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Cardiotocography in midwifery practice
Bartusková, Simona ; Pařízek, Antonín (advisor) ; Přáda, Jan (referee)
The subject matter of this bachelor thesis has been to create a research identifying the knowledge of the CTG interpretation according to FIGO 2015, both in the theoretical field as well as in the framework of practical skills. Cardiotocography is an integral part of midwife daily routine and a useful method to identify and interpret the lack of oxygenation of the fetus. Therefore, it is a great benefit in terms of reducing the prenatal morbidity and mortality. The work aims at the employment of this method in a deeper and more complex way. The theoretical part focuses on the relevant knowledge up to now, the analysis of CTG, on the recommended processes in the evaluation of the antepartal and intrapartal fetal heart rate monitoring (as it puts emphasis mainly on the changes introduced by the new FIGO 2015 recommendations), on the pathophysiology of fetal hypoxia and last but not least on the nursing care of the midwives in pursuance of FHR monitoring. Using the anonymous questionnaires we tested the theoretical knowledge and practical techniques in the interpretation of CTG by the new guidelines at the Clinic of Gynecology and Obstetrics. Three groups of respondents were addressed, female students of 3rd year bachelor studies (Midwife branch of study), midwives working in delivery rooms and young...
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Cardiotocography in midwifery practice
Bartusková, Simona ; Pařízek, Antonín (advisor) ; Přáda, Jan (referee)
The subject matter of this bachelor thesis has been to create a research identifying the knowledge of the CTG interpretation according to FIGO 2015, both in the theoretical field as well as in the framework of practical skills. Cardiotocography is an integral part of midwife daily routine and a useful method to identify and interpret the lack of oxygenation of the fetus. Therefore, it is a great benefit in terms of reducing the prenatal morbidity and mortality. The work aims at the employment of this method in a deeper and more complex way. The theoretical part focuses on the relevant knowledge up to now, the analysis of CTG, on the recommended processes in the evaluation of the antepartal and intrapartal fetal heart rate monitoring (as it puts emphasis mainly on the changes introduced by the new FIGO 2015 recommendations), on the pathophysiology of fetal hypoxia and last but not least on the nursing care of the midwives in pursuance of FHR monitoring. Using the anonymous questionnaires we tested the theoretical knowledge and practical techniques in the interpretation of CTG by the new guidelines at the Clinic of Gynecology and Obstetrics. Three groups of respondents were addressed, female students of 3rd year bachelor studies (Midwife branch of study), midwives working in delivery rooms and young...
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Nursing process in a woman diagnosed with intrauterine growth restriction of the fetus.
Vavrousová, Lucie ; Endlicherová, Jana (advisor) ; Koucký, Michal (referee)
Intrauterine growth retardation represents the great risk for proper development of the fetus. An early diagnosis which is determined by several ultrasound bioemtrics of the fetus in relation to gestational age is very important. It i salso important to distinguish the terms IUGR and SGA. The term SGA denotes the fetus whose weight is bellow the reference limit in relation to gestational age. This limit is usually less than 10th percentile. The term IUGR indicates the pathological proces that affects the growth and development of the fetus. A number of factors are know to lead to intrauterine growth retardation by the mother and the fetus. In theoretical part I will focus on definition, classification, etiology, prevalence, right diagnosis and therapy. Shortly I will mention the management of the IUGR fetus chilbirth. In practical part I will present a case history of a woman with the severe intrauterine growth retardation of the fetus who was admitted to a high-risk pregnancy ward. The pregnancy was terminated by a ceaserean section for pathological flow. Part of the practical part i salso the elaboration of a nursering plan based on the nursering plan according to Gordon. Keywords: nursing proces, midwife, intrauterine growth restriction of the fetus, fetal hypoxia, placental insufficiency
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