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Women´s in childbed attitude towards cardiotocographical fetal monitoring during childbirth
PAPÍRNÍKOVÁ, Petra
Cardiotocography is a noninvasive method providing information on the condition of the fetus during pregnancy and childbirth. Fetal monitoring has become standard in obstetric care for pregnant women and mothers. The procedures recommended by the Czech Gynecological-Obstetrical Society determine indications of the use of cardiotocography and state rules of how to interpret the results of the method. During physiological childbirth the mother can be observed intermittently, i.e. at regular intervals according to the practice of the specific obstetric department. Pathological delivery, such as breech delivery, delivery of a hypotrofic fetus, fetus with a nonphysiological CTG record, should be monitored continuously. External fetal heart sounds scanning may bring mother some unpleasant restrictions in movement and positioning. When medical staff show preference in observing data obtained by monitoring, it may make the mother fear about the fetus´ condition or raise presumption that midwives do not adequately meet her own needs during the delivery. Nursing care of mothers during cardiotocographical scanning is very specific because a midwife provides care to two subjects - the mother and the child. According to scarce literature on this subject mothers{\crq} in bed attitudes toward cardiotocography vary from the positive view that monitoring protects the fetus and ensures its health to negative feelings of discomfort, limitations, pointless medialization of the natural process, medical personnel distraction and rejection of medical examination. Czech studies, however, have never been conducted and modern literature on this topic does not exist. The research was conducted by the prospective quantitative research using questionnaires. The questionnaires were anonymous and contained 26 questions, 23 of which were closed, 1 was semi-closed and 2 were open. The total number of questionnaires distributed was 101, the target respondents were women in confinement in the Gynecological-Obstetrical clinic of. 1. LF UK a VFN in Praque. The research database was composed of women who were 2 or 3 days after delivery, women with elective Caesarean section were not included into the research. The aim of the research was to learn women{\crq}s in childbed attitude toward cardiotocographical fetal monitoring during childbirth. Three hypotheses were stated: Hypothesis 1 assumes that mothers consider cardiotocographical fetal monitoring to be a source of information on the child condition, and this hypothesis was confirmed. Hypothesis 2 assumes that cardiotocographical fetal monitoring during childbirth restricts the mother{\crq}s movement and relief positioning, and this was confirmed by the research. Hypothesis 3 raises the presumption that there is a lack of valid information provided to mothers on cardiotocography, interpretation of CTG records and their relevance. This hypothesis was confirmed by the research. The women{\crq}s in childbed attitude toward cardiotocographical fetal monitoring during childbirth was evaluated and thus objectives of the thesis were met. Holistic approach in nursing care is supposed to ensure that all patients have access to the best possible comfort, comprehensive care and enough information. The conclusions of the research conducted in the Gynecological-Obstetrical clinic imply the need to improve communication and the flow of information from medical staff to women in childbed and technical possibility of CTG recorders.
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Nursing care of women in childbirth completed VEX (vakuum extraction)
KŘÍŽOVÁ, Michala
My thesis is focused on nursing care for a woman during the childbirth ended with VEX (vacuum extractor). The first part of my thesis is the theoretical part where the method of vacuum extraction in obstetrics, its indications and conditions and the procedure technique is introduced, as well as nursing care of a midwife for a woman in the childbirth ended with VEX in the delivery room and the confinement department. The aim of the thesis was to determine if midwives have experience with care for a woman in the childbirth ended with VEX. Whether they know the conditions and indications for using VEX during childbirth on the part of a mother and fetus and in what maternity hospitals in the South Bohemian region the VEX method is used. To meet the objectives, hypotheses were stated. The first hypothesis: Midwives have experience and know how to take care of a woman during the childbirth ended with a VEX. The second hypothesis: Midwives know the conditions for ending the childbirth with a VEX. Third hypothesis: Midwives known indication on the part of a mother and fetus for childbirth ended with a VEX. Research Question 1 In what hospitals in the South Bohemian region is the VEX method for childbirth ending used? The quantitative research method was used to find the answers. The data were collected by the interview method, the questionnaire technique. The questionnaire was anonymous, it was composed of pre-formulated questions, which served as identification data. The questionnaire contained 23 questions. The research respondents for the quantitative research were midwives working in the delivery room and confinement department in selected hospitals of the South Bohemian region. The questionnaires were distributed to seven selected hospitals in the South Bohemian region (České Budějovice, Český Krumlov, Jindřichův Hradec, Strakonice, Písek, Tábor, Prachatice). The total number of distributed questionnaires was 100, 20 of them were not returned, namely from the hospital in České Budějovice. Therefore, the total number of responses was 80 (100%). The results are processed into graphs. The goals of the thesis were met. The research survey has shown that midwives are experienced and able to take care of a woman in the childbirth ended with a VEX, the first hypothesis was confirmed. The second hypothesis was also confirmed because midwives know conditions for the childbirth ended with a VEX. The hypothesis on indications on the part of a mother and a fetus was also confirmed. The second and supplementary technique was an inquiry intended to determine in what hospital in the South Bohemian region the method of childbirth ending with a VEX is used. The inquiry was addressed to head nurses of gynecological and obstetrical departments in hospitals in the South Bohemian region (České Budějovice, Český Krumlov. Jindřichův Hradec, Strakonice, Písek, Tábor, Prachatice). The total number of distributed inquiry questionnaires was 7, 1 of which was not returned, it was from the hospital in České Budějovice. The inquiry contained seven questions. It was found out that the vacuum extraction method is used in hospitals in Strakonice, Český Krumlov and Prachatice. In other maternity hospitals this method is considered to be used in the future. In the final part of the thesis a standard for midwives concerning the care for women in the childbirth ended with a VEX was created supposing that the standard will be used in nursing care.
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Mode of delivery in women with a history of caesarean section
PISKORZOVÁ, Martina
The thesis is focused on childbirth management in women with a history of Caesarean section. Two objectives were stated. The first one was to found out the childbirth management in women with previous Caesarean section. The second one was focused on the women{\crq}s demand for sterilization during Caesarean section. The objectives were accomplished. To meet the objectives, hypotheses were stated. It was presumed that in women with a history of Caesarean section another pregnancy would be terminated by another Caesarean section. This hypothesis was confirmed. The second hypothesis assumed the women{\crq}s demand for sterilization during Caesarean section. This hypothesis was not confirmed. The research was conducted by the quantitative method using retrospective analysis of data obtained in the perinatological centre in hospital in České Budějovice, a.s. in the period between January 1, 2004 and December 31, 2008.
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Course of antepartum preparation
KASTENMAJEROVÁ, Lucie
This bachelor{\crq}s work is divided into practical and theoretical section. The theoretical part describes history of antenatal preparation and its current conception. Next it deals with courses of antenatal preparation, mission of midwife in their leading and with preparation of persons who accompany the mother to the childbirth. The objectives was managed to fulfill. First hypothesis - pregnant women don{\crq}t have enough information about antenatal preparation courses - wasn{\crq}t confirmed. Second hypothesis {--} courses of antenatal preparation are financially accessible for pregnant women {--} was confirmed. Third hypothesis {--} courses of antenatal preparation are accessible for the women in their area of living {--} was confirmed.
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Nursing of the woman in confinement
KRAUSOVÁ, Monika
Nowadays, mothers can get information about the period of confinement by reading books and magazines and by browsing the internet. My goal was to find out whether women are informed about nursing care in confinement and whether they are satisfied with it. This thesis is divided into a theoretical part and a part of survey. The first part describes the history of confinement, the physiology and disorders that may occur at women in this period. It deals with the care about woman after her return home as well. In the second part of this bachelor thesis I confirmed this two hypothesis: 1. Women after the childbirth at the department of confinement are informed about the nursing care. 2. At the department of confinement, women after the childbirth are satisfied with the nursing care. The results can serve mainly nurses taking care of mothers at the department of confinement.
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