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Fear of Child birth - causes and coping strategies
VLČKOVÁ, Karolína
This thesis addresses fear of childbirth, causes of birth anxiety and effective strategies helping to deal with those above. Bachelor thesis is divided into two major sections, theoretical and empirical one. In the theoretical part, the issue of birth anxiety is elaborated based on academical literature and most recent scientifical discoveries in the field of gynaecology. Detailed step-by-step information about the pregnancy periods as well as list of the physical and mental changes experienced by mothers in different trimesters is provided. Empirical part of the bachelor thesis consists of investigation of pregnant women fears, causes of anxiety and methods how to effectively handle them. Three major objectives were stated for purpose of the research. First aim is to discover and map the most common causes and impulses of childbirth fear in pregnant women. Second is to identify childbirth fear overcoming strategies. Finally, third objective is to determine the effect of previous childbirth experience on next labor. In order to achieve conclusion five major experimental questions were presented: - How women experience and perceive childbirth fear? - How do they manage to moderate the childbirth fear? - Which everyday casual impulses women mark as trigger mechanisms of their personal childbirth fear? - What is the most common fear iniciating thought? - Does previous childbirth experience influence the perception of next one?
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Perceptions of men on their participation in childbirth
BUKOVSKÁ, Daniela
This study consists of two key parts. The focus of the theoretical part is pregnancy, childbirth and activities that a partner of the pregnant woman can carry on during various stages of her pregnancy and delivery. Furthermore, activities of nursing midwife who has to bear in mind that not only the laboring woman is in the delivery room, but also her partner. The empirical part was prepared through a qualitative research based on structured interviews with twelve respondents, partners of pregnant women. These respondents were divided into three groups: first-time fathers who participated in specialized childbirth classes, first-time fathers who did not participate in the specialized childbirth classes and obtained the relevant information from their friends, books or from the internet, and fathers-to be attended their child?s birth in the past. The research was carried on in June and July in České Budějovice. The results can be used as educational material for practicing midwives who have decided to use their professional knowledge in the specialized childbirth classes and for midwives working in the delivery rooms. The first goal was to explore whether the expectations of men who decided attend their child?s birth and participated in the specialized childbirth classes differ from the expectations of men who did not participate in the specialized childbirth courses. The results show that both groups basically expect the same; that is willingness, empathy and readiness to help on the part of medical team, active role in childbirth and, in particular, coaching by the nursing midwife. The second goal was to compare expectations of men who had been present at the childbirth in the past and expectations of first-time fathers. There research has shown that their expectations do not differ from the expectations of the first-time fathers who have not yet attended the delivery. They also expect active involvement and guidance on the part of the nursing midwife who would explain everything to them in the delivery room. In case they were not actively involved in the first delivery, they would like to play an active role in the next labor and delivery. This bachelor?s thesis can serve as information and textbook for future students of the branch Midwife. The results can also be used as educational material for practicing midwives who have decided to use their professional knowledge in the specialized childbirth classes and for midwives working in the delivery rooms.
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Delivery plann, its formulation and testing at The Gynaecological and Obstetrical Clinic in Plzen (GPK FN Plzen).
KUBROVÁ, Lucie
The subject of this bachelor thesis is delivery plan, its formulation and testing at the Gynaecological and Obstetrical Clinic in Plzen (GPK FN Plzen). Most women presently show active interest in pregnancy and delivery. They often imagine in advance the progress of childbirth, the behaviour of the maternity hospital staff towards them and the options offered by the hospital to delivering mothers. The delivery plan will provide to this type of women the progress of delivery most convenient for them. They may note their requests and desires in it concerning the progress of childbirth, its individual parts and potential alternatives. Thus the pregnant woman gets control over its coming delivery and may think the individual delivery parts over and prepare for them. The GPK FN clinic in Plzen does not dispose with its own delivery plan to offer to mothers-to-be within its offer of services to the pregnant. That is why this bachelor thesis will represent an asset both for the Plzen clinic of gynaecology and obstetrics GPK FN and for the mothers who decide to give birth to their child here. The theoretical part of this thesis includes chapters explaining the notion of the delivery plan and its individual parts. Further chapters briefly describe the progress of childbirth and the options of care of the delivering mothers in the course of the individual sages of delivery. The purpose of the present thesis was to find out which areas of the delivery plan are considered relevant by the pregnant women who have decided to give birth to their baby at the GPK FN clinic in Plzen and which parts of the plan are considered most important by the healthcare staff working at the GPK FN clinic in Plzen. Another objective of the thesis was to formulate the optimum delivery plan meeting the demands of both the delivering mothers and the staff of the GPK FN in Plzen and to find out the response of the healthcare staff of the GPK FN Plzen and the pregnant women to the use of the formulated delivery plan in practice. The theme was processed on the basis of a combination of qualitative and quantitative research. The needed information was obtained by means of post-structured interviews with open questions and a questionnaire with open questions, yes-no questions and semi-open questions. The subjects of the qualitative research included male and female obstetricians working at the delivery ward of the GPK FN Plzen, midwives assisting deliveries at the GPK FN Plzen, pregnant women hospitalised at the Risk Pregnancy Department of the GPK FN Plzen and mothers after delivery (in their puerperium) hospitalised at the Puerperium Department of the GPK FN Plzen. The research further included private gynaecologists of the Plzen {--} city district and gynaecologists of the IVF centre, and midwives working in the advisory centres of the private gynaecological surgeries in Plzen {--} city and in the IVF centre in Plzen. On the basis of the first part of the research the following research questions were formulated: ``What areas of the delivery plan are considered relevant by the pregnant women who have decided to give birth to their baby at the GPK FN clinic in Plzen{\crqq}, ``What areas of the delivery plan are considered relevant by the staff of the GPK FN in Plzen``, ``What should the optimum delivery plan look like to be usable for deliveries at the GPK FN in Plzen``. The second part of the research included evaluation of the following hypotheses: ``Pregnant women consider important for the delivery plan to include criteria assuring progress of their childbirth according to their desires``, ``The healthcare staff of the GPK FN Plzen takes a positive approach to the formulated delivery plan``, ``Pregnant women are interested in application of the delivery plan to their childbirth at the GPK FN in Plzen``.
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