|
|
Social protection of families experiencing the death of their child before and after birth
Zajíčková, Adéla ; Koldinská, Kristina (advisor) ; Lang, Roman (referee)
92 Abstract: Social protection of families experiencing the death of their child before and after birth The thesis analyses the issue of social protection of families who are facing the loss of their infant. This includes stillborn children, children who died immediately or shortly after birth, fetuses after miscarriage and after artificial termination of pregnancy. The thesis is divided into three main parts. The first chapter places the whole issue in the context of the present time. It discusses the terminology closely related to the topic, including its development over time. At the same time, this part also mentions the directions taken by foreign legislation and, last but not least, the scope of the cases analysed is defined. The second part, the core of the text, contains a detailed analysis of the applicable institutes that can be applied in the framework of social security law in the defined cases. Taking inspiration from the social system of the Czech Republic itself, this chapter is also divided according to the first and second pillar: into social insurance benefits and state social support benefits. Given the interconnectedness of the institutes, labour protection and its scope are also mentioned. In order to get a comprehensive overview of the possible support, the chapter also includes care...
|
|
|
Major obstetric complications in women with inherited thrombophilia in comparison to the control group of women
Pechrová, Viktorie ; Koucký, Michal (advisor) ; Čábela, Radek (referee)
Leiden mutation and mutation of the gen for prothrombin are classified as hereditary thrombophilia affecting external cascade's hemocoagulation factors. The higher incidence is in the Europoid. We marked those disorders not only as risk factors for thromboembolism but as risk factors for obstetrics complications as well. This bachelor thesis completes theoretical knowledge of Leiden mutation and mutation of the gen for prothrombin. Afterward, the thesis is focused on obstetrics complications that are associated with those thrombophilias. The analytical part of the thesis is devoted to the association of the mentioned mutations and the higher risk of recurrent pregnancy loss. Meaning that women who carry the such mutation are more likely to have the anamnesis of 2 or more miscarriages compared to women without thrombophilia. First, the hypothesis was set that the women with thrombophilia are going to have more frequent recurrent pregnancy loss compared to the control group without thrombophilia. To verify the hypothesis a retrospective check of the databases was made. The databases were from The Institute of Medical Biochemistry and Laboratory Diagnostics of the General University Hospital and of the First Faculty of Medicine of Charles University, where the group with thrombophilia was taken. The...
|
|
|
Prenatal and perinatal loss entangled in Czech institutions
Hintnausová, Marie ; Zandlová, Markéta (advisor) ; Klepal, Jaroslav (referee)
PRENATAL AND PERINATAL LOSS ENTANGLED IN CZECH INSTITUTIONS Marie Hintnausová ABSTRACT An ethnographic research among women who experienced a loss of child during pregnancy or postpartum aims to expose contexts and backgrounds in which prenatal and perinatal loss emerges in the Czech Republic. This life event is delineated not only by unique biographies of affected mothers, but also by the societal understanding of prenatal life and institutional definitions of human reproduction. This thesis highlights various notions and meanings entangled in the event of prenatal and perinatal death and shows which trajectories women follow in the terrain of societal expectations and governmental and biomedical institutions when they lose a promised assurance of raising a new child.
|
|
|
Nursing care about woman with diagnosis fetus mortuus in delivery room.
Rus, Alice ; Endlicherová, Jana (advisor) ; Kulhavá, Miluše (referee)
This bachelor thesis deals with the issue of dead fetus. The thesis has a theoretical and practical part. In the theoretical part, the terminology distinguishing birth and abortion, delivery of a dead fetus including the appropriate use of epidural analgesia are analyzed in individual chapters. I also deal with psychological issues that occur during childbirth. The last chapter of the theoretical part is devoted to social and legal support. The practical part is devoted to cases from the birth hall, where I analyze a particular case from the delivery room. The main emphasis is placed on the importance of the nursing process in the care of a woman with a suitable determination of nursing diagnoses and their complete realization. The output of my bachelor thesis is a recommendation for a practice devoted. The work as a whole is intended for midwives and midwifery students. The bachelor thesis is supplemented by annexes for clarity. keywords: Nursing proces, stillbirth, delivery room, perinatal death
|
|
|
Perinatal loss from the perspective of midwives
SÝKOROVÁ, Eva
This bachelor's thesis deals with a perinatal loss from the view of a midwife. The perinatal loss is defined as an antenatal death of fetus between 22nd week of pregnancy until child delivery. This thesis is focused on the care of a midwife for a woman with a dead fetus from the time of the diagnosis to the delivery, during the puerperium and then in outpatient care. The goal of the thesis was to find out the care for woman with perinatal loss by midwives and the possibility for mothers to say goodbye after the birth of a dead fetus in selected Czech maternity hospitals. The research was conducted based on a qualitative analysis with using of semi-structured interviews. The research sample was represented by nine of midwives from six selected Czech maternity hospitals. The interviews were recorded, analyzed via the pencil-paper-method with permission of the respondents. The results were divided into two categories and related subcategories. The first research question dealt with how midwives care for a woman with perinatal loss. The research shows that midwife care is not neglected in selected maternity hospitals. The midwives, within their possibilities and knowledge, are trying to make support for women in this mentally difficult situation and to minimize trauma from loss of her child. The second research question dealt with how women can say goodbye after stillbirth in selected Czech maternity hospitals. In all facilities, parents and other family members are allowed to say goodbye to their child, cradle, care, make a photo or video. Making of memories materials is not standard in all maternity hospitals. In order to standardize the care for a woman with perinatal loss and become quality and accessible care for all concerned, there is a need to develop a unified concept of procedures and ensure the training of a sufficient number of midwives in this area. An information brochure for midwives is the output of the theoretical part of this thesis. This brochure contains elementary points of care, which midwife should not leave out during the care for woman with dead fetus. Based on the results of the research, it would be appropriate to implement a seminar for midwives. The goal of the seminar would not be only providing of expert knowledge, but also to inspire of midwives for self-reflection, to open a discussion about personal experiences and feels of midwives during the care of parents with prenatal loss. Key words
|
|
|
Psychosocial assistance to parents in perinatal loss
KÜMMELOVÁ, Magda
This work deals with possibilities of psychosocial assistance to parents in perinatal loss. The introduction is a short treatise on the subject of death, followed by the topic of stillborn children regarded from the viewpoint of of human dignity, and an insight into the theory of social work and the role of the (psycho) social worker. The problem of burnout syndrome in the helping professions is also mentioned. Statistics in terms of perinatal deaths from the period between 2013 to 2015 are briefly presented as well as definitions or explanations of certain terms used in the work. The subsequent chapters describe the situation of mothers before and after finding out about the child's death. It is followed by a detailed introduction of criteria for the research conducted both by the qualitative and quantitative form and is supplemented by casuistry. Everything is summarised and put into context in the ensuing discussion, and more generally summarised in the conclusion of the whole work which demonstrated the need for expert-recommended possibilities of psychosocial assistance to parents in perinatal loss (naming the child, physical contact of parents with the child, getting of objects commemorating the child, funeral - farewell to the child, information about the burial site of the child). The work also pointed out the appropriateness of including a psychosocial worker in the multidisciplinary team in healthcare facilities. The contribution of this work is the possibility of its practical use as an aid in healthcare facilities where perinatal deaths occur.
|
|
|
Psychosocial intervention for women with perinatal loss
Borůvková, Klára ; Horáková Hoskovcová, Simona (advisor) ; Šivicová, Gabriela (referee)
This dissertation is focused on mapping the needs and development of experiencing the prenatal loss integration process in mothers, whose child died during the second or the third pregnancy trimester or suffered stillbirth. The goal of this dissertation is to suggest optimal intervention, which would prevent the progress of complications in terms of psychological disorders (PTSD, PAS). The theoretical part describes prenatal loss from the aspect of incidence and etiology and the loss of a close relative in general. It also focuses on the specifics of prenatal loss, the topic of crisis and its experience, phases of crisis, definition of the term "psychosocial intervention" and demarcation of its existing forms. This part also offers several perspectives and attitudes to the topic of grief as a process of hard life experience integration. It also describes several phases and problems connected with their fulfillment. The empirical part focuses on surveying the experiences and needs of women, who have suffered with prenatal loss. It also follows the approaches and circumstances, means of support, which helped women to cope with such an experience. It also tries to identify such aspects, which hindered this acceptation or made it more complicated. Research inquiry involves 13 depth interviews, which...
|
guest ::
