Ebelik Bölümü Makale Koleksiyonu

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https://hdl.handle.net/20.500.12713/191

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A study on pediatric nurses’ pain management knowledge and practices in Turkey
(Trends in Pediatrics, 2022) Şimşek, Ayşegül; Gözen,Duygu
"Objective: With a child’s less developed ability to express oneself when compared to adults, it is a more challenging task to manage pain in children. Nurses, as those who spend the most time with patients, need to have sufficient knowledge about assessing and managing pain in children. The aim of this study is to determine the knowledge and pediatric practices of nurses working in pediatric clinics on pain management in children. Methods: This descriptive study was completed with 134 nurses. Study data were captured through using a questionnaire drafted, and rearranged in line with specialist advice, by the researchers. Data were electronically evaluated with percentage, Kruskal-Wallis H and Mann-Whitney U tests using analysis system. Results: It was determined that 81.3% of nurses had not been trained on pain management in children. It was established that nurses preferred pharmacological methods to non-pharmacological, that 54.5% of them used a combination of pharmacological and non-pharmacological methods to relieve pain in children, and that 16.4% mentioned difficulty in pain management due to lack of time. Nurses’ knowledge of pain management was found to be slightly above the average (maximum 22 points; median ± standard deviation=16.50±2.74; minimum-maximum: 9-21). Conclusion: The study established that nurses’ level of knowledge about pain management was inadequate, that nurses encountered various challenges in pain management arising from the workplace setting, and that rate of use of non-pharmacological pain treatment methods, an independent function of nursing, is significantly low."
The knowledge levels of midwifery students on contraceptive methods: a cross-sectional study
(Churchill Livingstone, 2022) Balkan, Elif; Genç Koyucu, Refika
Background: Effective contraceptives used correctly offer many benefits to both women's and children's health. However, public data reports that the rate at which women use an effective contraceptive method is still insufficient. Midwives, including the students, have an essential role in contraceptive counselling so there is a need to determine midwives' knowledge level on contraceptives. Objective: To evaluate midwifery students' knowledge levels of contraceptive methods. Design: Cross-sectional and descriptive study. Settings: Online survey. Participants: 290 midwifery students who met the inclusion criteria. Methods: The study was conducted between December 2020-March 2021 through Sociodemographic Form and Contraceptive Methods Information Form. Results: The mean age of the participants was 20.93 ± 1.97. There were 7.72 ± 3.21 correct answers to 15 questions measuring knowledge level of contraceptive methods. The most known modern contraceptive method was the condom, and the most known traditional method was the calendar method. 59.7 % of the participants considered the post-coital contraceptive method as a family planning method. The knowledge level on contraceptives of students who had not received prior training before was lower; and the knowledge level of students who received information about contraceptives through their courses in the curriculum was higher than those who learned from other sources. The level of knowledge increased as age and grade increased. Conclusions: Midwifery students had insufficient level of knowledge about contraceptives. Since midwifery students play an active role in family planning, interventions are necessary to deliver more detailed and accurate information about contraceptive methods.
Ebelik öğrencilerinin human papilloma virüs ile ilgili bilgi durumlarının analizi: Tanımlayıcı anket çalışması
(TR- Dizin, 2022) Genç Koyucu, Refika
AMAÇ: Serviks kanserlerinin azaltılmasında İnsan Papillomavirüsü hakkında farkındalık, çok önemlidir. Bu çalışmada ebelik öğrencilerinin İnsan Papilloma Virüsü ile ilgili farkındalık düzeylerinin ve bu farkındalık düzeyini etkileyen faktörlerin değerlendirilmesi amaçlanmıştır. GEREÇ ve YÖNTEMLER: Bu çevrimiçi anket çalışması, kesitsel bir tasarımda Mayıs 2021’de gerçekleştirilmiştir. Bir üniversitedeki 326 ebelik öğrencisi çalışmaya davet edilmiştir. Öğrencilerin İnsan Papilloma Virüsü hakkındaki farkındalıklarına ilişkin veriler İnsan Papilloma Virüsü Bilgi Ölçeği kullanılarak elde edildi. Çalışma süresince ankete katılmayan ve anketi eksik olan öğrenciler çalışma dışı bırakıldı. BULGULAR: HPV genel bilgi, HPV testi, HPV aşıları ve HPV aşı programları alt ölçeklerinden tam puan alan öğrencilerin sıklığı sırasıyla %11,3 %12,5, %10,9 ve %0,6 idi. HPVBÖ ölçeğinde tam puan alan öğrencilerin sıklığı ise %5,3’tür. HPV Bilgi Ölçeğinde yüksek puanların bağımsız yordayıcıları, ailede kanser öyküsünün varlığı ve yakın çevrede HPV pozitifliğinin varlığı olarak belirlendi. SONUÇ: Ebelik öğrencileri arasında HPV ile ilişkili bilgi boşlukları vardır. Uzun vadeli bir hedef olan serviks kanserinin ortadan kaldırılması kapsamında ebelik öğrencilerinin farkındalıkları üst düzeyde tutulmalıdır. Lisans ve lisansüstü eğitimde HPV’ye verilen önemi artırmak etkili olabilir. Bu bağlamda, geniş örneklemli çok merkezli çalışmalar, eksikliklerin belirlenmesi açısından faydalı olacaktır.
Evaluation of complication development in general surgery patients admitted to the post anesthesia care unit
(DergiPark, 2022) Kula Şahin, Sennur; Selimen, Hayriye Deniz
hool of Medicine, Busan, Republic of Korea; 4 Department of Nuclear Medicine, Pusan National University School of Medicine, Busan, Republic of Korea; 5 Department of Pathology, Pusan National University School of Medicine, Busan, Republic of Korea ARTICLE HISTORY Received: August 30, 2021 Accepted: January 1, 2022 KEYWORDS: Amnestic mild cognitive impairment, amyloid beta deposition, medial temporal atrophy, positron emission tomography, transthyretin Psychiatry and Clinical Psychopharmacology 2022;32(1):4-8 Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. ABSTRACT Objective: This study was conducted to analyze the development of complications and risk factors in general surgery patients admitted to the Post-Anesthesia Care Unit (PACU). Methods: This prospective and cross-sectional study was performed with 230 patients admitted to the PACU of a university hospital in Istanbul. The data were collected pre – and post-operatively in the PACU using the “Patient Monitoring Form”, which was created by the researcher to track the patient’s descriptive characteristics and development of complication. Percentage, mean, chi-square, Student’s t, and logistic regression tests were used for data analysis. Results: It was found that most of the patients were female aged between 50-65, with a chronic disease included in the ASA II class, who had undergone a laparoscopic cholecystectomy surgical operation, and had a profile of minimal obesity. The most common complications in the PACU were pain (75.7%), hypothermia (58.7%), nausea-vomiting (30.7%), and hypoxemia (20.0%) respectively. Length or duration of operation (OR:1.05; p=0.001) and age (OR: 1.08; p=0.027) were effective risk factors for development of complication; however, no correlation was found between descriptive characteristics of the patients and development of pain (p=0.023). A positive relationship was found between hypothermia and surgical operations with a duration of more than 120.3 minutes (p=0.001). Additionally, age of 57.8 (p=0.002), BMI of 30.8 (kg/m2; p=0.003), and inclusion in the ASA III/IV group (p=0.001) were significant in relation to hypoxemia. Conclusions: It was found that pain, hypothermia, nausea-vomiting, and hypoxemia remained the most common complications in the PACU, and age and duration of operation were effective risk factors in the development of complications. Based on these results, it is recommended to identify high risk factors specific to the patient in advance and to increase nursing practices to prevent/reduce complications
Ebelik öğrencilerinin tıbbi endikasyon olmayan gebelik sonlandırmalarına bakışı: Bir kamu üniversitesi örneği
(TR- Dizin, 2022) Balcı, Işılay; Güdücü, Neriman; Sönmez, Aybars Demir; Ocak, Sibel; Önder, Dilara; Dolgun, Gülümser; Çetin, Gürsel
Amaç: Tıbbi endikasyonu olmayan gebeliklerin sonlandırılması insani, etik ve dini değerler bakımından tartışmalara yol açmaktadır. Bu bağlamda çalışmamızın amacı ebelik bölümü öğrencilerinin endikasyonsuz gebelik sonlandırmalarına ilişkin bakış açılarının araştırılmasıdır. Yöntem: Tanımlayıcı/kesitsel tipte olan bu araştırmaya bir Kamu Üniversitesi Sağlık Bilimleri Fakültesi Ebelik Bölümü’nde öğrenim gören 329 öğrenci katılmıştır. Verilerin toplanmasında literatür doğrultusunda hazırlanan 17 soruluk bir anket formu uygulanmıştır. Verilerin analizinde sayı-yüzde dağılım, ortalama, standart sapma ve ki-kare testi kullanılmıştır. Bulgular: Evlilikte 10 haftaya kadar olan gebeliklerin kişinin rızası alınarak sağlık kuruluşlarında sonlandırılması, öğrencilerin sınıfı arttıkça daha fazla kabul görmektedir. Aynı şartlarda gebeliğin sonlandırılması için olan yasal sürenin 10 haftadan kısa olması gerektiği fikri, sınıf arttıkça artmıştır. Tüm sınıfların 10 haftadan büyük gebeliklerin sonlandırılması fikrine katılmama oranı yüksektir. Aynı zamanda gebelik yaşına bakılmaksızın gebeliğin anne tarafından sonlandırılması ve babanın rızasının alınmaması durumunda anneye ceza verilmesi fikri tüm sınıflarda kabul görmektedir. Bununla birlikte tecavüz sonucu oluşan gebeliklerin, yasal sınır gözetilmeden yetkili sağlık kuruluşlarında sonlandırılabilmesinin uygun olduğu düşüncesi de tüm sınıflarda kabul görmektedir. Sonuç: Çalışmada öğrencilerin tıbbi gereklilik dışındaki gebelik sonlandırmalarına ilişkin bakış açılarının sınıflar arasında farklılık gösterdiği saptanmıştır. Farklılıkların temel nedeninin, öğrencilerin 3. sınıftan itibaren artan teorik ve pratik bilgileri olduğu düşünülmüştür.
Doğum sonrası dönemde depresyona yatkınlığın güvenlik his düzeyi ile ilişkisi
(DergiPark, 2021) Baykal, Semiha
Amaç: Annelerin doğum sonu dönemde depresyona yatkınlıkları ve güvenlik his düzeylerinin ilişkisinin belirlenmesi. Gereç ve Yöntem: Araştırma tanımlayıcı bir çalışmadır. Araştırmanın örneklem büyüklüğü hesaplanırken; anlamlılık düzeyi ? = 0,05, istatistiksel testin gücü (Güç 1-? = 0,95) ve düşük etki büyüklüğü (ES = 0,30) alınmıştır. Minimum örneklem büyüklüğü 138 olarak belirlenmiş ve en az %10 veri kaybı göze alınarak çalışma 158 örneklem ile tamamlanmıştır. Edinburgh Doğum Sonrası Depresyon Ölçeği (EDDÖ), Annelerin Doğum Sonrası Güvenlik Hisleri Ölçeği ve araştırmacı tarafından oluşturulan Kişisel Bilgi Formu kullanılmıştır. Bulgular: Olguların yaş ortalaması 29,44±5,76 olarak hesaplandı. Annelerin %35’inin ilk gebeliği olup %65’inin ikinci ve üçüncü gebeliğiydi. Doğum tipi %61,1 ile sezaryen olup. Doğumdan sonra geçen ortalama gün sayısı 9,29±2,12’ydi. Gebelik öncesinde sigara kullananların oranı %16,7 iken, bu oran gebelik sürecinde %10’a düşmüştü. Olguların %10 çocuk bakımında kendisini yalnız hissederken, %13,9’u kısmen yalnız hissetmekteydi. Depresyon düzeyi ile güvenlik hissi faktörlerinden güçlendirici davranış arasında negatif yönlü ve zayıf düzeyde, genel iyilik arasında negatif yönde ve orta düzeyde, aile bağları ile negatif yönde ve orta düzeyde, emzirme davranışı ile negatif yönde ve orta düzeyde anlamlı ilişki bulundu. Sonuç:Postpartum depresyon ve güvenlik hissi arasında negatif yönlü ilişki bulunmaktadır. Genel iyilik hali, depresyonu önemli ölçüde azaltmaktadır. Annelerde güvenlik his düzeyi arttırmak depresyon riskini azaltmak açısından önemli bir adım olacaktır.
Annelerin emzirme öyküleri ve emzirme davranışlarının incelenmesi: Bir Türkiye örneği
(DergiPark, 2021) Şimşek, Ayşegül; Balkan, Elif; Çalışkan, Esra; Genç Koyucu, Refika
Objective: Breast milk is the most beneficial food for babies. Breastfeeding behaviors of women affect the nutrition and health status of their babies. This study aims to determine the breastfeeding behaviors of breastfeeding women and the factors affecting these behaviors. Methods: This study was conducted in a single-center, cross-sectional and descriptive type. Breastfeeding women were reached from the community by snowball sampling method between January and December 2020. Informed consent of the mothers and ethics committee approval were obtained before the study. The data were collected using a data collection form for infants and mothers, prepared in line with the literature, and analyzed in a computer environment. Results: In the study, 97 mothers and their babies were included. It was determined that 43.3% of the mothers had a baby for the first time, 46.4% received regular follow-up during pregnancy and 77.3% received breastfeeding training. The mothers of 66% reported that they breastfed their babies within the first hour. Significance was found between maternal age and the time of starting supplementary food, receiving breastfeeding training, and receiving postnatal breastfeeding support. It was concluded that the individual characteristics of the mother are effective in feeding and breastfeeding the baby. Conclusion: It was determined that the breastfeeding education received by the mothers during pregnancy had a positive effect on postpartum breastfeeding behaviors. In order to increase these positive behaviors, it is recommended that breastfeeding training should be given by midwives and its content should be enriched with comprehensive and individualized care features.
Practices related to placenta and umbilical cord in postpartum period
(DergiPark, 2022) Şimşek, Ayşegül; Özdemir, Suzi
Although the physical function of the placenta and cord for the infant ends after birth, the belief that the spiritual and religious function of these materials will continue throughout the life of the infant is widespread in most countries. Due to this belief, some rituals such as burying, making art and lotus birth are practiced. Especially in recent years, there has been an increase in placentaphagia cases. Additionally, it is known that placenta and umbilical cord, which are rich in young cells, are used in medical and cosmetic fields, mostly for dermal and hematological diseases, and cord blood banking practice is becoming increasingly common. The aim of this review is to examine the advantages and disadvantages of traditional and medical practices regarding placenta and umbilical cord, and to inform health professionals dealing with women and her babies on these practices.
The effect of perceptions and attitudes towards menstrual bleeding on women's health
(DergiPark, 2022) Özdemir, Suzi; Şimşek, Ayşegül
Menstrual bleeding and menstruation process is a physiological process that a woman experiences as monthly periods throughout her life as of the pubertal period, and it is seen as a taboo in many societies and is not talked about. In our study, we aimed to compile the attitudes and practices towards menstrual bleeding from past to present. While menstrual bleeding was considered sacred in some cultures in past cultures; in some, it has been a topic that is ashamed and cannot be talked about. In present days, due to the cultural taboos against menstruation, there is a lack of information about these issues and this affects reproductive health negatively. Menstrual hygiene information and education should be organized to eliminate incomplete and wrong menstrual practices, and this education should constitute an important part of health education.
Prenatal diagnosis of twin reversed arterial perfusion (trap) sequence: a case report
(2021) Ceylan, Yasin; Akar, Bertan; Yaman, İlteriş; Akkaya, Selim
Twin reversed arterial perfusion (TRAP) sequence is a rare condition of monochorionic twin pregnancy. It has an incidence of 1:35.000 pregnancies and constitutes 1% all monochorionic pregnancies. The etiopathogenetic mechanisms are not well defined. There is co-existence of a normal pump twin and an acardiac recipient twin. A 22-year-old nulliparous woman was referred with TRAP sequence. The prognosis in TRAP sequence is lethal for acardiac twin and the fetal mortality of the pump twin is very high due to the cardiac failure. The obstetrician should be aware of TRAP-sequence in twin/multiple pregnancies.
Ischiopagus which is the rarest form of heteropagus along with ambiguous genitalia and kidney agenesis: a case report
(2020) Haqverdiyev, Emin; Aslancan, Reyhan; Gümüştaş, Gökhan; Çalışkan, Eray; Akar, Bertan
Parasitic twin (heteropagus) is a term to describe an incomplete fetus which is partially resorbed and located on a normal fetus. Ischiopagus which defines the parasitic twins connected from ileum is the rarest form of heteropagus abnormalities. In this case, a thirteen week old fetus was diagnosed with ischiopagus, ambiguous genitalia, and left kidney agenesis during the first trimester ultrasonography screening. Termination was applied with the family decision. These cases should be evaluated together with accompanying multisystem anomalies. Informing the family with details about the viability of the fetus is important to prevent unnecessary termination.
Thin endometrium after hysteroscopic treatment of severe asherman’s syndrome in ıvf pregnancies: case series
(2020) Hakverdiyev, Emin; Aslancan, Reyhan; Gümüştaş, Gökhan; Çalışkan, Eray
Previous uterine surgery is the most important risk factor for Asherman’s syndrome which is an important risk factor for placenta invasion abnormalities. In this study, it is presented three IVF pregnancy outcomes which had obtained from the base of consistent thin endometrium (?7 mm) following the hysteroscopic adhesiolysis treatment for severe intrauterine adhesions. Variable degrees of placenta invasion abnormalities had detected in the cesarean section deliveries. First two cases with placenta percreta had been managed via cesarean hysterectomy because of the failure of conservative technique, and the third case with less placental invasion had been managed via conservative approach. Pregnancies with the history of hysteroscopicadhesiolyis due to severe intra uterine adhesions must be categorized as high risk pregnancy and they should be followed up closely according to this risky situation. Keywords: Asherman’s syndrome, adhesiolysis, placenta invasion abnormalities Öz Geçirilmiş uterin cerrahi, plasenta invazyon anomalileri için en önemli nedenlerden olan Asherman sendromu için önemli bir risk faktörüdür. Bu çalışmada ciddi intra uterin adhezyonların tedavisi için yapılan histeroskopik adhezyolizis sonrası persiste eden ince endometriyum (<7 mm) zemininde gerçekleşen üç IVF gebeliğinin sonuçları sunulmaktadır. Değişik seviyelerde plasenta invazyon anomalileri sezaryen doğum sırasında tespit edilmiştir. Konservatif yaklaşımla kontrol edilemeyen ilk iki plasenta perkreata vakası sezaryen histerektomi ile sonlandırılırken, daha azinvazyon gözlenen üçüncü vaka da uterus koruyucu cerrahi tercih edilmiştir. Ciddi uterus adhezyonları sebebiyle histeroskopik adhezyolizis geçirmiş hastaların gebelikleri yüksek riskli gebelik Kabul edilmeli ve bu riskli durumdan ötürü yakından takip edilmelidir
The relationship between pregnant women's anxiety levels about coronavirus and prenatal attachment
(W.B. Saunders, 2022) Palas Karaca, Pelin; Genç Koyucu, Refika; Aksu, Sevde Çubukçu
Aim: This study aimed to determine the relationship between pregnant women's anxiety levels related to concerns about the effect of coronavirus on prenatal attachment. Design and method: This a descriptive and correlational design study was conducted from September 2020 to January 2021; it included 101 pregnant women who were more than 20 weeks pregnant. Introductory questionnaire, the Coronavirus Anxiety Scale and the Prenatal Attachment Inventory were used as data collection tools. Results: Of the participants, 80.2% were 35 years old or younger. The participants' mean Coronavirus Anxiety Scale score was 8.85 ± 5.02 (min: 0, max: 17), which was close to the scale's cut-off value. Of the participants, 68.3% had high levels of perceived anxiety about coronavirus. The participants' mean Prenatal Attachment Inventory score was 60.08 ± 21.26 (min: 21, max: 84). Of the participants, 54.3% had high levels of Prenatal Attachment Inventory. Correlation analysis found a negative, but significant relationship between the participants' scores on the Coronavirus Anxiety Scale and the Prenatal Attachment Inventory (r = ?244, p = 0.014). Conclusion: The participants' prenatal attachment levels increased as their perceived anxiety scores about coronavirus decreased.
Review of a challenging clinical issue: acute biliary pancreatitis during pregnancy
(2021) Ceylan, Yasin; Akar, Bertan
Acute pancreatitis is an inflammatory condition of the pancreas most commonly caused by gallstone. Approximately 70% cases of acute pancreatitis during pregnancy are secondary to gallstones or sludge. Acute pancreatitis is a rare complication with a reported incidence of one per 1.500-4.500 pregnancies. Gallstones cause bile duct obstruction and pancreatic hyperstimulation. These processes lead to increased hydrostatic pressure, trypsin reflux and activation of digestive enzymes within the pancreas and cause autodigestion of pancreas, followed by local inflammation. During pregnancy, the steroid hormones of pregnancy affect the gallbladder motility and bile content. Progesterone induces gallbladder smooth muscle relaxation and estrogens increase bile cholesterol level, enhancing bile stasis. The clinical symptoms include pain in the right upper abdominal area and/or epigastric area, which can radiate to the right flank, scapula and shoulder, anorexia, nausea, vomiting, dyspepsia, low-grade fever and sinus tachycardia, hyperventilation and smell of acetone in the breath. The diagnosis of acute pancreatitis in pregnancy is confirmed by laboratory investigations and imaging methods. The management of acute biliary pancreatitis during pregnancy is similar on a large scale
Prenatal diagnosis of a rare type of conjoined twin, cephalothoracoomphalopagus : a case report
(2021) Ceylan, Yasin; Akar, Bertan; Yaman, İlteriş; Akkaya, Selim
Conjoined twins are a rare outcome of a monoamniotic and monochorionic gestation. We present a case of cephalothoracoomphalopagus conjoined twin diagnosed by prenatal ultrasonographic examination. A 26-yearold gravida 2, para 1 woman was referred to our perinatology unit for evaluation because of suspected conjoined twins at 24 weeks of gestation. Her medical history was unremarkable. There was no family history of genetic abnormalities. The diagnosis of conjoined twins was confirmed by prenatal ultrasonographic examination. Conjoined twins occur when two identical individuals are joined by part of their anatomy and share their vital one or more organs. The incidence of conjoined twins ranges from 1:50,000 to 1:250,000 live births. We present a case of male cephalothoracoomphalopagus conjoined twin, which is extremely rare type of conjoined twins. A prenatal diagnosis of shared organs dictates pregnacy termination or possible surgical separation strategies.
Sexual myths during pregnancy: a comparative study
(Taylor & Francis Online, 2021) Dinç Kaya, Hüsniye; Günaydın, Sevilay; Çalımlı, Emine Nur; Sadeghi, Elham
This study was conducted to determine the prevalence of sexual myths during pregnancy among pregnant women in Turkey and Iran and to compare the similarities and differences between the countries. This is a comparative and descriptive study. The sample included 200 pregnant women from Turkey and Iran. The data were collected using the Descriptive Information Form and Sexual Myths During Pregnancy Form. It was determined that the women in Turkey agreed more with statements, such as 'the infant feels sexual intercourse', 'the infant becomes happy and healthy', 'sexual intercourse during pregnancy is safe'. As for pregnant women in Iran, it was determined that they were more hesitant to agree with statements, such as 'sexual intercourse is a sin' and 'sexual intercourse causes infections'. In both countries, education on sexuality during pregnancy is needed to eliminate information deficiencies.Impact StatementWhat is already known on this subject? Sexual myths during pregnancy are exaggerated beliefs with no scientific accuracy. These beliefs affect the attitudes and behaviours related to sexuality during pregnancy.What do the results of this study add? This study has revealed that sexual myths during pregnancy are common among pregnant women in Turkey and Iran, and there are similarities and differences between the countries in terms of myths.What are the implications of these findings for clinical practice and/or further research? Healthcare professionals should question pregnant women about sexuality during pregnancy, identify missing and incorrect information, and provide counselling.
Effect of intrapartum vitamin D levels on labor pain
(WILEY, 2021) Genç Koyucu, Refika; Özcan, Tuğba
Aim Vitamin D has widespread receptor distribution in the body, and therefore it has vital roles in numerous pathophysiological conditions. It also affects pain manifestation through its functions at various stages of the pain pathways. This study aimed to investigate the effects of intrapartum vitamin D levels on pain experienced by women during the first stage of labor. Methods A total of 127 term-nulliparous women at the early stage of labor were included in the study. Serum 25 (OH) vitamin D levels were measured at the beginning of labor to determine intrapartum vitamin D levels. Labor pain was assessed using the Visual Analog Scale at different stages of cervical dilation (VAS(0), VAS(1), VAS(2)). Postpartum pain (VAS(pp)) and women's birth satisfaction score (BSS) were also evaluated during the early postpartum period. Results There was a moderate negative correlation between vitamin D and VAS(0) and VAS(1) (r(2) = 0.4, p = 0.000; r(2) = -0.570, p = 0.000, respectively), and a weak negative correlation between vitamin D and VAS(2) (r(2) = -0.373, p = 0.000). No significant correlation was found between vitamin D and BSS and length of labor (p = 0.127, p = 0.126, respectively). Conclusion In nulliparous women with low vitamin D levels, the first stage of labor and the early postpartum period may be more painful. To facilitate management of labor pain, during the antenatal period vitamin D levels should be monitored, and in cases where the levels are deficient, vitamin D supplementation should be started.
Ebelik bölümü öğrencilerinin stresle başa çıkma tarzlarının ve etkileyen faktörlerin incelenmesi: sağlık bilimleri fakültesi örneği
(2020) Özen, Nurten; Özkaptan, Bilge Bal; Dovranova, Yyldyz; Terzioğlu, Füsun
Amaç: Bu çalışmanın amacı, ebelik öğrencilerinin stresle başa çıkma tarzlarının ve etkileyen faktörlerin incelenmesidir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu çalışma, Ocak 2019-Şubat 2019 tarihleri arasında İstinye Üniversitesinin ebelik bölümünde öğrenim gören iki ve üçüncü sınıf öğrencileri ile yürütüldü. Yerel etik kurul izni ile okuldan gerekli izinler ve çalışmaya katılmayı kabul eden öğrencilerin aydınlatılmış onamları alındı. Veriler, “Katılımcıların Tanıtıcı Özelliklerine İlişkin Soru Formu” ile “Stresle Başa Çıkma Tarzları Ölçeği” kullanılarak toplandı. Elde edilen verilerin istatistiksel analizinde “Mann-Whitney U”, “Kruskal-Wallis” ve “Bonferroni Düzeltmeli Mann-Whitney U” testleri kullanıldı. Bulgular: Araştırma, 85 öğrenci ile tamamlandı. Öğrencilerin stresle baş etmede sıklıkla kendine güvenli yaklaşım, çaresiz yaklaşım ve iyimser yaklaşım sergiledikleri görüldü. Stres karşısında sigara kullanmayan öğrencilerin iyimser yaklaşım sergiledikleri (p=0,043), sosyal yaşantısında stres yaratan durumları bulunmayan öğrencilerin daha fazla kendine güvenli yaklaşım (p=0,003) sergiledikleri görüldü. Gelir durumu, ebeveynlerin çalışma durumu ve ikamet edilen yer ile stresle başa çıkma tarzları ölçeği alt boyut puan ortalamaları arasında istatistiksel olarak anlamlı bir farklılık görüldü (p<0,05). Sonuç: Ebelik öğrencilerinin stresle başa çıkma yöntemlerinden en çok kendine güvenli yaklaşım sergiledikleri belirlenmiştir. Sosyal yaşantıda stres yaşayan, sigara kullanan, ebeveynleri çalışmayan, gelir düzeyi düşük olan ve yurtta yaşayan öğrencilerin, stresle başa çıkmada etkisiz yöntemler kullandıkları görüldü. Öğrencilerin eğitim sürecinde stresörlerinin azaltılması, stresle başa çıkma konusunda bilgi ve becerisini destekleyici danışmanlık verilmesi ve düzenli hizmet alabilecekleri birimlerin kurulması önerilebilir.
A novel low uterine segment sandwich technique (Caliskan's technique) for the management of post-cesarean hemorrhage due to placenta previa accreta
(GALENOS YAYINCILIK, 2021) Çalışkan, Eray; Akar, Bertan; Ceylan, Yasin; Karadağ, Cihan
Objective: Placenta previa (PP) and placenta accreta spectrum (PAS) disorders are major causes of postpartum hemorrhage (PPH). There is a variety of surgical management options with inexplicit reported success rates. Uterine sandwich is a combination of uterine compression sutures and intrauterine balloon placement to achieve hemostasis. The aim of this study was to present our experience of seven women managed with a novel "lower uterine sandwich" technique to control post-cesarean hemorrhage due to PP accreta. Materials and Methods: Seven pregnant women diagnosed as having PP totalis accreta underwent a post-cesarean procedure combining bilateral ligation of the uterine artery, utero-ovarian artery, and internal iliac artery, Pereira compression sutures implemented on the uterine isthmus, Foley catheter placement into the lower uterine segment, and transvaginal cervical cerclage application, namely "Caliskan's uterine sandwich technique". Results: All women included in this study had placental invasion abnormalities of varying degrees. Postoperative diffusion magnetic resonance imaging assessment revealed a completely normal and preserved uterine blood supply. All women menstruated regularly in their postoperative follow-up period and two women conceived again and delivered uneventfully. None of the patients experienced morbid complications nor required hysterectomy. Conclusion: This novel procedure appears to be a plausible fertility and organ-preserving option in cases of intractable PPH, particularly in lower uterine segment bleeding. This uterine sandwich technique may allow physicians to manage massive hemorrhage due to PAS conservatively by preserving the uterus and its functions without major complications.
The covid 19 outbreak: maternal mental health and associated factors
(Elsevier, 2021) Genç Koyucu, Refika; Palas Karaca, Pelin
Objective: Evaluation of the mental health of pregnant women during the early and peak stages of the Covid-19 outbreak DESIGN: Online survey PARTICIPANTS: Pregnant women over the age of 18 years with no mental disorder during the pre-pregnancy period (N = 729). Measurements and findings: Mental disorders were assessed using the "Depression Anxiety Stress Scale" and social support was determined using the "Multidimensional Perceived Social Support Scale." Pregnant women had moderate levels of anxiety and depression and mild levels of stress. Anxiety, depression, and stress of moderate or high severity was reported in 62.2%, 44.6%, and 32.2% of the women, respectively. Pregnant women who lost their jobs during the pandemic period showed a 3-fold increase in the risk of anxiety, a 6-fold increase in the risk of depression, and a 4.8-fold increase in the risk of stress. An increase in the perception of social support has protective effects against all three mental disorders during pregnancy. In pregnant women with at least one obstetric risk, the risk of antenatal anxiety is 2 times higher than that in women with no risk. Similarly, women with a chronic physical illness before pregnancy have a higher risk of anxiety during pregnancy than healthy women. Financial strain has predictive value for anxiety and depression, and advanced age is a predictor for depression. Key conclusions: The incidence of mental disorders in pregnant women during the pandemic period was much higher than that during the pre-pandemic period. The high frequency of antenatal mental disorders can lead to an increase in the frequency of obstetric and maternal complications in the short and long term. Implications for practice: Early detection of inadequate social support and economic difficulties of pregnant women during the pandemic period is recommended for protecting their mental health. Pregnant women should have easy access to psychosocial support, and they should be provided obstetric counseling during the pandemic conditions.

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