Contemporary situation: The priority of nursing care for a newborn in the delivery room is to ensure its safety, and clinical observation and instrumental monitoring can be used for this purpose. Early education in the prenatal period allows the mother and accompanying person to be involved in the safe care of the newborn. Goal: The main goal of this research was to map the nursing care of newborns in the delivery room immediately after birth, emphasising safety and preventing sudden unexpected postnatal collapse (SUPC). Methods: A semi-structured interview with nursing staff caring for newborns in delivery rooms in selected hospitals in South Bohemia (n1 = 21) was used for the qualitative research. The staff were also trained in using the RAPPT (Respiratory, Activity, Perfusion, Position and Tone) scoring system to assess the risk of SUPC and asked about the possibility of its use in practice in delivery rooms (n2 = 12). Results: Based on data analysis, we identified some key areas: Practical procedures of nursing staff in delivery rooms in SUPC prevention, Implementation of assessment tools and monitoring in SUPC prevention, Education and involvement of mothers after childbirth in the SUPC prevention system during skin-to-skin contact in the delivery room, and Possibilities of using the RAPPT scale in newborn care in the delivery room. Conclusion: The need to assess the newborn after birth using the Apgar score to ensure bonding does not correspond to the condition of the newborn. Newborns are calmer during skin-to-skin contact, and other monitoring of the child’s safe adaptation is needed.

Background: The care provided to women during pregnancy, childbirth, and postpartum contributes to optimising well-being and health. Care for both the woman and the newborn should be individualised, supporting free choice in providing care. An essential part of childbirth is bonding, which supports the relationship between the woman and the newborn. Goal: This paper aims to inform about partial data and examine mutual connections regarding the experience of childbirth, midwife, and paediatric nurse care for women and newborns in the early postpartum period in South Bohemian obstetrics wards. Methods: This research used a quantitative method. The data were processed in SPSS and SASD programs. The research group consisted of 361 women; the selection criteria were at least 6 weeks and a maximum of 9 months after childbirth in South Bohemian obstetrics wards. Results: 73.4% of women perceived support from the midwife during childbirth, and 58.7% perceived childbirth as a natural process. Women with complications during childbirth were more likely to perceive the experience of childbirth as average. Women who had psychological difficulties during pregnancy perceived more fear during childbirth. Women who experienced bonding in the delivery room were most satisfied. Conclusion: Women should be informed and prepared for labour and delivery to know what to expect. Health professionals need to receive information from women so that they can provide holistic care and thus support their positive motherhood experience.

• MeSH
• lidé MeSH
• novorozenec MeSH
• poporodní období * psychologie   MeSH
• porod MeSH
• porodní asistentky MeSH
• porodní sály MeSH
• průzkumy a dotazníky MeSH
• spokojenost pacientů * statistika a číselné údaje   MeSH
• těhotné ženy MeSH
• Check Tag
• lidé MeSH
• novorozenec MeSH
• ženské pohlaví MeSH
• Publikační typ
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

Aim: Pre- and postnatal depressive symptoms may have a negative impact on maternal mental health and on mother-child bonding and interactions. The aim of the study was to assess the role of various factors on women's mental health during pregnancy and to evaluate the role of selected health care strategies in preventing mental health issues before and after delivery, with an emphasis on the development of fear of childbirth and postnatal depression. Design: A quantitative study. Methods: A non-standardized 125-item questionnaire was developed with questions about pregnancy, delivery, and puerperium, including questions about mental health, physical health, and different forms of care received before, during and after delivery, as well as personal satisfaction with these forms of care was developed. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess depressive symptoms after delivery. Enrollment was purposive, and 361 women between six weeks and nine months postpartum were addressed. Statistical analysis was performed using SASD 1.5.8. Results: Fear of childbirth was found to be positively correlated with mental health issues during pregnancy and with the decision to have a cesarean delivery. No correlation was found between fear of childbirth and antenatal class attendance or trust in health professionals. Postnatal depression was positively correlated with mental health issues during pregnancy and with receiving information from the midwife about psychological changes during pregnancy, but negatively correlated with satisfaction with mother-infant bonding after delivery and with having a birth plan. No correlation was found between postnatal depression and sociodemographic characteristics or physical complications during pregnancy. Conclusion: Mental health issues during pregnancy and postpartum can negatively affect the quality of mother-child interactions and family interactions. It is crucial to pay attention to preventive measures, to educate both midwives and gynecologists about the importance of mental health during pregnancy, and to include mental health interventions during pregnancy in antenatal classes. It is important to pay attention to mother-infant bonding straight in the delivery ward as it is strongly associated with postnatal depression in the mother and well-being of the child.

• Klíčová slova
• Edinburská škála postnatální deprese,
• MeSH
• duševní zdraví MeSH
• klinická studie jako téma metody   MeSH
• lidé MeSH
• poporodní deprese * psychologie   MeSH
• porod psychologie   MeSH
• průzkumy a dotazníky MeSH
• psychiatrické posuzovací škály * MeSH
• strach MeSH
• těhotenství psychologie   MeSH
• vztahy mezi matkou a dítětem psychologie   MeSH
• Check Tag
• lidé MeSH
• těhotenství psychologie   MeSH
• Publikační typ
• práce podpořená grantem MeSH