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Öğe Effect of the fetal movement count on maternal-fetal attachment(Wiley, 2019) Guney, Esra; Ucar, TubaAim This study aimed to determine the effect of fetal movement counting on maternal-fetal attachment. Methods This study was a randomized controlled trial, conducted with experimental and control groups, each including 55 pregnant women from six family health centers in the Malatya Province, located in the east of Turkey. The data were collected by using a Personal Information Form and the Maternal Antenatal Attachment Scale. Training for fetal movement counting was provided to the experimental group. The pre- and posttraining maternal-fetal attachment levels of the experimental group (fetal movements that were regularly counted for 4 weeks) and the control group (continual routine monitoring) were compared. Results In the pretraining pretest, no difference was found between the maternal-fetal attachment scores of the experimental and the control groups, whereas the maternal-fetal attachment score of the experimental group was found to be higher than that of the control group in the post-test that was applied 4 weeks later. Conclusion This research indicated that fetal movement counting positively affected maternal-fetal attachment.Öğe Effect of the Mindfulness-Based Stress Reduction program on stress, anxiety, and childbirth fear in pregnant women diagnosed with COVID-19(Elsevier Sci Ltd, 2022) Guney, Esra; Cengizhan, Sidika Ozlem; Okyay, Esra Karatas; Bal, Zeynep; Ucar, TubaObjective: This study aims to examine the effectiveness of a live online Mindfulness-Based Stress Reduction (MBSR) program in preventing distress, anxiety and childbirth fear in pregnant women diagnosed with COVID19.Material and methods: Designed as a randomized-controlled trial, this study was performed with the participation of pregnant women who were diagnosed with COVID-19. The sample comprised 84 pregnant women, including 42 in the experimental group and 42 in the control group. The online MBSR program composed of eight sessions and lasting four weeks was provided to the pregnant women in the experimental group, whereas such an initiative was not provided to the control group. The data were collected via the Revised Prenatal Distress Questionnaire (NuPDQ), the Beck Anxiety Inventory (BAI), and the Childbirth Attitudes Questionnaire (CAQ). Results: After the MBSR program, the mean NuPDQ, BAI and CAQ scores of the pregnant women in the experimental group were significantly lower than the mean scores of those in the control group (p < 0.001).Conclusion: The online MBSR program may be utilized to reduce the distress, anxiety and childbirth fear levels of pregnant women diagnosed with COVID-19. By using the MBSR program, health professionals might improve the psychological well-being of pregnant women diagnosed with COVID-19.Öğe Effects of decision-making in pregnancy via the internet on self-care agency and prenatal attachment(Womens Health & Action Research Centre, 2025) Coban, Mevhibe; Guney, EsraThe study was conducted to determine the effect of making decisions over the internet during pregnancy on self-care skills and prenatal attachment. The study was conducted in T & uuml;rkiye between January and May 2024. It was determined that the difference between the pregnant women's Scale of Decision-Making Via The Internet In Pregnancy (DMIP) score averages and their ability to obtain information about age, education level, number of pregnancies, pregnancy, birth and postpartum period; between the Prenatal Attachment Inventory (PAI) score averages and their ability to obtain information about age, education level, employment status, family type, number of pregnancies, pregnancy, birth and postpartum period; and between the Self-Care Agency Scale (SCAS) score averages and their education level and number of pregnancies were statistically significant (p<0.05). It has been determined that the prenatal attachment and self-care levels of pregnant women who make decisions via the internet increase depending on their age, education level, employment status and number of children. According to study, midwives should constantly communicate with the woman during pregnancy, childbirth, and the postpartum period and have sufficient capacity and sensitivity in terms of providing her with information based on her needs.Öğe Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial(Elsevier Sci Ltd, 2021) Guney, Esra; Ucar, TubaPurpose: In this study, it was aimed to determine the effect of deep tissue massage (DTM) applied by midwife on pain and comfort after cesarean section. Material and methods: This study was designed as a randomized controlled trial conducted with experimental and control groups. The data were collected using a personal information form, visual analogue scale (VAS), the Postpartum Comfort Questionnaire (PPCQ). DTM was applied to participants in the experimental group twice (at the 10th and 22nd h) after cesarean. No applications were performed in the control group. Results: According to the measurements, the mean VAS score of the mother in the experimental group was lower than that of the control group (17.51 +/- 6.15, 56.16 +/- 9.53; respectively) and PPCQ total and sub-dimension mean scores were found to be statistically significant in favor of the experimental group (p < 0.001). Conclusions: It was indicated that DTM application decreased the levels of pain and increased the comfort levels of the women who had cesarean sections.Öğe Effects of family planning education given to married illiterate women of reproductive age via visual material support on family planning related attitudes and contraceptive preferences: the example of Viranşehir, Türkiye(Bmc, 2025) Guney, Esra; Karakas, Sozdar; Dogan, YurdagulObjective This study was conducted to determine the effects of family planning education given to married illiterate women of reproductive age via visual material support on their family planning attitudes and contraceptive preferences. Method The randomized controlled study was carried out between 31 January and 31 July 2023. The sample of the study consisted of 148 women, including 74 in the experimental group and 74 in the control group. Using a Family Planning Education Booklet prepared for illiterate women, an education program lasting a week in total was held in three sessions. No intervention was made in the control group. Data were collected using a Personal Information Form, a Family Planning Assessment Form, and the Family Planning Attitude Scale. Results After the intervention, the Family Planning Attitude Scale total and subscale scores of the participants were significantly higher in the experimental group compared to both their pretest scores and the posttest scores of the control group (p < 0.001). There was an increase in the rates of participants who preferred modern and effective family planning methods in the experimental group after the education program. All participants in the experimental group stated that they were satisfied with the education given within the scope of the study. Conclusion The family planning education program provided to women using educational content prepared for illiterate women was effective in increasing the knowledge and positive attitudes of the women regarding family planning.Öğe Effects of prenatal breast-feeding education on postnatal breast-feeding fear in pregnant women in the COVID-19 pandemic: A randomized clinical trial(Wiley, 2023) Sabanci Baransel, Esra; Ucar, Tuba; Guney, EsraAim This study aimed to investigate the effectiveness of prenatal breast-feeding education provided to pregnant women who experience fear of breast-feeding in the COVID-19 pandemic period. Methods A prospective randomized controlled trial study was conducted with 128 pregnant women (64 in the experimental group and 64 in the control group) between November 2021 and February 2022. The data were collected via the Numeric Pain Rating Scale, the Breastfeeding Motivation Scale and the Iowa Infant Feeding Attitude Scale to assess fear, motivation and attitudes regarding breast-feeding. The pregnant women in the experimental group were provided with and education programme on 'safe breastfeeding in the COVID-19 pandemic'. The breast-feeding education included in standard care was given to the control group after pre-test data collection was completed. Results The significant differences in the mean Numeric Pain Rating Scale, Breastfeeding Motivation Scale and Iowa Infant Feeding Attitude Scale scores of the groups were in favour of the experimental group (P < 0.05). It was determined that in the first postnatal month, in the experimental group, the numbers of women who believed that their breast-feeding was not affected by COVID-19 and the numbers of infants solely breastmilk-fed were higher compared to the control group (P < 0.05). Conclusion Prenatal breast-feeding education about safe breast-feeding in the COVID-19 pandemic period can reduce fears of breast-feeding and increase motivation and approving attitudes regarding breast-feeding.Öğe Evaluation of the ways of coping with stress and the personality traits in women exposed to violence: A comparative study(Wiley, 2022) Barut, Sumeyye; Guney, Esra; Ucar, TubaPurpose To determine the stress-coping methods and personality traits of the women who were exposed to violence. Design and Methods This cross-sectional study was conducted by using a web-based online survey with 1242 women in Turkey. Findings Women who were exposed to violence used mostly emotional strategies in coping with stress. The women's personality traits did not affect whether they were victims of the violence. Practice Implications It is necessary to take initiatives to encourage the use of effective methods in coping with stress. Other studies should be conducted to determine the personality traits of women exposed to violence.Öğe Families' Health Behavior: Validity and Reliability of the Turkish Version of the Family Health Climate Scale(Routledge Journals, Taylor & Francis Ltd, 2021) Guney, Esra; Okyay, Esra Karatas; Ucar, TubaThis study aims to adapting the Family Health Climate Scale (FHC Scale) into Turkish and to conduct its validity and reliability analyses. The FHC Scale consists of two subscales, the Physical Activity Scale (FHC-PA) and the Nutrition Scale (FHC-NU). The validity and reliability analyzes of the scales were done separately. The sample included 789 participants (263 students, 263 mothers, 263 fathers). The sample was randomly allocated to two groups. Explanatory Factor Analysis (EFA) was performed on Sample I (132 students, 132 mothers, 132 fathers); and Confirmatory Factor Analysis (CFA) on sample II (131 students, 131 mothers, 131 fathers). As a result of the EFA it was determined that three factors FHC-PA Scale; and four factors FHC-NU Scale were included. The CFA result it was determined that scale models had good fit values. The FHC-Scale could be used as a reliable and valid measurement tool in Turkey.Öğe Let my father listen to my heart sounds too: Attachment in fathers who perform Leopold maneuvers and listen to fetal heart sounds, attachment and partner relationships in mothers(Wiley, 2025) Okyay, Esra Karatas; Guney, EsraObjective This study was carried out to determine the effects of having expectant fathers perform the Leopold maneuvers and listen to fetal heart sounds on antenatal attachment in expecting couples and partner relationships in pregnant women. Materials and Methods The sample of the experimental study consisted of 132 women, 132 men, constituting 66 couples in the experimental group and 66 in the control group. The expectant fathers in the experimental group performed the Leopold maneuvers. They listened to fetal heart sounds for 5-10 min at every practice. In both groups, the pregnant women filled out the Personal Information Form (PIF), the Maternal Antenatal Attachment Scale (MAAS), and the Prenatal Self-Evaluation Questionnaire-Relationship with Partner Subscale (PSEQ-RPS), whereas the expectant fathers filled out the PIF and the Paternal Antenatal Attachment Scale (PAAS). Results After the expectant fathers in the experimental group performed the Leopold maneuvers and listened to the heart sounds of their fetuses, the pregnant women in the experimental group had significantly higher total MAAS scores and significantly lower total PSEQ-RPS scores than those in the control group (respectively, p < .001 and p < .05). The total PAAS scores of the expectant fathers in the experimental group were significantly higher than the total PAAS scores of those in the control group (p < .001). Conclusion It was determined that having expectant fathers perform the Leopold maneuvers and listen to fetal heart sounds resulted in increased antenatal attachment levels in the expectant fathers and pregnant women and affected the relationships between the pregnant women and their partners positively.Öğe Postnatal Outcomes of the Traumatic Childbirth Perception: An Analysis of the Traumatic Childbirth Perception with Pregnancy Avoidance and Mental Health Outcomes(2022) Guney, Esra; Karatas Okyay, Esra; Ucar, TubaAim: Several postpartum outcomes of traumatic birth perception have been identified. However, the postpartum results could not be clarified. The study aims were to describe and compare the pregnancy avoidance and mental health outcomes in the women with and without traumatic childbirth perception and to infer which factors may influence the traumatic childbirth perception. Material and Methods: This cross-sectional and comparative study was conducted with 1109 women who were in the 6-12 months of the postnatal period. The Scale of Traumatic Childbirth Perception (STCP), the Desire to Avoid Pregnancy (DAP) Scale, and the Depression Anxiety Stress Scale-21 were used in the collection of research data. In the study, the women with a moderate or higher level of traumatic childbirth perception (53 points or above) were categorized as ‘childbirth perception traumatic’. Results: In the study, 74.8% of the women obtained 53 points or above from the STCP. It was found that, of the women with traumatic childbirth perception, 46.4% exhibited depressive symptoms, 54.5% experienced anxiety, 41.1% had stress, and the mean of their DAP scores was 2.13±0.96. Women with traumatic birth perception were higher in avoiding depression, anxiety, stress and pregnancy (pÖğe Psychosocial factors and health practices in pregnancy: A cross-sectional study(Wiley, 2022) Guney, Esra; Unver, Hacer; Bal, Zeynep; Ucar, TubaAim The aim of this study was to investigate psychosocial, demographic and obstetric factors that affect health practices in pregnancy. Methods This cross-sectional study was conducted with pregnant women selected by using random sampling in a public hospital in Turkey. The pregnant women (n = 383) completed the Health Practices Questionnaire in Pregnancy, the Center for Epidemiologic Studies Depression Scale, the Beck Anxiety Inventory and the Multidimensional Scale of Perceived Social Support. Multiple linear regression was used to examine predictors of participation in health practices. The variables were subjected to multiple linear regression analysis to estimate the effect of each independent variable (depression, anxiety, perceived social support, age, educational level, gestational week and parity) on the dependent variable (health practices). Results Depression and anxiety were not significantly related to gestational health practices. The multiple linear regression model showed that inadequate social support, low education level, early gestational week and high parity were significant predictors of nonengagement in favourable health practices during pregnancy. Conclusions Pregnant women with inadequate social support and specific demographic and obstetric characteristics are less likely to participate in gestational health practices. This study suggests that more attention should be paid to these groups to improve the health practices of pregnant women.Öğe The scale for body image concerns during pregnancy: Development and validation(Wiley, 2018) Ucar, Tuba; Guney, Esra; Cesur, Busra; Yurtsal, Zeliha BurcuPurposeThis study aimed to develop a scale that measures body image concerns during pregnancy. Design and MethodsThe study administered draft of the scale for validity and reliability analysis to 320 pregnant women who visited the maternity polyclinic of a public hospital in eastern Turkey between February and May 2016. FindingsThe Cronbach's alpha reliability coefficient of the entire scale was 0.88. Factor analysis determined that the 23 items that explained 58.578% of total variance were in four of the factors. Practice ImplicationsThe scale for body image concerns during pregnancy was a valid and reliable scale.Öğe The Effect of Mandala Art Therapy on Anxiety, Mood, and Plasma Glucose Levels in Pregnant Women with Abnormal OGTT Values: A Randomized Controlled Study(Georg Thieme Verlag Kg, 2025) Okyay, Esra Karatas; Guney, Esra; Coban, MevhibeBackground and Purpose Mandala is recognized as an art therapy that provides psychological support and healing. This study aimed to determine the effects of mandala art therapy on blood glucose levels, mood, and anxiety in pregnant women with abnormal oral glucose tolerance test (OGTT) values. Materials and Methods This experimental study, designed as a pre-test post-test control group trial, was conducted in a public hospital in eastern T & uuml;rkiye. The study involved 68 pregnant women (intervention group=34, control group=34). In the intervention group, the pregnant women received mandala art therapy twice: once at 0 hour after fasting plasma glucose (FPG) and once at 1 hour after plasma glucose (PG). Data collection tools included a Personal Information Form, the State-Trait Anxiety Inventory (STAI), and the Brief Mood Introspection Scale (BMIS), while glucose levels were obtained from patient records. Statistical analysis included frequency, percentage, mean, standard deviation,chi-square test, independent samples t-test, paired t-test, and ANCOVA. Results Following the intervention, pregnant women in the intervention group had significantly lower post-test STAI total and BMIS-negative mood subscale mean scores compared to those in the control group (p<0.05). Additionally, those in the intervention group scored higher on the positive mood and overall mood subscales of BMIS compared to those in the control group (p<0.05). There was no statistically significant difference between the groups' FPG(0-hour), PG(1-hour), and PG(2-hour) measurements (p>0.05). Conclusion Mandala art therapy was found to reduce anxiety and negative mood while positively affecting positive mood and overall emotional well-being in pregnant women with abnormal OGTT values.Öğe The impact of paternal personality traits on fathers' positive breastfeeding attitudes and good involvement: A cross-sectional study(Lippincott Williams & Wilkins, 2025) Guney, Esra; Emre, Esra Nur; Tan, Esra; Tan, MelikeBreastfeeding is a critical component of infant health, and fathers' involvement and attitudes have been shown to play an important role in breastfeeding success. However, the influence of paternal personality traits on fathers' breastfeeding involvement remains underexplored. The objective of this study was to determine the breastfeeding attitudes and participation of 1st-time fathers. This cross-sectional study aimed to examine the influence of personality traits and sociodemographic factors on the breastfeeding attitudes and participation of 1st-time fathers. Data were collected using a Personal Information Form, the Ten-Item Personality Inventory, and the Fathers' Breastfeeding Attitude and Participation Scale. The study population comprised the spouses of women who applied to the obstetrics and gynecology outpatient clinics of a public hospital located in T & uuml;rkiye. The calculated minimum sample size was 364 participants, However, considering potential data loss, the study was completed with 404 participants. The findings of the study indicated that a planned pregnancy (univariate analysis) and the personality trait of emotional stability (both univariate and multivariate analyses) had a significant influence on fathers' positive breastfeeding attitudes (P < .05). Moreover, lower participation in breastfeeding was associated with unplanned pregnancy (univariate and multivariate analyses) and the personality traits of extraversion, emotional stability, and agreeableness (univariate analysis) (P < .05). Planned pregnancy and specific personality traits were identified as significant determinants of fathers' positive breastfeeding attitudes and higher breastfeeding participation among 1st-time fathers.
