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    Acupressure application to relieve postpartum uterus pain during breastfeeding: A randomized controlled study
    (Elsevier Inc., 2023) Aksoy, Sena Dilek; Kaya Odabaş, Resmiye; Kanza Gül, Derya
    Objective: Postpartum uterus pain while breastfeeding is a situation that can affect mother-infant bonding negatively and is a matter of concern for women. The purpose of this study is to investigate the effectiveness of acupressure application in reducing postpartum uterus pain during breastfeeding. Methods: This prospective randomized controlled trial was carried out at a maternity hospital in northwestern Turkey between March and August 2022. The sample of the study included 125 multiparous women who were in the 6th to 24th hours after vaginal delivery. The participants were randomly divided into acupressure and control groups. Visual Analog Scale (VAS) was used to evaluate postpartum uterine pain. Results: While the VAS scores of the acupressure and control groups were similar before breastfeeding, the scores of the acupressure group at the 10th and 20th minutes of breastfeeding were lower (respectively, p = 0.038 and p = 0.011). In the intragroup comparisons, compared to their values before breastfeeding, the pain score of the acupressure group decreased at a statistically highly significant degree at the 20th minute of breastfeeding (p<0.001), whereas the score of the control group increased at a statistically highly significant degree at the 10th and 20th minutes (p[removed]
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    Varicose veins during pregnancy: Risk factors and impact on quality of life
    (Laboratoires Servier, 2023) Aksoy, Sena Dilek; Kanza Gül, Derya; Şolt Kırca, Ayça
    Objective: This study was carried out to examine the risk factors for varicose veins during pregnancy and their impact on quality of life. Material and methods: This was a prospective, cross-sectional observational study in pregnant women in their second and third trimesters. In addition to the collection of sociodemographic and lifestyle data, the presence of varicose veins was assessed using the clinical, etiological, anatomical, and pathophysiological (CEAP) questionnaire, and the quality of life was assessed using the Chronic Venous Insufficiency Questionnaire (CIVIQ-20). Logistic regression analysis was conducted to identify independent risk factors for varicose veins. Results: A total of 658 women were included. Considering all types of varicose veins, prevalence of varicose veins was 29% (191 women). Varicose veins presence was found to be significantly associated with gestational week (odd ratio [OR], 1.047; 95% CI, 1.013-1.083; P=0.03), thyroid diseases (OR, 2.474; 95% CI, 1.109-5.522; P=0.019), smoking status during pregnancy (OR, 7.294; 95% CI, 2.408-22.093; P<0.001), and positive family varix history (OR, 213.437; 95% CI, 87.248-522.138; P<0.001). As regards the quality-of-life evaluation, scores in all CIVIQ-20 dimensions-physical (mean deviation [MD], -4.30; 95% CI, -4.76 to 3.83; P<0.001), psychological (MD, -8.67; 95% CI, -9.60 to 7.73; P<0.001), social (MD, -3.13; 95% CI, -3.48 to 2.79; P<0.001), pain (MD, -3.94; 95% CI, -4.37 to 3.51; P<0.001)-and the global index score (MD, 25.06; 95% CI, 22.50 to 27.62; P<0.001) were significantly higher in patients with varicose veins than in those without (P<0.001). Conclusions: In this prospective, observational study in pregnant women, gestational week, thyroid diseases, smoking status during pregnancy, and positive family history were identified as risk factors for varicose veins, and the presence of varicose veins was found to negatively impact quality of life in this setting.