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Mothers perception of pain during labour.
MICHÁLKOVÁ, Monika
The subject of the thesis is the labor pain and methods of pain control. The theoretical part focuses on a description of the process of childbirth and the role of midwifes at each stage of labor. This is followed by a general description of pain as well as the labor pain, methods of pain evaluation and overview of pharmacological and non-pharmacological methods used in obstetric analgesia. The research part of the work explores women's experience of pain during childbirth and methods that women prefer in relieving labor pain. For research survey was used qualitative method of data collection, using semi-structured interviews. Information obtained were divided into two main categories: "Women's experience with labor pain" and "Methods of relieving labor pain" Both categories were further subdivided into categories. Results of the research showed that women during pregnancy did not want to think about the oncoming birth pain because these ideas evoked feelings of fear and apprehension. Most women have no way to prepare for labor pain and the character and intensity of labor pain surprised almost all women. The vast majority of women accepted the offer of pharmacological labor pain reliever even though they didn't intend to originally. In addition, majority of them felt frustrated by the low effects of pharmacological methods and they attributed greater analgesic effect to non-pharmacological methods, including the presence of close person during childbirth and positive attitude of medical staff. Midwifes' help in relieving labor pain was evaluated very positively by all respondents. The results shows that the most important thing is coaching pregnant women by midwifes in preparation for labor pain and thus reduce feelings of anxiety and fear of pain during childbirth.
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Women´s opinion on bearing pain during labour by means of using pharmacological methods
JIRÁSKOVÁ, Renáta
The bachelor thesis deals with coping with pain during labour by means of pharmaceutical methods and women's opinions on these methods. The theoretical part describes labour, labour pains and non-pharmaceutical methods how to relieve labour pain and a midwife assistant's role in the care of women in travail. The research part of the bachelor thesis deals with women's antenatal knowledge about relieving pain during labour by means of pharmaceutical methods and their opinion on it. In the thesis, two main objectives were set. The first one was to find out how much women are informed about the ways how to relieve pain during labour. The second one was to find out women's opinion on using pharmaceutical methods to relieve pain during labour. In connection with these two objectives, two research questions were formulated: "How far are the women informed about using pharmaceutical methods to relieve pain during labour?" and "What is the women's opinion on using pharmaceutical methods during labour?" For the implementation of the research, the method of qualitative research investigation was used by means of intensive half-structured interviews. The content analysis was performed by means of paper and pencil method. The acquired data were categorized. Two main categories were created: Women's knowledge and Labour and pain. The research file consisted of eight women in a five months period after giving birth in hospitals in Prague. The interviews took place during May 2015 in their domestic environment. The research investigation showed that half of the respondents felt they had enough information about the methods of relieving pain and the second half felt insufficiently informed or having no information at all. Most women actively seek information on their own. They use internet the most and also get opinions from their family members and friends. Three respondents got information before their labour by hospital staff, they all got the information in a specialized course and only two of them got information in an antenatal clinic. The research showed that half of the women would appreciate to get more information about relieving pain by pharmaceutical methods already in an antenatal clinic by means of leaflets. The solution would be to educate women before the labour in antenatal clinics, during the specialized courses, where women get the information from the specialists. The questioned women showed moreless negative opinions on using pharmaceutical methods to relieve pain and most of them would rather not use them. Half of the women would use them only in case of absolutely unbearable pain. Three respondents would not use them at all. Two of them because they have good experience giving birth without using any pharmaceutical methods and one of them because she had very negative experience with intravenous systemic analgesia from her last labour. Only one respondent had a very positive opinion on using the pharmaceutical methods for relieving the pain during labour and she would go for it again. Nowadays, modern medicine offers many ways how to relieve pain during labour and it is very important to inform women and offer them this option, but the final decision is on them. The research gave answers to both questions. The research showed that half of the women were insufficiently informed, so it means they should get more information about these methods in advance. The research also showed that women would rather not use pharmaceutical methods that help relieving pain because of their previous experience or because they feel pain is a natural part of labour. This bachelor thesis can be used as a brochure to get information for midwives and students of this field. It can also be used as an educational material for pregnant women and women planning pregnancy.
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The Pain and Delivery
VICÁNOVÁ, Romana
The topic of my bachelor thesis is pain and confinement. The reason why I selected the topic is that it holds my interest. The theoretical part contains general information explaining what pain is and stating what kinds of pain there are. I aimed to describe in detail in particular parturition that is closely associated with confinement. It is a natural state accompanying almost every confinement. I focused on the mechanism of pain origin and the methods of parturition alleviating. Nowadays parturition can be prevented by various methods. The methods are divided into pharmacological and non-pharmacological. In my bachelor thesis I set three objectives and hypotheses associated with them.The research set were women in the puerperal ward of Nemocnice a. s. České Budějovice. The method of quantitative research was used and the data were collected by means of an anonymous questionnaire.100 questionnaires were distributed, of which 90 were returned.The research part has revealed that hypotheses 1 and 2 have been confirmed and hypothesis 3 potvrena not. The bachelor thesis could be used as an information material for the women in childbed who are not aware of the opportunity to utilize pain relieving methods.Furthermore, as information material for students of medical science.
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