This theses deals with leading change in the specific organization, gynecologycal obstetrician department. The main aim of this theses is to evaluate leading of this change from the manager point of view and also to evaluate its sustainibility in the organization. I was focused on the research of the proces and execution of this specific change. It was the change from the clasiccal model of obsetrics to the respectfull model of obstetrics with using alternative methods and support of the natural birth. I used the qualitative research methods, patricipating observation. I created the summary of the proces of the change and underlined the found problematic parts from the field notes, interview and analysis of social networks. I managed to answer all asked questions and evaluate the process of change and its sustainability. At the end I offered a practical guide of the specific change as a tool for other organizactions. Key words: Obestetrics, maternity center, perinatal care, concepts of leading birth, opinion differences, healthcare management, management of change, image change.

Pregnancy is a period full of changes. The perception of life values by the woman and her partner are varied, changes in the life style are encountered and their roles in the life are also altered. The pregnant woman feels that nothing will be like before. She is very sensitive and also easily vulnerable. Contrastingly to the routine prenatal care, prenatal psychology searches for answering questions what the feelings in the pregnancy are in terms of the psychosocial situation, and what the impacts of this course on the newborn condition after the delivery are. The scope of the work is aimed at the importance and forms of the prenatal attachment, course and its impact on the newborn. The targets of the Diploma Work entitled "Effects of the psychosomatic situation of pregnant women on the child prenatal development" are as follows: 1) to assess the pregnant woman psychosomatic situation, 2) to evaluate the influence of psychosomatic situation on prenatal development of child 3) to determine the measure of the pregnant woman (dis)comfort throughout three trimesters and 4) to evaluate the newborn condition after the delivery. Thirty pregnant women were addressed. Fifteen women reflected on the proposal and agreed with completing an anonymous standardized scale. The respondents were contacted within a period of February 2017 to February 2018. The research sample group included the women and their newborns. The choice was intentional. The women completed the Freybergh scale, which is focused on monitoring the psychosocial situation of pregnant women. It comprised 70 questions divided into seven categories. They were answered through the mediation of a compiled web reference at http://mail.scac.cz/mrIWeb/mrIWeb.dll?I.Project=V31_TEHOTENSTVI_PORIZOVANI. The statistically processed results indicated the measure of the deprivationof pregnant women in particular trimesters and condition of the newborn after the delivery based on the pregnancy experienced. The Atlas programme was employed for the qualitative research to develop an anchored statement. From the sample group of 15 women and their 405 answers, 2% of answers were recorded corresponding to an intermediate degree of deprivation. Every respondent suffered frommild deprivation. The results of the present study will find their applications particularly to branches of prenatal psychology and gynaecology. They will serve as pilot results for a CEP project planned.

Obstetric interventions and pelvic floor disorders - Abstract One of the principal objectives of obstetric interventions in the second stage of labor is prevention of pelvic floor trauma and associated pelvic floor disorders. The most commonly used and also most frequently discussed interventions are manual perineal protection and episiotomy. The majority of pelvic floor disorders are of subjective nature. Therefore, tools for objectification and severity quantification of these disorders are the key to reliable comparison and identification of the most effective interventions. The aim of the dissertation was to find the most effective modification of manual perineal protection, to compare two frequently used types of episiotomy regarding all pelvic floor disorders and finally to find a consensus on the most suitable instrument for anal incontinence severity assessment. Our studies concerning manual perineal protection experimentally described the direction and extent of perineal deformation during vaginal delivery. The subsequent studies on biomechanical model demonstrated that the most effective method of manual perineal protection in peak perineal strain reduction is when the fingers are placed on the perineum 6 cm laterally and 2 cm ventrally from the posterior commissure at both sides and are...

Title: Methods of secondary prevention of the pelvic floor after childbirth Objectives: This is a theoretical work with a descriptive-analytical part. It includes an analysis of the literature from available sources, an analysis of active approaches in the secondary prevention of the pelvic floor and the creation exercise unit for further research. Methods: Literature analysis including processing of information from available sources. Results: Handbook of pelvic floor training with methodical descriptions. Keywords: Pelvic girdle, pregnancy, gynecological weaknesses after childbirth, incontinence, pelvic organ prolapse, sexual dysfunction, pelvic floor examination, Arnold Kegel method, Ludmila Mojžíšová method, Alexander method, Feldenkrais method, Cantienica, exercise unit

Obstetric interventions and pelvic floor disorders - Abstract One of the principal objectives of obstetric interventions in the second stage of labor is prevention of pelvic floor trauma and associated pelvic floor disorders. The most commonly used and also most frequently discussed interventions are manual perineal protection and episiotomy. The majority of pelvic floor disorders are of subjective nature. Therefore, tools for objectification and severity quantification of these disorders are the key to reliable comparison and identification of the most effective interventions. The aim of the dissertation was to find the most effective modification of manual perineal protection, to compare two frequently used types of episiotomy regarding all pelvic floor disorders and finally to find a consensus on the most suitable instrument for anal incontinence severity assessment. Our studies concerning manual perineal protection experimentally described the direction and extent of perineal deformation during vaginal delivery. The subsequent studies on biomechanical model demonstrated that the most effective method of manual perineal protection in peak perineal strain reduction is when the fingers are placed on the perineum 6 cm laterally and 2 cm ventrally from the posterior commissure at both sides and are...