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    The adaptation of the Well-Being in Pregnancy (WiP) Questionnaire into Turkish: validity and reliability of a questionnaire
    (Taylor & Francis Inc, 2022) Sunay, Zeliha; Baransel, Esra Sabanci; Ucar, Tuba
    This study aimed to adapt the Well-Being in Pregnancy (WiP) Questionnaire into Turkish and assess the instrument's validity and reliability in pregnant women. Exploratory factor analysis (EFA) was applied to 500 pregnant women included in Sample I, while confirmatory factor analysis (CFA) was applied to 386 pregnant women in Sample II. As a result of the EFA applied to Sample I, it was found that the 12-item WiP encompasses two factors (Positive Affect and Satisfaction subscale and Concerns subscale), and as a result of the CFA applied to Sample II, it was found that the scale has good fit indices (chi(2)/df = 1.990, p = .000, CFI = 0.95, GFI = 0.95, AGFI = 0.93, RMSEA = 0.04, and PCLOSE = 0.000). The Cronbach's alpha internal consistency coefficients that were obtained as a result of the reliability analyses of the scale were found as 0.72, 0.70 and 0.60 for all items of WiP, its first subscale and its second subscale, respectively. It was found that the item-total correlations of the scale varied in the range of r = 0.44-0.55 (p < .001). In the test-retest analysis, a statistically significant positive correlation was found between the total scores of the scale obtained in two different implementations (r = 0.412, p = .024). This study supported the use of WiP as a valid and reliable instrument for Turkish pregnant women. Impact Statement What is already known on this subject? The Well-Being in Pregnancy (WiP) Questionnaire developed in 2017 by Alderdice et al. is a measurement tool that is used to determine the positive and negative emotions of pregnant women. This questionnaire has not been translated to other languages. What do the results of this study add? The reliability and validity of the Turkish version of WiP were found to acceptable, and two subscales were identified as the Positive Affect and Satisfaction subscale and the Concerns subscale. What are the implications of these findings for clinical practice and/or further research? This reliable and valid instrument can be used for measuring the whole spectrum of well-being rather than just poor psychological health.
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    An analysis of dysmenorrhoea and depressive symptoms in university students: A case-control study
    (Wiley, 2018) Ucar, Tuba; Tashan, Sermin Timur; Aksoy Derya, Yesim; Nacar, Guelcin
    AimDysmenorrhoea is a significant problem frequently observed in young women; it affects their daily life. The study aims were to describe and compare the presence of depressive symptoms in female university students with and without dysmenorrhoea and to infer which factors may influence dysmenorrhoea. MethodsThis case-control study included 942 students, 471 in each group. The case group consisted of university students in a large university hospital in Eastern Turkey who applied to the adult emergency service and were diagnosed with dysmenorrhoea. The control group consisted of randomly selected students in the same university who did not report painful menstruation. The data were collected between September 2015 and May 2016 using a questionnaire. ResultsDepressive symptoms were observed in 61.1% of the students with dysmenorrhoea and 38.9% of the students without dysmenorrhoea (P<.05). The logistic regression analysis showed that depressive symptoms (OR: 1.87) and family history of dysmenorrhoea (OR: 2.20) were found to be higher in the students with dysmenorrhoea than in the students without dysmenorrhoea. ConclusionStudents with dysmenorrhoea were more likely to have depressive symptoms and a family history of dysmenorrhoea; findings alert health care professionals to the psychological as well as physiological effects.
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    Assessment of levels of knowledge of breastfeeding counseling of health personnel working in primary health care institutions
    (2019) Kayhan Tetik, Burcu; Aksoy Derya, Yeşim; Ucar, Tuba; Coskun, Ebru Inci; Felek, Selma; Citil, Semsettin; Sener, Kemal;
    Aim: The aim of this study is to evaluate the knowledge level of breast milk and breastfeeding of health professionals working in primary health care institutions in Malatya.Material and Methods: A Cross-sectional Study’s survey prepared by using the Handbook of Breastfeeding Counseling translated by Child and Adolescent Reproductive Health Branch of the Ministry of Health of Turkey. 778 people were contacted by the interviewers by visiting the primary health care institutions in Malatya city center and districts, directly. All data was evaluated with SPSS 22 software and p0.05 was accepted as statistically significant.Results: The mean age of the participants was 36.15±8.57 years; 77.6% of them were women; 49.1% were working in Family Health Center. It was determined 80.1% of family physicians and 84.5% of midwives / nurses have been consulting about breast milk / breastfeeding in daily practice. When the respondents’ answers to the statements of knowledge about breast milk/breastfeeding counseling were assessed, there was no significant difference between the answers given by the family physicians and midwives/ nurses (p> 0.05). The participants gave wrong answers to 40% of the questions about conditions that require practical support such as insufficient breastmilk and the conditions related to the breasts. Conclusion: In our study we observed that basic subjects were well known by healthcare personnel whereas there is a serious lack of information, especially in daily practice, which should be constantly updated. We think that the training of breastfeeding and breastfeeding counseling should be updated periodically and especially emphasis should be given to new developments and practical information.
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    Bibliometrics and Visual Analysis of the Research Status and Trends of Breastfeeding in Turkey
    (Aves, 2023) Ucar, Tuba; Celik, Osman Tayyar; Baransel, Esra Sabanci; Barut, Sumeyye
    Objective: The long- and short-term benefits of breastfeeding for mothers and infants are known, and the number of studies on this subject is increasing daily. This study aimed to reveal current research trends, hotspots, and future frontiers in research on breastfeeding in Turkey. Materials and Methods: The most productive institutions, influential authors, the journals with the most publications by the authors, core research teams, and keywords in Turkey in the field of breastfeeding were analyzed using bibliometric methods. Additionally, breastfeeding-related articles published in the Web of Science Core Collection between 1980 and 2022 were scanned. The collected data were analyzed with the R Bibliometrix package program and VOSviewer. Results: It was determined that research on breastfeeding has accelerated since 2004, and the number of citations has increased with the number of publications. The fields of most productive writers in the area were found as social pediatrics, and the most influential institutions were Istanbul University and Hacettepe University. It was determined that there was no specialization in research on breastfeeding among authors distributed based on their productivity. The results also revealed the most influential articles and journals. The word analysis revealed that the breastfeeding literature in Turkey is sensitive to current developments, whereas the current status of breastfeeding, the factors affecting breastfeeding, and the effects of breastfeeding are the top areas of research. It was observed that maternal attachment and coronavirus disease-2019 (COVID-19) pandemic-related issues have been studied more in recent years. Conclusion: This bibliometric analysis contributes to understanding the current status and development of breastfeeding research in Turkey.
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    Comparison of pregnant women's anxiety, depression and birth satisfaction based, on their traumatic childbirth perceptions
    (Taylor & Francis Inc, 2022) Barut, Sumeyye; Ucar, Tuba; Yilmaz, Ayse Nur
    This study was conducted to identify and compare pregnant women's anxiety, depression, and birth satisfaction levels based on their traumatic childbirth perceptions. This study used a cross-sectional design. The data were collected at two stages, namely, the prenatal and postpartum stages. First, the Traumatic Childbirth Perception Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were applied to the pregnant women. Next, in the postpartum period, the Childbirth Information Form and the Birth Satisfaction Scale-Revised were applied. It was found that the participants with high levels of traumatic childbirth perception had higher mean anxiety and depressive symptom scores (26.13 +/- 11.30 and 16.16 +/- 9.02, respectively), whereas the participants with low levels of traumatic childbirth perception had a higher mean birth satisfaction score (17.50 +/- 4.91). The findings indicated that high levels of traumatic childbirth perception may lead to have anxiety and depression, while low levels of traumatic childbirth perception may enhance their birth satisfaction. IMPACT STATEMENT What is already known on this subject? In the literature, it is stated that the perception of a traumatic birth can lead to permanent or long-term negative consequences in women's lives, negatively affecting their future health, subsequent birth experiences, and family relationships. What do the results of this study add? In this study, 37.7% of the participants were found to have high levels of traumatic childbirth perception. It was determined that the anxiety and depression levels of the participants with high levels of perception of traumatic birth were higher, and the levels of birth satisfaction were higher in the pregnant women with low levels of perception of traumatic birth. The results indicated that severe depressive symptoms, severe anxiety, and low levels of birth satisfaction were likely to raise traumatic childbirth perception levels in pregnant women. What are the implications of these findings for clinical practice and/or further research? The care to be given under the leadership of midwifery professionals is important in terms of reducing pregnant women's perceptions of a traumatic birth, anxiety, and depression levels and increasing their levels of birth satisfaction.
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    The effect of an attachment-based intervention program on attachment, expectation, and stress in pregnant women: A randomized controlled study
    (Wiley, 2023) Baransel, Esra Sabanci; Ucar, Tuba
    Aim: This study aimed to determine the effect of an attachment-based intervention program (ABIP) on attachment, prenatal expectation and stress levels in pregnant women.Methods: This randomized controlled study was conducted in the pregnant outpatient clinics of a public hospital in Turkey. The study sample consisted of a total of 154 pregnant women (77 experimental, 77 control) at 28-38 weeks of gestation. The ABIP was applied to the pregnant women in the experimental group for 5-7 days. The ABIP included five interventions: (1) perceiving/counting fetal movements; (2) music therapy; (3) preparation for the baby; (4) writing notes/letters to the baby; and (5) watching images of the fetus/pregnancy.Results: After the ABIP, pregnant women in the experimental group had higher prenatal maternal attachment and prenatal positive expectation mean scores than those in the control group, and the difference between them was statistically significant in favor of those in the experimental group (P < .001). In addition, pregnant women in the experimental group had lower prenatal negative expectation and prenatal distress mean scores than those in the control group, and the difference between them was statistically significant in favor of those in the experimental group (P < .001).Conclusions: The results of this study suggest that ABIP is a unique and pioneering program to increase maternal-antenatal attachment and prenatal positive expectations and reducing prenatal negative expectations and distress through diverse interventions. However, further research is required to assess the effectiveness of ABIP on maternal-fetal attachment, prenatal maternal expectations, and prenatal distress.
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    Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process
    (Taylor & Francis Ltd, 2019) Ucar, Tuba; Golbasi, Zehra
    Objective: This study determined the effect of an educational program based on cognitive behavioral techniques (CBT) provided for pregnant women to address their fear of childbirth.Methods: This study was conducted experimentally using pretest-posttest and a control group. A total of 111 Turkish pregnant women were recruited with 52 in the intervention group and 59 in the control group. The intervention group attended the educational program on coping with childbirth fears based on CBT, which took 3weeks over six sessions. The Wijma Delivery Expectancy/Experience Questionnaire, version-A (W-DEQ-A) was administered to both groups as the posttest. The researchers monitored the pregnant women's labor and delivery and the State Anxiety Inventory (SAI), Numeric Pain Rating Scale (NPRS) and Birth Process Evaluation Form were completed.Results: The post-education W-DEQ-A score was 63.5 in the control group and 39.4 in the intervention group (p<.001). Their labor pain was lower, the second stage of labor was shorter and birth was more satisfactory for the intervention group than for the control group (p<.05). The CBT-based educational program and pain severity during childbirth were the significant predictors of satisfaction with childbirth (=0.354; =-0.324, respectively; p<.05 for all).Conclusions: The CBT-based educational program on coping with childbirth fears reduced pregnant women's fear of childbirth and positively affected their birth experience.
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    The effect of cognitive behavioural therapy and eye movement desensitization and reprocessing techniques on infertile women: a randomized controlled trial
    (Elsevier Sci Ltd, 2024) Bal, Zeynep; Ucar, Tuba
    Research question: What effects do training programmes based on cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) techniques applied to infertile women affected psychologically and emotionally by infertility have on post -traumatic stress disorder (PTSD) and psychological development? Design: This randomized controlled study was conducted between May 2021 and August 2022. The study population included 90 infertile women referred to the IVF unit of a hospital in a province in eastern Turkey: 30 in the CBT group, 30 in the EMDR group and 30 in the control group. Data were collected using a personal information form, the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) scale, the Infertility Distress Scale (IDS), the Impact of Event Scale -Revised (IES-R) and the Post-traumatic Growth Inventory (PTGI). Women in the experimental groups (CBT and EMDR groups) received the intervention in six sessions over 3 weeks. Pre-tests were administered to both experimental groups and the control group, and post-tests were conducted 3 weeks after the intervention. Results: The mean scores on the SUDS, IDS and IES-R for women in the experimental groups were significantly lower compared with those for women in the control group following the interventions (P < 0.001). The mean scores on the VoC scale and PTGI for women in the experimental groups were significantly higher compared with those for women in the control group following the interventions (P < 0.001). Conclusion: The use of CBT and EMDR techniques reduced the negative psychological and emotional effects of infertility among infertile women.
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    The effect of emotional freedom technique and music applied to pregnant women who experienced prenatal loss on psychological growth, well-being, and cortisol level: A randomized controlled trial
    (W B Saunders Co-Elsevier Inc, 2023) Okyay, Esra Karatas; Ucar, Tuba
    Introduction: Research has shown that application of emotional freedom technique and music ensures psychological growth, increases well-being, and decreases cortisol level. Purpose: In the study, it was aimed to determine the effect of EFT and music applied to pregnant women who had experienced prenatal loss on their psychological growth, well-being, and cortisol level. Methods: The study was conducted as a randomized controlled trial in a city hospital in eastern Turkiye with 159 pregnant women, 53 of whom were in the EFT, 53 in the music group, and 53 in the control group. The study data were collected through Subjective Units of Disturbance Scale (SUDS), Subjective Units of Experience (SUE) Scale, Post Traumatic Growth Inventory (PTGI), and WHO-5 Well-Being Index, and saliva samples were taken for cortisol evaluation. EFT was applied to the women two times every other week; the women in the music group listened to music two times every other week. Throughout the week following the first intervention, the women continued the interventions at home. Results: It was determined that EFT and music significantly decreased the participants' subjective anxiety and salivary cortisol median scores, the lowest anxiety was in the EFT group, and PTGI and WHO-5 Well-Being Index mean scores increased (p < 0.005). Further analyses showed that EFT was more effective in terms of increasing well-being than music (p < 0.001; a > b > c). It was determined that the anxiety levels and salivary cortisol median values of the control group were statistically significantly higher compared to the EFT and music groups (p < 0.001). Conclusion: It was found that EFT and music applied to the women who had experienced prenatal loss decreased anxiety, ensured psychological growth, improved well-being, and decreased salivary cortisol level.
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    Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students
    (Elsevier Sci Ltd, 2018) Guler, Handan; Cetin, Perihan; Yurtsal, Zeliha Burcu; Cesur, Busra; Bekar, Mine; Ucar, Tuba; Evcili, Funda
    This study assesses the efficacy of simulation-based episiotomy training (SBET) with beef tongue and sponge models in terms of the self confidence of midwifery students while performing episiotomy. Third-year midwifery students from Cumhuriyet University in the fall semesters of 2011 and 2012 were enrolled in the sponge and beef tongue model groups (n = 36 and n = 37, respectively). A checklist was prepared on the required skills for performing episiotomy which can be broken into three main parts, namely preparation, cutting and repairing and completion. According to the checklist, a Liken type questionnaire was developed including 5 items for preparation, 11 items for cutting and repairing, and 6 items for completion. After SBET with the sponge and beef tongue models in our laboratories of Midwifery Department, the students performed episiotomy steps in laboring women in Sivas State Hospital and then they filled in the questionnaire to indicate whether they gained self-confidence in performing episiotomy or not. Although, participants of both groups have successfully completed all the steps of episiotomy, overall, beef tongue model was found to be more successful regarding their self-confidence (p < 0.05), including the skills in performing local anesthesia; choosing needle holder, suture material and scissor for cutting; identifying apex, hymen and skin; using needle holder properly while penetrating into the skin, suturing vaginal mucosa until hymen, knotting, and suturing perineal muscles and skin. Our results suggest that while SBET with both models are applicable for episiotomy training of midwifery students in the laboratory setting, SBET with beef tongue model provides an additional increase in their self-confidence in the clinical settings.
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    Effect of folic acid supplementation on mental health in the antenatal and postnatal period Folik asit takviyesinin antenatal ve postnatal donemde ruh sa?l???na etkisi
    (Cukurova Univ, Fac Medicine, 2022) Bal, Zeynep; Ulutas, Ummugulsum; Ucar, Tuba
    Purpose: The aim of the study was to examine the mental health outcomes of folic acid (FA) supplement use in the antenatal and postnatal periods. Materials and Methods: This descriptive-prospective longitudinal study was conducted between 1 December 2019 and 30 January 2021 in a Family Health Center in eastern Turkey. The study was performed at one week in the postpartum period, at 6-8 weeks in the postpartum period, and at six months in the postpartum period. A total of 162 healthy pregnant women were included in the study. A Personal Information Form, the Beck Anxiety Inventory (BAI), and the Edinburgh Postpartum Depression Scale (EPDS) were used to collect data. Results: While 32.7% (n=53) of the participants used FA supplementation from the pre-pregnancy period and in the first trimester of pregnancy (6 months in total), and 34.6% (n=56) used FA supplementation only in the first trimester of pregnancy. It was determined that 32.7% (n=53) of the participants did not use any FA supplement. Of those who did not use FA, 37.0% were in the antenatal period, and 50.8% were on the postnatal 6-8 days. It was determined that the participants experienced mild/moderate/severe anxiety in different weeks. BAI and EPDS scores were the lowest in the prenatal period, at 6-8 weeks in the postpartum period, and at 6 months in the postpartum period in those who used FA supplementation for 6 months. BAI and EPDS scores decreased significantly from the antenatal, to the postnatal 6-8-week, and to the postnatal 6-month measurements. Conclusion: The use of FA supplements can be effective in preventing symptoms of anxiety and depression in the antenatal and postnatal period.
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    The Effect of Foot Massage Applied to Turkish Women Living in Rural Areas on Sexual Distress and Sexual Self-Confidence: A Randomized Controlled Study
    (Karger, 2023) Goekbulut, Nilay; Bal, Zeynep; Ucar, Tuba
    Introduction: This study was conducted to determine the effect of foot massage applied to women with sexual distress in rural areas on sexual distress and sexual self-confidence. Material and Methods: This randomized controlled study was conducted with women who applied to a family health center located in a rural area in northern Turkey and who had sexual distress. The research sample consisted of 84 women, 42 of whom were in the experimental group and 42 in the control group. While foot massage consisting of eight sessions and lasting four weeks was applied to the women in the experimental group, no such intervention was applied to the control group. Research data were collected by Female Sexual Distress Scale-Revised (FSDS-R) and Sexual Self-Confidence Scale (SSS).Results: It was determined that the pre-intervention sexual distress and sexual self-confidence levels of the women in the experimental and control groups were similar and that the difference between the groups was not statistically significant (p>0.05). After the intervention, it was determined that the mean FSDS-R scores of the women in the experimental group decreased significantly, while the mean SSS score increased significantly, and the difference between the groups was found to be statistically significant (p<0.001). Conclusion: Foot massage can be used to reduce the level of sexual distress and increase sexual self-confidence in women with sexual distress. Health professionals who provide health services can use foot massage to positively improve sexuality in women.
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    The Effect of Mindfulness-Based Sexual Counseling on Sexual Distress, Attitude Toward Sexuality, and Body Image Concerns in Pregnant Women: A Randomized Controlled Trial
    (Wiley, 2023) Cengizhan, Sidika Ozlem; Ucar, Tuba
    IntroductionSexual distress during pregnancy can cause a negative attitude toward sexuality during pregnancy, and this can be seen especially in conjunction with body image concerns. This study was conducted to determine the effects of mindfulness-based sexual counseling (MBSC) on sexual distress, attitudes toward sexuality, and body image concerns in pregnant women. MethodsA randomized controlled trial was conducted in a sample of women who experienced sexual distress presenting to a Healthy Living Center in eastern Turkey. Women (N = 134) were randomly assigned to receive a 4-week, 8-session counseling program based on mindfulness (experimental group; n = 67) or treatment as usual (control group; n = 67). The primary outcome of the study, sexual distress, was assessed using the Female Sexual Distress Scale-Revised. Secondary outcomes included attitude toward sexuality, assessed using the Attitude Scale toward Sexuality during Pregnancy, and body image concerns, using the Body Image Concerns during Pregnancy Scale. Outcomes were compared postintervention, correcting for baseline using analysis of covariance. The study was registered with ClinicalTrials.gov (NCT04900194). ResultsMean scores for sexual distress (7.69 vs 17.36; P < .001) and body image concerns (57.76 vs 73.88; P < .001) decreased significantly in the mindfulness group compared with the control group. Similarly, mean scores for attitudes toward sexuality significantly improved in the mindfulness group compared with the control group (133.52 vs 105.78; P < .05). DiscussionMBSC is a promising strategy to help women experiencing sexual distress during pregnancy to reduce their levels of sexual distress, raise their positive attitudes toward sexuality, and lower their body image concerns. Larger clinical trials of MBSC are recommended to support introduction of MBSC into clinical practice.
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    The Effect of Music on Pregnancy Complaints with Sleep and Quality of Life in Risky Pregnant Women
    (Marmara Univ, Inst Health Sciences, 2024) Baransel, Esra Sabanci; Ucar, Tuba
    Objective: This study aimed to examine the effect of music therapy on pregnancy complaints and quality of sleep and life in risky pregnant women. Methods: This is a prospective randomized controlled study. The sample of the study consisted of a total of 112 pregnant women who referred to a hospital in a city in Turkey for pregnancy follow-up (56 in the experimental group, 56 in the control group). Risky pregnant women in the experimental group were listened to music for four weeks before going to sleep, and those in the control group received no intervention. The data were collected between July and October 2022, using an introductory information form (IIF), a risk assessment form (RAF), the Assessment Scale for Pregnancy Complaints and Their Impact on Life Quality (ASPCILQ), and the Richard -Campbell Sleep Questionnaire (RCSQ). Results: Risky pregnant women in the experimental group had higher ASPCILQ and RCSQ post-test mean scores than those in the control group, and the difference between them was statistically significant (p<.001). Conclusions: A music therapy reduced pregnancy complaints in risky pregnant women and increased their sleep and life quality.
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    The Effect of Reiki on Sexual Function and Sexual Self-Confidence in Women with Sexual Distress
    (Springer, 2024) Barut, Suemeyye; Baransel, Esra Sabanci; Ucar, Tuba
    AimStudies have reported that Reiki reduces several symptoms regarding hypertension, cancer, sleep disorders, psychological problems, and menstrual cycle. Reiki may also have positive effects on sexuality. Therefore, this study aimed to determine the effect of Reiki on sexual function and sexual self-confidence in women with sexual distress. This randomized controlled study was conducted with women between the ages of 15-49 years who were registered at a family health center in the eastern region of Turkey and had sexual distress. Women experienced more sexual difficulties than men. Therefore, the sample of this study was women. The sample of the study consisted of 106 women, 53 in the experimental group and 53 in the control group. Women in the experimental group received Reiki once a week for four weeks, while no intervention was applied to those in the control group. Data were collected using the Female Sexual Distress Scale-Revised (FSDS-R), the Arizona Sexual Experiences Scale (ASEX), and the Sexual Self-confidence Scale (SSS). The levels of sexual distress, sexual function, and sexual self-confidence of women in both groups were similar before the intervention, and the difference between the groups was not statistically significant (p > 0.05). After the Reiki application, the FSDS-R and ASEX mean scores of women in the experimental group significantly decreased, while their SSS mean score significantly increased, and the difference between the groups was statistically significant (p < 0.05). In the present study, Reiki was associated with reduced sexual distress, positive outcomes in sexual functions, and increase sexual self-confidence in women with sexual distress. Healthcare professionals may find Reiki to positively enhance women's sexuality.
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    Effect of the fetal movement count on maternal-fetal attachment
    (Wiley, 2019) Guney, Esra; Ucar, Tuba
    Aim 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.
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    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, Tuba
    Objective: 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.
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    Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial
    (Elsevier Sci Ltd, 2021) Guney, Esra; Ucar, Tuba
    Purpose: 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.
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    The effects of infertility on perception of body in pregnancy: A comparative study
    (Wiley, 2018) Aksoy Derya, Yesim; Tashan, Sermin Timur; Ucar, Tuba
    PurposeThis study aimed to determine the effects of infertility on perception of body in pregnancy. Design and MethodsThis comparative study was conducted with 428 pregnant women (in vitro fertilization [IVF=214, spontaneously conceived/SC=214]). FindingsThe IVF group had a higher body image scale (BIS) score. Moreover, it was observed that the IVF group had more positive views on growth in the abdominal area, gaining weight, and changes in skin. The rates of taking precautions for these changes and thinking that these changes affected sexual life negatively were lower the in the IVF group. Practice ImplicationsInfertility has a positive effect in perception of body in pregnancy.
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    Effects of motivational interviews on childbirth perceptions and childbirthself-efficacy in nulliparous pregnant women: a randomised-controlled trial
    (Routledge Journals, Taylor & Francis Ltd, 2023) Barut, Sumeyye; Ucar, Tuba
    Background Motivational interviews (MI) may change the perspective of birth in pregnant women by changing their negative thoughts and increasing their self-efficacy. Objective This study was conducted to identify the effects of MI on childbirth perceptions and childbirth self-efficacy in nulliparous pregnant women who had traumatic childbirth perceptions. Methodology The research was carried out as a randomised-controlled trial with 166 pregnant women, including 83 experimental group and 83 control group. In the collection of data, the Traumatic Childbirth Perception Scale (TCPS) and the Childbirth Self-Efficacy Inventory (CSEI-C32) were utilised. Four sessions of MI were held with the pregnant women in the experimental group at weekly intervals whereas no initiative was applied to the pregnant women in the control group. Results As per the measurements performed after the MI held with the experimental group, it was found that the experimental group had a significantly lower mean TCPS score than the control group (p < 0.001). The experimental group also had a significantly higher mean CSEI-C32 score than the control group (p < 0.001). Conclusion MI can be effective in reducing the traumatic childbirth perceptions and increasing childbirth self-efficacy. However, further research is required to assess the effectiveness MI on traumatic birth perception and self-efficacy.