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    The effect of delivery mode on maternal and newborn comfort: An analytical study
    (2020) Erenoglu, Rabiye; Uslu, Nevin
    Aim: This study was conducted to evaluate the effect of delivery mode on maternal and newborn comfort. Material and Methods: It is an analytical study. 60 mothers who had vaginal delivery and 60 mothers who had caesarean section and their newborn infants.It was conducted in a State Hospital located in a province in the southern Turkey. The data of the study were collected with Mother and Newborn Information Form, the Postpartum Comfort Questionnaire, the Newborn Comfort Behavior Scale, and the Breastfeeding Self-Efficacy Scale. Before starting the study, written and verbal permissions were obtained from the institution, the ethics committee and the mothers.Results: In this study, it was determined that those who had a caesarean delivery experienced more problems related to sitting on the bed, standing up, personal hygiene, perineal hygiene, urinary incontinence, flatus, and pain at the operation site compared to those who had a vaginal delivery (p0.05). The breastfeeding self-efficacy scores did not differ between the two groups (p>0.05). Conclusions: Future studies should evaluate the effect of the method of delivery on maternal and newborn comfort.According to the literature, women who had vaginal delivery according to cesarean section; postpartum comfort, breastfeeding success and self-efficacy of breastfeeding were reported to be higher. In this study, it was determined that the delivery mode did not affect the maternal and newborn comfort and mother’s breastfeeding self-efficacy.
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    Relation between the attitudes of nursing students on gender equality and dating violence
    (2020) Erenoglu, Rabiye; Uslu, Nevin
    Aim: Warfarin has been used for protection from peripheral embolism in patients with atrial fibrillation (AF) and it has been shown that the direct oral anticoagulants are effective in protection against stroke as much as warfarin and cause lower bleeding complications. Our aim is to compare the efficacies of different anticoagulants in resolution of left atrial appendage thrombi. Materials and Methods: 264 patients were included in study. 39 patients had left atrial appendage thrombus; 17 patients underwent a repeat transesophageal echocardiography (TEE) after switching/administering an anticoagulant treatment regimen. Results: Thrombus was detected in 3 patients using apixaban, who were switched to dabigatran. Those patients were found to have thrombus resolution by the repeat TEE procedures. Of 5 patients using warfarin, 3 were switched to dabigatran, in one of whom thrombus resolution was not achieved. One patient continued warfarin with a target INR of 2.5-3.5 and a repeat TEE showed complete thrombus resolution. The remainder patient using warfarin was swithed to rivaroxaban, with complete thrombus resolution having been achieved. Two patients using edoxaban had their thrombi resolved by dabigatran. Seven patients were not receiving any anticoagulant regimen. Among these, warfarin was administered to 4 patients and apixaban to 2; repeat TEEs showed no thrombus. The remainder patient was administered low molecular weight heparin, and repeat TEE showed persistence of LAA thrombus. Conclusion: Irrespective of patients being anticoagulated, TEE should be planned before interventional procedures and cardioversion. If thrombus develops in a patient receiving anticoagulant treatment, switching to a different anticoagulant would be a logical option