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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 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 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 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.
