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Childbirth in pre-hospital care
ZELINKOVÁ, Sára
This bachelor thesis deals with the topic of childbirth in pre-hospital care. The bachelor thesis is divided into a theoretical and a practical part. The theoretical part is dedicated to four main topics - individual periods of childbirth, evaluation of a newborn with APGAR score, selected complications during childbirth and its guidance. Under the umbrella term of childbirth in pre-hospital care belong making decisions about transport during imminent childbirth, guidance of the said condition in pre-hospital care and resuscitation of a newborn and a pregnant woman. Two goals were given for this bachelor thesis. The first goal was to find out how paramedics perceive the guidance of childbirth outside hospital facilities. The second goal was to research how paramedics are prepared for the guidance of the condition mentioned above. The empirical part of the bachelor thesis has been done by a qualitative research survey in the form of a semi-structured interview. The research file consisted of 12 paramedics from the South Bohemian Region and the Pilsen Region, who had already been present during a childbirth outside a hospital facility. The research was going on from January to March 2022 and the participation was completely voluntary. The acquired data was then analysed, coded and divided into categories and subcategories. In the research part two research questions were stated. The first question was supposed to find out how paramedics perceive the guidance of a childbirth in prehospital care. The research results showed that every questioned paramedic, except interviewed paramedics I5 and I6, is nervous when going to a prehospital childbirth. The nervosity is caused by the knowledge of possible complications. The second question was about the preparation of paramedics for childbirth guidance. The results of the research showed that there are big differences in the way, frequency and content of the medical training. Many paramedics would like to have a shorter interval between trainings and some would appreciate an opportunity to practice in the delivery rooms. From the research results it is clear that many paramedics do not agree with home deliveries because of many possible complications and risks. This bachelor thesis highlights the options of improvement of the education of paramedics and its realisation. The interviewed paramedics emphasised more frequent trainings of childbirth and participating in practices in delivery rooms. The results of this bachelor thesis could be presented in conferences and could be used to present the opinions of paramedics to their trainers and chief medical officers.
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The needs of expectant mothers in the first stage of childbearing time with focus on the psychical and social needs.
Koblitzová, Svatava ; Kulhavá, Miluše (advisor) ; Dynáková, Šárka (referee)
The work focuses on the issues and needs of mothers giving birth in the first stage of labor. Specifically on the needs of mothers from the beginning of the first stage of labor until the birth itself. In the theoretical part, the author focuses on the history of obstetrics, access to pregnant women in the past and in the present obstetrics. Furthermore, in the context of theoretical described childbirth and individual stage of labor, including a focus on mental and physical and social aspects of childbirth. For practical implementation, the study is the use of quantitative methods and techniques of data collection is questionnaire. The main objective of this thesis is to investigate how mothers themselves the approach of the nursing staff in relation to their needs.. Within the sub-objectives of this thesis were: Determine whether a woman in labor was at all times a feeling of privacy and intimacy. Determine whether the approach of the nursing staff to bring forth empathetic. Determine whether the mother worked on environmental obstetrics department reassuring. The results show that the addressed respondent deemed most appropriate by the presence of a loved one during the antenatal and childbirth. Another important need that presented in the research investigation was needed pain relief,...
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