourthly the thesis specifies the changes of a woman's organism during the period of puerperium. The next section that I would like to mention is lactation, where the anatomy of the woman's breast, physiology, composition of breast milk and the benefits for the women and the newborn are defined. In this section we are also concerned with the development of lactation, the related technique of breastfeeding, and the complications of breastfeeding and alternative methods of the feeding of a newborn. The last chapter of the theoretical part is the section of bonding and rooming-in, how and when it can be provided. The term "Baby Friendly Hospital" is also explained in the mentioned chapter. For this thesis was set the goal, what experiences have women with lactation after caserean section. The research questions were determined: What impact has Caesarean delivery on breastfeeding? Where does women find most often help in the case of occuring problems with breastfeeding problem? The research was conducted through a qualitative research strategy, using in-depth individual semi-structured interviews. They were lead with twelve women from the 42nd day to the 6th month after the caesarean delivery. Women were familiarize with the thesis and the purpose of the interviews before the interviews began. Respondents were assured of maintaining anonymity and handling information obtained in accordance with ethical rights and standards. Based on data analysis, two major categories were identified with subcategories. First categoty "Breastfeeding after caserean section" was conserned about progress of the section, what anesthesia was used, when the bonding was made, how often was the newborn in contact with woman, when the lactacion started, whether they had some complications with technique of breastfeeding, and who and how gave them information in connection of this technique. The second category "Help searching" was focused on whether women were looking for help with breastfeeding complications, whether the provided information was sufficient, but also whether or not women are still breastfeeding. The research shows that after the birth by caesarean section, nine respondents were breastfeeding and a three were not. Only two respondents out of twelve did not get lactation at all. Furthermore, it has been found that the most meaningful and sufficient information about breastfeeding techniques are most frequently provided by midwifes. The research also shows that nine respondents out of twelve had some complications with breastfeeding, most often with lactation and breast inflammation. With these complications, women most often sought help from a district gynecologist who provided them with sufficient information. However, the most frequent answer was that women did not find any help, but these answers were from respondents who did not have this sort of complication (R6, R8, R9) or respondents who left the maternity hospital without lactation (R1, R2).
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Women opinions on Caesarean section from retrospective view
KOVÁŘOVÁ, Kristýna
This bachelor thesis focuses on women after the cesarean section and their opinions on this surgical procedure. In the theoretical part, there several poins were clarified,such as the problems of caesarean section, its definition, history, types of incisions and indications, possible complications and types of anesthesia that can be used in this operation. An integral part of the theoretical work is midwives' nursing care of a woman before and after operation and during the puerperium. The thesis is also engaged in breastfeeding and care of the newborn after the caesarean section. The aim of the research section was to find out the women's opinions on the caaesarean section from a retrospective point of view. Four research questions have emerged from this objective. The first question was how women understood the caesarean delivery. The second one was about women's satisfaction with midwife care. The third question focused on thefirst contact with the newborn and the fourth one on influencing the life of women after the caesarean section. A qualitative research survey was chosen for the research part. The survey was conducted during March 2017 with seven respondents who were, from one to five years, after the caesarean section and agreed to provide an interview. During the semi structured interview, women were asked 15 questions. Then, the conversations were literally transcribed, their analysis was done by hand coding, or pen and paper method. Women's responses were identified by individual codes and categorized. The research shows that women have a positive opinion on the C-section, Theky consider it the best choice in a situation that has been taken to save their child. Despite that most respondents were worried before surgery, their consent to the caesarean section would not change today. For more than half, the information provided by the doctor was sufficient and comprehended. Almost all surveyed women were satisfied with nursing care and information from midwives and also with the first contact with the newborn, which occurred within two hours after the procedure. However, dissatisfaction was expressed in the approach to breastfeeding and in this area most women described the difficulties. Although more than half of women responded that they did not feel limited by surgery, all respondents let family members help them during the puerperium. Nearly all respondents reported increased sensitivity in the scar that they felt at least for half a year after delivery. The bachelor's thesis may serve as an inspiration for midwives to improve thein nursing care. In addition, midwifery students can benefit it in improving thein practice experience.
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Exercise for Women after Giving Birth by Cesarean Section
SEJPKOVÁ, Zuzana
The theme of the bachelor thesis is women´s exercise after the caesarean section. The exercise helps women to recover after the caesarean section and also speeds up the process of healing and lowers the bad outcome. The work is divided into a theoretical and practical part. In theoretical part, based on scholarly literature, we describe the history, indications for Caesarean section, methods of the operation, kinds of anaesthesia and possible complications after the Cae-sarean section (C-section). Then the work deals with the role of a midwife in pre-operational and postoperative care for a woman. The exercises in hospital are described and suitable exercises for home care are suggested. At the end we describe the postoper-ative care of the scar, such as massage using animal fat but also more modern trends like silicone stickers and plasters, laser treatment or taping. The aim of this bachelor thesis was to find out if women have enough infor-mation about the importance of exercising after C-section and also to find out which sources they use when searching information on exercising. The final aim of this thesis was to explore possibilities of exercising after C-section at the hospital puerperium ward. To reach our goals we used three hypotheses which were verified by a statistical test. Hypothesis 1: Women have enough information about the importance of exercising after C-section. Hypothesis 2: Women find necessary information about exercising after C-section mostly on the Internet. Hypothesis 3: Women on the puerperium ward exercise only with the physiotherapist. In the bachelor thesis we have chosen the quantitative research method, data col-lection was done by a questionnaire which had been distributed electronically. The sam-ple group consisted of women placed in the puerperium ward of hospital in Klatovy and in České Budějovice . The sample group consisted of 138 respondents. The evaluation of the research has proved that women have enough information about the importance of exercising (73%), this statement is also supported by the fact that only 8 respondents did not know what kind of exercise to choose in the days imme-diately after C-section. Hypothesis 1 was confirmed by the statistical test. The question-naire has also showed that women find information about exercise after C-section most-ly from their doctors or from the Internet, but also from the midwives at the ward. Other important sources of information are the physiotherapists. On the base of these results hypothesis 2 was not confirmed. The exercises at the puerperium ward are organised mostly by a physiotherapist but sometimes some women exercise on their own or with the help of their midwife. A physiotherapist is then not the only person with whom the women exercise this is the reason why the statistical test had not validated the hypothesis 3. We have also found out from the questionnaire that among the women who had attended birth classes only 12 % of them were informed about exercising after C-section. The research has showed that it is necessary to motivate women more towards exercising because even when having access to necessary information about exercising after C-section only 38 % of the women carried on exercising in home care, though, except of one person, all of those women had chosen the right exercises. The questionnaire has proved that when it comes to scar treatment after C-section 74% of women were informed about the care, the women are mostly educated by their doctor, midwife or a physiotherapist. The Internet as a source for information plays an unimportant role here. We have found out that women are aware of the new and more modern trends in scar treatment but they still mostly prefer to use massage with animal fat. The questionnaire has also suggested that 40 respondents did not care about any kind of scar treatment. Women themselves mostly gave to the amount of information about postoperative scar treatment average mark 3.
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