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    Association of Postpartum Smoking Relapse With Breastfeeding and Body Mass Index
    (Lippincott Williams & Wilkins, 2019) Duman, Mesude; Tashan, Sermin Timur; Ozan, Yeter Durgun
    Objective: This study aimed to determine the relationship between smoking relapse and breastfeeding and body mass index in the postpartum period. Methods: This descriptive, cross-sectional study was conducted between November 2016 and November 2017 in the polyclinic for children's health and common illnesses at a university hospital in eastern Turkey. One hundred eleven women who met the inclusion criteria constituted the sample of the study. The data were evaluated using the analyses of percentage, arithmetic mean, standard deviation, independent-samples t test, analysis of variance, and multiple linear regression. Results: In the study, the week of pregnancy period when the women quit smoking was 8.19 +/- 5.17, and the week of postpartum smoking relapse was 8.47 +/- 11.76. Furthermore, 72.1% of the women stated that they wanted to quit smoking permanently. The study determined that the status of wanting to quit smoking permanently, the status of smoking while breastfeeding, and gained weight during the last gestation are important predictors of postpartum smoking relapse. Originality and Value: Knowledge on the characteristics of the women who started smoking again in the postpartum period is important for helping women who have quitted smoking in pregnancy but who are prone to relapse as a risk group by health care personnel.
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    The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial
    (Elsevier Science Inc, 2022) Duman, Mesude; Ozan, Yeter Durgun; Derya, Yesim Aksoy; Tashan, Sermin Timur
    Background: Pregnancy-related anxiety is quite frequent during pregnancy after perinatal loss, and it is likely to cause negative effects on the mother and the foetus. amongst independent nursing practices, progressive muscle relaxation exercises are considered to be one of alternative treatment methods to relax pregnant women physically and psychologically. Purpose: The aim of this study is to examine the effect of progressive muscle relaxation exercises on the pregnancy-related anxiety levels of pregnant women who have experienced a perinatal loss. Methods: One hundred and four pregnant women who had experienced a perinatal loss were randomly assigned to an intervention group (n = 31) or a control group (n = 33) and participated in a 12-week trial. The intervention group received training on progressive muscle relaxation exercises, while the control group was provided only with routine healthcare services. The Pregnancy-Related Anxiety Questionnaire-R2 was used to evaluate the level of pregnancy-related anxiety. Results: The intervention group showed improvement in comparison to the control group at the end of the intervention. After the intervention, the measured levels of pregnancy related anxiety, fear of giving birth, and worries about bearing a handicapped child significantly decreased in the intervention group compared to the pre-intervention levels and the control group, and the difference between the groups was statistically significant (p<0.001, p<0.001, and p<0.001, respectively). However, there were no significant differences in the levels of concern about own appearance between the groups after the intervention (p>0.05). Conclusion: According to the results of the study, progressive muscle relaxation led to a decrease in the pregnancy-related anxiety levels of the pregnant women who had experienced a perinatal loss. (c) 2020 Elsevier Inc. All rights reserved.
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    Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: Validity and reliability study in multiparous and primiparous pregnancy
    (Elsevier Sci Ltd, 2018) Aksoy Derya, Yesim; Tashan, Sermin Timur; Duman, Mesude; Ozan, Yeter Durgun
    Objective: The purpose of this study was to create a Turkish version of the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQR2), which was revised for application to multiparous and primiparous pregnancy, and to explore its psychometric characteristics in multiparous and primiparous pregnancy. Design: This study was methodologically designed to assess the reliability and validity of the PRAQ-R2. Setting: The study was carried out in the obstetrics clinic of a training and research hospital in Malatya. Participants: A total of 616 healthy pregnant women (399 multiparous and 217 primiparous) constituted the sample of the study. Methods: The cultural adaptation process of the questionnaire was conducted in three phases: language validity, content validity, and pilot application. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the construct validity of the questionnaire. The reliability of the PRAQ-R2 was evaluated with Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and parallel forms reliability. Findings: The EFA revealed that the PRAQ-R2 consists of 10 items for the multiparous group and 11 for the primiparous group after adding the item I am anxious about the delivery because I have never experienced one before. The CFA for both groups supported the three-factor questionnaire yielded by the EFA. Good fit index values were obtained in both groups. Cronbach's alpha internal consistency coefficient ranged from 0.81 to 0.93 for the multiparous group and 0.87 to 0.94 for the primiparous group for the complete PRAQ-R2 and each of its subdimensions. In addition, the item-total correlation, test-retest analysis, and parallel forms reliability of the questionnaire were highly correlated. Conclusion: The PRAQ-R2 is a valid and reliable instrument that can be used to evaluate the level of anxiety in Turkish pregnant women irrespective of parity. Implications for practice: The use of the PRAQ-R2 in prenatal healthcare services will contribute to the early diagnosis, treatment, and management of pregnancy-related anxiety.