A capacidade reprodutiva de mulheres em tratamento dialítico é reduzida devido alterações hormonais, distúrbios de ovulação e menstruais. A gestação neste grupo é considerada rara e de risco. Nas últimas décadas, mudanças no tratamento para insuficiência renal crônica (IRC) resultaram em um aumento da fertilidade. Estudos relatam as possibilidades de sucesso nas gestações neste grupo. Este estudo, de natureza descritiva propôs investigar as informações que as mulheres urêmicas possuem acerca da gestação em mulheres que fazem tratamento hemodialítico, e identificar se a maternidade é desejada por estas mulheres. Utilizou-se como instrumento de coleta de dados: roteiro de entrevista semidirigida; Escala Diagnóstica Adaptativa Operacionalizada EDAO; as pranchas 1, 2, 3MF, 7MF e 16 do Teste de Apercepção Temática TAT. Participaram do estudo 23 mulheres em tratamento hemodialítico, na faixa etária entre 24 e 43 anos. Dezoito entrevistadas têm um ou mais filhos; apenas cinco entrevistadas não têm filhos. Sessenta e cinco por cento das mulheres manifestam desejo em ser mãe novamente. Vimos que há possibilidade de gravidez neste grupo onde 60% das mulheres têm vida sexual ativa, 60% menstruam mensalmente e apenas 52% fazem uso de método contraceptivo. A EDAO revelou que todas as entrevistadas encontram-se com adaptação ineficaz, sendo 18% com adaptação ineficaz leve, 39% com adaptação ineficaz moderada e 43% com adaptação ineficaz severa. As pranchas do TAT revelaram as dificuldades vivenciadas pela dependência à máquina de hemodiálise e quanto o suporte familiar é fundamental para lidar com as limitações pertinentes a condição de doente renal crônico. Os dados da pesquisa indicam que é importante a atenção da equipe de saúde à sexualidade das mulheres em diálise. Também é importante que o diálogo a respeito do planejamento familiar faça parte das intervenções da equipe / The reproductive capacity of women on hemodialysis is reduced because of hormonal changes, ovulation disturbs and menstrual disturbs. Pregnancy to this group is considered rare and risky. In the last two decades, some changes in the treatment to chronic renal disease have resulted in better life quality to patients, including the increase of fertility. Reports have been put on public relating the possibilities of success. This descriptive study has proposed to investigate how much uremic women are informed about pregnancy in their case, and identify if they wish to be pregnant. It was used as data collect: semi directed interview, Operational Adaptative Diagnostic Scale, and the boards 1, 2, 3MF, 7MF and 16 of Thematic Apperception Test TAT. The study included 23 woman with 24 43 age. Eighteen women have at least one child or more, just five of them do not have any children. The results has demonstrated they are not informed about pregnancy and hemodialysis treatment. Most of the women want to be pregnant, including those who have already been. We observed they are able to be pregnant because 60% of them have active sexual life, 60% menstruate monthly and just 52% avoid pregnancy with contraceptive method. Operational Adaptative Diagnostic Scale revealed that every interviewed woman is not adapted to the treatment (all of them considered their adaptation inefficient), 18% light inefficient adaptation, 39% moderated inefficient adaptation, and 43% severe inefficient adaptation. TAT boards revealed difficulties lived by the dependency to the hemodialysis machine, also revealed how much familiar support is important and fundamental to face the pertinent limits to chronic renal disease. The research data indicate it is important to the doctors to be attempted to womens sexuality. And it is also important that dialogue about familiar plan has to happen among the medical group intervention

Li Siu-yan Susan. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves 156-168). / Abstracts in English and Chinese. / Abstract (English version) --- p.i / Abstract (Chinese version) --- p.iii / Acknowledgements --- p.v / Table of Contents --- p.vi / List of figures --- p.ix / Chapter I. --- INTRODUCTION --- p.1 / Background of the study --- p.1 / Chapter II. --- LITERATURE REVIEW --- p.5 / Maternal role attainment --- p.6 / Transitional theory --- p.16 / Feminist approaches to transition to motherhood --- p.23 / Local research on transition to motherhood --- p.26 / The rationale of the study --- p.30 / Chapter III. --- METHODS --- p.34 / Design --- p.34 / Setting --- p.39 / Sample --- p.39 / Ethical issues --- p.41 / Data collection --- p.42 / Data analysis --- p.46 / Trustworthiness of the study --- p.53 / Summary --- p.57 / Chapter IV. --- FINDINGS AND DISCUSSION --- p.59 / Conceptual categories --- p.61 / Keeping harmony --- p.62 / Giving of self --- p.63 / Discontinuity of self --- p.64 / Caring for (m)other --- p.75 / Replenishing --- p.91 / Daydreaming --- p.92 / Fortifying support --- p.98 / Developing self --- p.117 / Rewards of mothering --- p.118 / Achieving maternal competency --- p.121 / Renegotiating relationships --- p.127 / With mother-in-law --- p.130 / With husband --- p.135 / With work --- p.137 / The storyline --- p.139 / Chapter V. --- CONCLUSIONS AND RECOMMENDATIONS --- p.141 / Summary of the study --- p.141 / Implications for midwifery practice --- p.146 / Limitations and recommendations for further study --- p.152 / Personal reflections on study --- p.153 / References --- p.156 / Appendix / Chapter A. --- Letters of approval - The Chinese University of Hong Kong --- p.169 / Chapter B. --- Letters of approval - general hospital --- p.170 / Chapter C. --- Subject information sheet for the participants (English and Chinese version) --- p.171 / Chapter D. --- Consent form from the participant (English and Chinese version) --- p.173 / Chapter E. --- Transcripts in Chinese language --- p.175 / Chapter F. --- Translation of transcripts in English --- p.195 / Chapter G. --- Demographic summary of interview participants --- p.214

A capacidade reprodutiva de mulheres em tratamento dialítico é reduzida devido alterações hormonais, distúrbios de ovulação e menstruais. A gestação neste grupo é considerada rara e de risco. Nas últimas décadas, mudanças no tratamento para insuficiência renal crônica (IRC) resultaram em um aumento da fertilidade. Estudos relatam as possibilidades de sucesso nas gestações neste grupo. Este estudo, de natureza descritiva propôs investigar as informações que as mulheres urêmicas possuem acerca da gestação em mulheres que fazem tratamento hemodialítico, e identificar se a maternidade é desejada por estas mulheres. Utilizou-se como instrumento de coleta de dados: roteiro de entrevista semidirigida; Escala Diagnóstica Adaptativa Operacionalizada EDAO; as pranchas 1, 2, 3MF, 7MF e 16 do Teste de Apercepção Temática TAT. Participaram do estudo 23 mulheres em tratamento hemodialítico, na faixa etária entre 24 e 43 anos. Dezoito entrevistadas têm um ou mais filhos; apenas cinco entrevistadas não têm filhos. Sessenta e cinco por cento das mulheres manifestam desejo em ser mãe novamente. Vimos que há possibilidade de gravidez neste grupo onde 60% das mulheres têm vida sexual ativa, 60% menstruam mensalmente e apenas 52% fazem uso de método contraceptivo. A EDAO revelou que todas as entrevistadas encontram-se com adaptação ineficaz, sendo 18% com adaptação ineficaz leve, 39% com adaptação ineficaz moderada e 43% com adaptação ineficaz severa. As pranchas do TAT revelaram as dificuldades vivenciadas pela dependência à máquina de hemodiálise e quanto o suporte familiar é fundamental para lidar com as limitações pertinentes a condição de doente renal crônico. Os dados da pesquisa indicam que é importante a atenção da equipe de saúde à sexualidade das mulheres em diálise. Também é importante que o diálogo a respeito do planejamento familiar faça parte das intervenções da equipe / The reproductive capacity of women on hemodialysis is reduced because of hormonal changes, ovulation disturbs and menstrual disturbs. Pregnancy to this group is considered rare and risky. In the last two decades, some changes in the treatment to chronic renal disease have resulted in better life quality to patients, including the increase of fertility. Reports have been put on public relating the possibilities of success. This descriptive study has proposed to investigate how much uremic women are informed about pregnancy in their case, and identify if they wish to be pregnant. It was used as data collect: semi directed interview, Operational Adaptative Diagnostic Scale, and the boards 1, 2, 3MF, 7MF and 16 of Thematic Apperception Test TAT. The study included 23 woman with 24 43 age. Eighteen women have at least one child or more, just five of them do not have any children. The results has demonstrated they are not informed about pregnancy and hemodialysis treatment. Most of the women want to be pregnant, including those who have already been. We observed they are able to be pregnant because 60% of them have active sexual life, 60% menstruate monthly and just 52% avoid pregnancy with contraceptive method. Operational Adaptative Diagnostic Scale revealed that every interviewed woman is not adapted to the treatment (all of them considered their adaptation inefficient), 18% light inefficient adaptation, 39% moderated inefficient adaptation, and 43% severe inefficient adaptation. TAT boards revealed difficulties lived by the dependency to the hemodialysis machine, also revealed how much familiar support is important and fundamental to face the pertinent limits to chronic renal disease. The research data indicate it is important to the doctors to be attempted to womens sexuality. And it is also important that dialogue about familiar plan has to happen among the medical group intervention

Current status: Mental well-being in pregnancy is one of the most beautiful moments in a woman's life. It's such a miracle experience. There is a period of complete change with pregnancy. Both women and their partners are changing their living standards, changing their lifestyle, and changing their life position. A pregnant woman feels that nothing will be like before. A pregnant woman is very sensitive and also vulnerable. Purpose:The aim of the diploma thesis is to evaluate the psychosomatic situation of the pregnant woman and her influence on the prenatal and postnatal development of the child. Another goal is to determine the degree of mental (non) well-being during pregnancy and after delivery. Methods: Qualitative secondary analysis of data and documents and subsequent synthesis of the information obtained was used to achieve the objectives set. I used the data from the National Medical Library in Prague, the library of 2. LF UK and FN Motol in Prague, the library of National center of nursing and non-medical health providers in Brno and the Academic Library of the University of South Bohemia in České Budějovice. Also searched were the international internet database ScienceDirect, Ebscohost, PubMed. In the Scopus database, keyword search was unsuccessful. Results:The benefit of the diploma thesis is the degree of psychological well-being of pregnant women using the Freybergh scale on the basis of acquired data. Research method and research file: The diploma thesis uses a standardized evaluation method, using the Freybergh scale consisting of seventy closed questions. I will get the approval of the respondents and also Mr Freyberg, using a standardized scale. The annex is the approval of Professor Freyberghov, using the assessment scale in my diploma thesis. Respondents were ad-dressed from February 2017 until February 2018. A total of 30 pregnant women were approached by a written form, personal handover or social networking, of which fifteen were willing to engage in research. The research group was to consist of fifteen pregnant women, which is fulfilled. I responded to each respondent in third, sixth, ninth month pregnancies, and postpartum. When the respondents filled the same rating ranges from seventy questions both in the given months of pregnancy and postpartum, the respondents' task was to express the frequency of occurrence of feelings on a four-point scale from "never, at all", "rarely, exceptionally", "occasionally", "often" to "always, always, always". The nine respondents were first pregnant and six respondents had at least one pregnancy experience. The evaluation was performed using a qualitative method in the form of axial and selective coding of anchored claims using the Atlas.ti computer program. Conclusion: The paper deals with the degree extent of pregnancy psychosomatics of pregnant women using the Freybergh self-rating scale. The thesis is divided into two parts, namely the theoretical part and the practical part. The theoretical work focuses on the development of the fetus throughout pregnancy. It also focuses on prenatal psychology, prenatal history, and the most important part is prenatal communication. In the practical part is selected quantitative research focused on the psychological well-being of pregnant women using the Freybergh scale in selected months of pregnancy.