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Delivery injuries of women during vaginal delivery from midwife's point of view.
Fabiánová, Pavlína ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor thesis deals with the issue of birth injuries of woman during vaginal delivery. The aim of this thesis was to summarize the knowledge of anatomy of birth canal and the issue of birth injuries. The aim in practical part of the thesis was to find out how is the awareness of woman about this issue, which birth injuries are the most frequent or whether had the preparation of perineum impact to formation ofbirth injuries. Theoretical part briefly describes the anatomy of birth canal, this range is in my opinion sufficient for midwives. There are also described particular kinds of birth injuries and its treatment. Care about birth injuries in puerperium was also described in theoretical part. Particular kinds of prevention of perineum to delivery were also part of theoretical part. In practical part I worked with informations, that I gained from quantitative questionnaire, which was taking place in departements of puerperium in Gynekologicko- porodnická klinika 1. lékařské fakulty a Univerzity Karlovy v Praze. The research shows, that the most common delivery injury is episiotomy and rupture. The research did not confirm whether the preparation of perineum to delivery has an impact on the occurance of delivery injuries but these results are attributed to the nature of the department in...
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Delivery injuries and maternal age
Faltová, Anna ; Dvořák, Jan (advisor) ; Přáda, Jan (referee)
The bachelor's thesis aim was to find out whether older age of mother during labour could be a potential risk factor for birth injuries. Bachelor thesis has two parts, theoretical and practical. The theoretical part describes the problematics of birth injuries and summarizes several foreign studies, which consider the age of mother as a risk factor for some birth injuries. The hypothesis was that older age is a risk factor for birth injuries. The aim of the practical part was to find whether the hypothesis is correct or not. The hypothesis was tested by comparing the incidence of different birth injuries between four groups of women settled by age (18-25 years, 26-30 years, 31-35 years, >35 years). In most cases the lowest number of injuries were in the youngest group (18-25 years), but the differences between groups were not statistically significant. Due to the small sample of women, I have analysed, the hypothesis could not be conclusively confirmed, but also conclusively disproved. Key words: delivery injuries, maternal age, vaginal delivery, pelvic floor, levator avulsion, pelvic floor dysfunction, OASI
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Delivery injuries of women during vaginal delivery from midwife's point of view.
Fabiánová, Pavlína ; Kulhavá, Miluše (advisor) ; Jurigová, Gabriela (referee)
This bachelor thesis deals with the issue of birth injuries of woman during vaginal delivery. The aim of this thesis was to summarize the knowledge of anatomy of birth canal and the issue of birth injuries. The aim in practical part of the thesis was to find out how is the awareness of woman about this issue, which birth injuries are the most frequent or whether had the preparation of perineum impact to formation ofbirth injuries. Theoretical part briefly describes the anatomy of birth canal, this range is in my opinion sufficient for midwives. There are also described particular kinds of birth injuries and its treatment. Care about birth injuries in puerperium was also described in theoretical part. Particular kinds of prevention of perineum to delivery were also part of theoretical part. In practical part I worked with informations, that I gained from quantitative questionnaire, which was taking place in departements of puerperium in Gynekologicko- porodnická klinika 1. lékařské fakulty a Univerzity Karlovy v Praze. The research shows, that the most common delivery injury is episiotomy and rupture. The research did not confirm whether the preparation of perineum to delivery has an impact on the occurance of delivery injuries but these results are attributed to the nature of the department in...
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Prevention of birth injury in the perineal area.
SMOLKOVÁ, Marie
This bachelor thesis deals with the issue of delivery injuries in the perineum and different possibilities of its prevention. The theoretical part is divided into three chapters. The first chapter provides the reader with a brief characterization of the anatomy of relevant structures the perineum and the pelvic floor. The next chapter deals with delivery injuries in the perineum and the pelvic floor and it gives a four - level classification of perineal injuries. At the end of this chapter, the risk factors and injury consequences are summarized. In the third chapter, we specify different types of prevention of birth injuries, including primary, secondary as well as tertiary prevention. A siginificant space is devoted to individual ways of preventing delivery injuries. They are represented by the methods that a woman can practice before and during the childbirth. Finally, the role of midwives in the prevention of delivery injuries is mentioned. The research part of the thesis focuses on the awareness of women about delivery injuries and their prevention. It set up three basic goals: 1. to reveal what information women have about delivery injuries, 2. to determine what prevention methods women use, and 3. to uncover women's expectations regarding the information about delivery injuries and their prevention provided by their midwives. These aims corresponded to three main research questions: 1. What information about birth injuries did the woman have before delivery; 2. What method to prevent a birth injury did the woman use; 3. What does the woman expect from her midwife regarding birth injuries and their prevention. The qualitative research was carried on nine women who were selected on purpose. Data collection employed a semi-structured interview. The research showed that women are often not prepared for the possibility of an injury during the childbirth and for its consequences. However, the women would happily be advised before giving a birth, such that they could prepare for the possible inconvenience. Furthermore, the women lacked information how to care for a vaginal tear. It seems desirable to provide women with consistent education about caring for delivery injuries, which could be enhanced, for example, by an informative pamphlet, containing all the necessary information. The positive aspect of this form of information source would be the fact that a woman could always have it with her, and she could get back to it whenever needed. The research also showed that women had a certain amount of information on the prevention of delivery injuries, but this information was incomplete, of low quality and not detailed enough. As a result, the women did not use all available methods of delivery injury prevention. The most commonly used methods were massaging the perineum before the delivery and inserting a silicone dilator in the vagina during the last weeks of pregnancy. Conversely, the women rarely initiated the use of preventive methods during the birth itself, such as perineum warming, perineum massaging during the childbirth, applying obstetric gel or utilizing the gravity during the birth. Moreover, it turned up that most women did not use the various methods in a completely correct way, probably due to their insufficient awareness of this issue. The women perceive preventing a delivery injury as an important part of preparations for childbirth, so they should be given quality information on how to apply various available methods, what are their effects and possible complications. A suitable way of providing such information might be again an informative pamphlet that would be handed to women by their doctors or midwives. A prototype of such a pamphlet, informing about the methods of preventing a delivery injury and possible treatment of a delivery injury is attached to the thesis.
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