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Programmed labour as seen through the eyes of the women giving births in Jindřichův Hradec maternity hospital
MACHOVÁ, Jitka
The objective of today´s obstetrics is to turn childbirth into an exceptional family event. One of the methods currently employed in obstetrics is the choice of programmed labour, which introduces artificially induced uterine activity that is to terminate physiological term pregnancy at ideal time and under ideal conditions for everybody, the mother, fetus/newborn, woman in labour´s relatives, and nursing staff. Programmed labour is a highly controversial issue because it involves childbirth induction on the ground of non-medical indications. The programmed labour is supported as well as opposed by both, medical professionals and general public. The objective of this bachelor´s thesis was to find out how the programmed labour is perceived by women who have chosen to terminate their pregnancies on a programmed basis; what knowledge of programmed labour they have and what experience with it they have. The empirical part is based on a qualitative research. The data were gathered by semi-structured interview, which was held with selected women in labour at the Department of Gynecology and Obstetrics of the Hospital Jindřichův Hradec. Selection criterion was defined as women in programmed labour. Holding the interviews with individual respondents resulted in completion of case reports. These served as a research base for categorisation tables, which comprise of important outcomes of the research. The research was carried out in terms of defined objectives and research questions. All objectives defined in the thesis were met; questions were answered and information retrieved. Based on the research outcomes, six hypotheses were proposed. The main outcome of the research is that the respondents have knowledge of the term "programmed labour". Also, they are aware of some of the advantages relating to mental area and they are satisfied with choosing programmed labour. What these women are not aware of is the disadvantages of programmed labour. Following the research, a draft of informed consent was made up for women in labour so that they receive full information about programmed labour and can agree with pre-induction and induction of the childbirth. In order to secure provision of quality nursing care during a programmed labour, guidelines containing standard procedure of nursing care provided to women in programmed labour were created. Both materials are to be used in the delivery room of the Hospital Jindřichův Hradec.
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