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Öğe Evaluation of prenatal care quality of pregnant women: a cross-sectional sample from the south-east Turkiye(2024) İçke, Sibel; Çifçi, Sema; Kocatürk, AsiyeThe aim of this study was to evaluate the quality of prenatal care among pregnant women in Mardin Artuklu. Study data were collected in August and September 2022. A total of 335 pregnant women participated in this descriptive research. The socio-demographic information form and Prenatal Care Quality Scale were used as data collection tools. The mean total score of the Prenatal Care Quality Questionnaire was 168.66-30.69. Results showed that prenatal visits more than 4 times, giving care from health centers, mothers educational level more than 12 years old, having health insurance are predisposing factors of quality of prenatal care (p<0.05). Although quality prenatal care is the right of every woman, there are still women who do not receive this care sufficiently and who are not aware of the care they receive. The role of midwives is important in raising awareness in women about the quality of prenatal care.Öğe Examining the changes in women's lives after the hysterectomy operation: experiences of women from Turkey(2024) Turan, Ayşenur; Karabayır, Hilal Başak; Güler Kaya, İffetPurpose: The aim of the study is to examine what kind of changes the operation has brought about in the social and psychological life of women. Methods: The study was a hermeneutic-phenomenological research conducted using qualitative research methods. It took place between May and July 2023 at a university hospital located in Istanbul, Turkey. Following ethical approval, the study included a total of 24 women who had undergone a 'total abdominal hysterectomy, bilateral salpingo-oophorectomy.' These participants were selected using a combination of maximum diversity sampling and random sampling methods. Data collection was carried out using a semi-structured interview form. The interviews were conducted using face-to-face interview techniques and in-depth interview methods. Qualitative data analysis involved using the coding paradigm of Grounded Theory and Straus and Corbin's coding framework. For the analysis of quantitative data, SPSS version 28.0 was employed, while qualitative data were analyzed using MaxQDA Analytics Pro 2022. Results: The study found that the participants had a mean age of 47 ± 7.53, and the majority, 66.7%, had not reached menopause before the operation. The qualitative analysis of the semi-structured interviews revealed five main themes, which were identified as follows: 'hysterectomy experiences', 'the impact of hysterectomy on sexual life', 'the significance attributed to the uterus', 'the significance attributed to femininity', and 'self-efficacy after hysterectomy'. Conclusions: The study revealed that women experienced changes in self-perception, body image, a sense of organ loss, and developed negative attitudes towards menopause following a hysterectomy. Additionally, there was a noticeable connection between the meanings attributed to the uterus and femininity, which was often influenced by cultural and social factors. In light of these findings, it is recommended that women receive counseling from healthcare professionals before undergoing a hysterectomy. This guidance can help women better understand and cope with the physical, emotional, and cultural aspects of the procedure.Öğe Investigation of the relationship between mothers’ perceived husband support and paternal–infant attachment in Turkey(2024) Güler Kaya, İffet; Kocatürk, AsiyeOBJECTIVE: This study was conducted in a descriptive cross-sectional design to investigate the impact of spousal support provided to expectant mothers during pregnancy on paternal bonding. DESIGN AND METHODS: Both longitudinal and cross-sectional analyses are presented in this article. An information form, the Perceived Spousal Support Among Women in the Early Postpartum Period Scale (PSSSEPPP), and the Paternal–Infant Attachment Scale (PIAS) were used to collect data. FINDINGS: The mean PSSSEPPP score of mothers was 57.93 ± 13.86, and fathers’ second-and fourth-month PIAS scores were 63.32 ± 13.76 and 66.73 ± 13.66, respectively. There was a statistically positive correlation between PSSSEPPP and PIAS. A directional and significant relationship was found (r = 0.714, p = .001). CONCLUSION: Supporting expectant mothers during pregnancy and in the early postpartum period has positively affected paternal–infant attachment.Öğe Prevalence and correlates of premenstrual syndrome and premenstrual dysphoric disorder among women aged 18-25 in Turkey(SAGE Publications Inc., 2024) Turan, Ayşenur; Güler Kaya, İffet; Çakır, Hilal Başak; Topaloğlu, SeçilObjective Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are experienced in the luteal phase among women of reproductive age and affect the quality of life. This study sought to determine the prevalence and correlates of PMS and PMDD in women aged 18-25.Method A cross-sectional study was conducted between December 2022 and May 2023, which recruited 1125 female college students. A personal information form, the International Physical Activity Questionnaire, and the Premenstrual Syndrome Scale (PMSS) were administered. Participants who met the criteria for PMS during three consecutive menstrual cycles based on the ACOG and PMSS scores were diagnosed as having PMS. Participants who met the criteria for PMDD during three consecutive menstrual cycles based on the DSM-V were diagnosed as having PMDD. Logistic regression analysis was used to determine independent correlates of PMS and PMDD.Findings PMS was found in 49.2% and PMDD in 48.0% of the participants. Women having a B blood group compared to those with A blood group were more likely to have PMS (OR = 151.80, 95% = 54.50-422.57). In addition, women with PMS were less likely to be physically active based on the metabolic equivalent of task score (OR = 0.99,95% = 0.98-0.99). Menstrual cycle duration was also longer among those with PMDD (OR = 1.47, 95% = 1.25-1.72), as was daily caffeine intake (OR = 1.01,95% = 1.00-1.01). PMSS score was also found to be associated with MDD (OR = 1.06,95% = 1.05-1.07).Conclusions PMS and PMDD are associated with blood groups, MET scores, and other clinical characteristics that may help clinicians to identify these conditions among young women in Turkey.Öğe Comparison of the efficacy of pharmacological and nonpharmacological treatments in women with primary dysmenorrhea: Randomized controlled parallel-group study(Via Medica, 2023) Boztaş Elverişli, Gizem; Armağan, Nurcan; Atılgan, EsraObjectives: To compare the effectiveness of pharmacological (PT) and nonpharmacological treatments (NPT) in women with primary dysmenorrhea (PD) and determine the most effective treatment method. Material and methods: We enrolled 85 PD participants with PD who were randomly classified into five groups: pharmacological groups; naproxen sodium (NS) and micronized purified flavanoid fraction (MPFF), nonpharmacological groups; motor imagery focused pelvic floor exercise (MOPEXE) and acupressure, and no treatment group; control. Initial assessment was conducted in all groups on the first day of the menstrual cycle. After the end of the third menstrual cycle, the specialist physiotherapist and the obstetrician conducted a final evaluation. Intensity and nature of pain were evaluated with the Short-Form McGill Pain Questionnaire (SF-MPQ), and menstrual attitudes and behaviors were evaluated using the Menstruation Attitude Questionnaire (MAQ). Results: In the total pain dimension scores, which are the sum of the affective dimension of pain and sensory dimension scores, the pre–post treatment difference was the highest in the mean of the total pain dimension. The highest was for MOPEXE (15.12 ± 4.44), followed by MPFF (7.53 ± 6.8); acupressure (7.47 ± 5.28) and NS (4.47 ± 4.91) showed more significant change than the control group (p = 0.001). The mean difference in visual analog scale (VAS) scores was highest in MOPEXE (4.53 ± 1.5), followed by acupressure (2.35 ± 1.66); MPFF (1.88 ± 1.73) and NS (1.65 ± 1.84) scores were more significant than the control group (p = 0.001). Regarding total pain intensity, the highest was MOPEXE (2.59 ± 0.94), followed by MPFF (1.18 ± 0.88); acupressure (1.06 ± 0.83) and NS (0.82 ± 1.01) scores were more significant compared to the control group (p = 0.001). There was no significant change in the pre–post difference values in the MAQ subparameters: menstruation as deliberate event, menstruating as bothersome event, menstruation as natural event, anticipation and prediction of the onset of menstruation, and denial of any effects of menstruation; menstruation as a natural event resulted in insignificant changes in parameters (p = 0.579, p = 0.074, p = 0.892, p = 0.056, p = 0. 377). Conclusions: PT and NPT methods in the study were effective in coping with PD-associated pain. MPFF was more effective than the NS group in terms of relieving pain. In terms of pain, MOPEXE and acupressure groups were as effective as PT. The most effective of these treatment methods was the MOPEXE group created by the researcher.Öğe Inactivated COVID-19 vaccine hesitancy among midwifery students: A prospective online survey(Taylor and Francis Ltd., 2022) Turan, Ayşenur; Kaya, Cihan; Gençtürk, NuranLimited information on vaccines' reliability and lack of sufficient scientific data may cause suspicion among individuals concerning the Coronavirus Disease-2019 (COVID-19) vaccines. This study aimed to investigate the attitudes of midwifery students to an inactivated COVID-19 vaccine. This prospective online survey was conducted between 01 March and 01 May 2021 with 172 midwifery students. An anonymous online survey was developed by the researchers, taking into account the studies in the literature examining the attitudes of individuals towards the vaccine. The online survey included a total of 19 questions, covering five main topics. The study revealed that 118 (68%) of 172 midwifery students were hesitant to get vaccinated. There was a significant difference between the vaccine-hesitant and -accepting groups regarding the general attitude towards the vaccine (respectively; <0.001, 0.001). It was determined that 48.1% of the vaccine-accepting participants strongly agreed that this vaccination should be mandatory for all midwifery students working in a clinical practice internship. Higher vaccination willingness levels are expected in students who attend health curricula due to the high literacy level in health-related issues. In conclusion, healthcare professionals who are in contact with patients should be informed more accurately about newly developed vaccines.IMPACT STATEMENTWhat is already known on this subject? Limited information on vaccines' reliability and lack of sufficient scientific data caused suspicion about the COVID-19 vaccines among many people .What do the results of this study add? Almost half of the participants in both groups agreed that the vaccine could be ineffective if the virus is mutated. Nearly half of the hesitant group thought that the COVID-19 vaccine might not be effective and were concerned about serious side effects.What are the implications of these findings for clinical practice and/or further research? This study reveals that healthcare professionals who are in contact with patients should be informed more accurately about newly developed vaccines.Öğe Opinions of female academicians on oocyte freezing: A qualitative study(NLM (Medline), 2023) Tandoğan, Özden; Küğcümen, Gözde; Güngör Satılmış, İlkayOBJECTIVE: The aim of this study was to evaluate the opinions of female academicians about oocyte freezing. METHODS: This qualitative study included 12 single academic women who had not yet entered menopause, did not have children, and were continuing their doctoral education in Istanbul, Turkey, between August and September 2022. Data were collected with semi-structured interviews and evaluated by content analysis. RESULTS: Three main themes were "Difficulty of fertility in academics," "Advantages of oocyte freezing," and "Concerns about oocyte freezing." Participants mostly had positive attitudes about the advantages of oocyte cryopreservation, but they had concerns about pregnancies obtained with frozen oocytes. CONCLUSION: The academic women attributed fertility as an obstacle to their career and experienced anxiety about fertility. They were aware of the advantages of oocyte cryopreservation; however, they defined the pregnancy with oocyte freezing as artificial.Öğe Effect of maternal cortisol levels on fetal heart rate patterns in primiparous pregnant women in the third trimester(NLM (Medline), 2023) Turan, Ayşenur; Kaya, CihanOBJECTIVE: This study aimed to determine whether maternal cortisol levels affect fetal heart rate patterns in primiparous pregnant women in the third trimester. METHODS: This cross-sectional descriptive study included 400 primiparous pregnant women with uncomplicated pregnancies between November and December 2022. The study included primiparous pregnant women over 18 years old in the third trimester who had not exercised for at least 2 h before the fetal heart rate monitoring and had a healthy pregnancy without consuming any food or drink. Fetuses with decelerating heartbeats and pregnant women who showed uterine contraction and cervical dilation during the fetal heart rate monitoring were excluded from the study. Research data were collected with the data collection form. The fetal heart rate data were collected using a cardiotocograph. At least two accelerations during the 20-min nonstress test period were the basis for diagnosing a reactive nonstress test. About 5 mL of maternal saliva for cortisol measurements was collected before fetal heart rate monitoring. Research data were analyzed with IBM SPSS Statistics for Macintosh, Version 28.0. A p-value of <0.05 was considered significant. RESULTS: There were no significant differences in the comparison of the groups in terms of education and income status, family type, fetal gender, pregnancy planning status, BMI and age averages, or gestational week averages (p>0.05). The number of at least two accelerations required for the diagnosis of reactive NST was also higher in Group 1 (maternal salivary cortisol level ?24.20). A moderately positive relationship between fetal heart rate and maternal salivary cortisol was observed (r=0.448, p=0.000). In total, 11.9% of the total change in fetal heart rate level is explained by maternal cortisol (R2=0.119). Maternal cortisol increases fetal heart rate level (ß=0.349). CONCLUSION: These findings suggest that stress in primiparous pregnant women with high cortisol levels may influence fetal heart rate patterns. It was revealed that the increase in cortisol level, considered a stress hormone, may be a harbinger of fetal tachycardia.Öğe An investigation of factors affecting compassion levels of midwives(European Publishing, 2022) Yılmaz Esencan, Tuğba; Demir Yıldırım, Ayça; Uzun, Sena NurINTRODUCTION The profession of midwifery is seen as a genuinely individual-centric catalyst transforming compassion to care. Due to this, compassionate care should be the basis of midwives’ care, especially for those who care for women and children. This research investigated the compassion levels of midwives to determine the factors affecting them. METHODS This descriptive research was conducted between 10 February and 29 May 2020, with 119 midwives working in a training and research hospital in Istanbul. The data were collected using the ‘Compassion Scale’ and analyzed using the Mann-Whitney U test, Kruskal-Wallis test and logistic regression model. RESULTS The total mean score on the compassion scale of midwives participating in the study was found to be 71.46 ± 9.60. Sociodemographic data and vocational belongings of participants were compared with the mean scores of the compassion scale subdimensions. It was determined that as the age of the midwives increased, they showed more kindness and awareness of compassion (p<0.021, p<0.023, respectively). It has been determined that as the education level of midwives decreases, their compassion level also decreases and they become more insensitive (p<0.044). It was found that being married increased the kindness (p<0.023) and common humanity characteristics (p<0.032) that affect compassion. It was found that the levels of kindness (p<0.020) and awareness (p<0.048) increased for those who had children, and compassion was associated with having a child. In addition, a statistically significant relationship was found between the professional commitment and kindness of the midwives participating in the study (p<0.034). It was found that midwives’ knowledge of rules related to professional ethics increased their compassion scale scores by 1.2. CONCLUSIONS Midwifery is a profession with a high sense of spirituality. However, professional belonging, love of the profession and professional development positively affect midwives’ levels of compassion. Improving midwives’ feelings of belonging and their professional development will also contribute to the quality of maternal and infant health.Öğe Normal doğum yapan primipar annelerin erken doğum sonu dönemde emzirme başarısı ve etkileyen faktörler(2019) Gönenli, Selma; Ayar Kocatürk, Asiye; Yeşilçiçek Çalık, KıymetAmaç: Çalışma normal doğum yapan primipar annelerin erken doğum sonu dönemde emzirme başarısını etkileyen faktörleri belirlemek amacıyla yapıldı. Yöntem: Haziran-Temmuz 2015 tarihleri arasında İstanbul da bir devlet hastanesinin doğum kliniğinde gerçekleştirilen bu tanımlayıcı çalışmanın örneklemini 278 primipar anne oluşturdu. Veriler amacına uygun hazırlanmış anket formu ve LATCH emzirme değerlendirme ölçeği ile toplandı. Verilerin analizinde sayı ve yüzdelik değerler uygulandı. Bulgular: Annelerin tamamı doğum öncesi dönemde emzirme konusunda eğitim aldı. Çoğunluğunun emzirmeye ilişkin bilgi ve uygulamaları doğruydu ve doğum sonrası erken dönemde emzirme konusunda birkaç kez ebe/hemşireden bilgi ve emzirme desteği almışlardı. Emzirme uygulamasını ilk defa hastanede yapan annelerin çoğunluğu ilk emzirmede sorun yaşadılar ve yardıma ihtiyaç duydular. Taburcu olduktan sonra nerdeyse tamamının emzirmeyi sürdürmek ile ilgili endişeleri var ve doğum sonrası dönemde emzirme danışmanlığı istediler. Annelerin LATCH ortalama puanları 7.9±1.46 idi. Sonuç: Çalışmada annelerin emzirme hakkında teorik bilgi ve uygulamalarının iyi düzeyde olmasına karşın bu bilgilerin davranışa dönüşemediği görülmektedir. Özellikle primipar annelerde başarılı bir emzirmenin başlatılıp sürdürülmesi için doğum sonrası dönemde de belli aralıklarla uygulamalı olarak emzirme eğitimlerinin yinelenmesi, eğitimlerin uygulamaya geçip geçmediğinin kontrol edilmesi özgüven taşımaları açısından önemlidir.Öğe Besim Ömer: Founder of the first modern maternity hospital and midwifery education in Turkey(European Publishing, 2020) Kocatürk, AsiyeThe First Maternity Hospital in Turkey was founded in 1892, next to the Medical School in Demirkapi, Istanbul. It was inaugurated by Besim Ömer who went to France in 1887 to study, was very impressed with the practices there and when he returned home, he made great efforts to open the first maternity hospital. Besim Ömer emphasized how vital the first maternity hospital was for pregnant women, newborns, doctors, and midwives. Aiming to minimize maternal and infant mortality and to train informed midwives, these new maternity homes form the basis of today's maternity clinics.Öğe Genital hygiene behaviors of women and their effect on vaginal infections(Marmara University, 2020) Yeşilçiçek Çalık, Kıymet; Erkaya, Reyhan; İnce, Gülnur; Korkmaz Yıldız, NazendeObjectives: This descriptive study was carried out with the purpose of identifying women's genital hygiene behaviors and the effects of these behaviors on vaginal infections.Methods: The study included 266 married women, ages 20-49, who consented to participate in the research and were registered at the University Hospital in Trabzon, Turkey. The data were collected with a questionnaire, the Genital Hygiene Behavior Inventory (GHBI), a gynecological examination and the Pap smear test. The results were evaluated by descriptive statistical methods (frequencies, percentages, means, and standard deviation), the Student's t-test, Kruskal Wallis and Mann Whitney U tests.Results: The mean GHBI score of the women was found to be 77.41 +/- 9.05. There were statistically significant differences in genital hygiene behaviors between the women in terms of the women's education, profession, presence or absence of social security, income, husband's work and education, number of pregnancies, total number of children, spontaneous abortion, presence of vaginal discharge and the duration of complaints (p<0.05). Of the women, 54.9% reported that they had vaginal discharge; 45.1% had pathological vaginal discharge and odor (34.6%) and burning (35%) complaints. The speculum examination showed that 42.6% had pathological discharge and the incidence of genital infection was 79% in the Pap smear. According to the speculum examination, 71.4% of the women were found to have either pathological or non-pathological discharge.Conclusions: It was found that the mean GHBI score of the women was slightly above the moderate level and that wrong and inadequate genital hygiene practices increased the women's risk of vaginal infection.Öğe Fear of childbirth in urban and rural regions of Turkey: Comparison of two resident populations(2017) Okumuş, Filiz; Şahin, NevinOBJECTIVE: Childbirth is a natural physiological event experienced by many women; however, it is frequently also a source of fear in women. Rates of cesarean sections in Turkey are higher in the urban areas than in the rural areas. We hypothesized that lower fear of childbirth (FOC) rates would be observed in the city having the lowest cesarean section rates in Turkey. This study aimed to compare FOC in women in two resident populations: one in a rural area and the other in an urban area.METHODS: This study was conducted on 253 pregnant women in Istanbul, a large urban municipality, and Siirt, a city in rural Turkey. A descriptive information form and the A version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) were used.RESULTS: Severe FOC levels were recorded in women in the Istanbul sample; moreover, these levels were higher than those recorded in women in the Siirt sample. In addition, women in the Istanbul sample preferred vaginal birth to cesarean section and had greater FOC, a finding which demonstrates that women prefer vaginal birth even though they have a higher FOC level and live in a city with high cesarean section rates. Where women live (rural versus urban areas) affects their perception of birth and consequently, their FOC levels.CONCLUSION: The results of this study suggest that further cross-cultural and regional research is needed for better understanding FOC and factors associated with elevated FOC levels within each cultural setting.Öğe Opinions of Turkish maternity care providers in different provinces on women's preferences for mode of delivery(Cukurova University Faculty of Medicine, 2018) Okumuş, Filiz; Oymakçıer Evgin, KübraPurpose: The study aims to find out the opinions of physicians, midwives and trainees working in the different regions of Turkey on women's mode of delivery preferences. Materials and Methods: This descriptive study was conducted between January-March 2016 with maternity care providers (MCPs) who had worked in Adana and Siirt for at least six months. The study sample was selected using the cluster-sampling method. The data were collected from 320 MCPs with semi-structured interview form. Results: The study showed that according to the MCPs, women preferred caesarean section (CS) due to their concerns about health care providers behaviors during birth, requests for birth time planning and their suggestion from the physician or suggestions from other women. The MCPs expressed that women's preference of vaginal delivery (VD) was affected by physician suggestions and from the opinion that the natural way of giving birth was healthier for their babies and it is traditional attitudes. The MCPs in Siirt stated more often that women preferred VD due to their traditional attitudes, comparing to the MCPs in Adana. Conclusion: This study has strengthened the opinion that physicians play a key role in women's delivery mode preferences. It is intriguing that in Siirt, where the rate of CS is lower than the average rate in Turkey, women commonly preferred VD due to their traditions attitudes.
