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Öğe COMPARISON OF PLANNED CAESAREAN SECTIONS PERFORMED AFTER THE LABOR BEGINS WITH THOSE BEFORE THE LABOR BEGINS IN TERMS OF POSTPARTUM BREASTFEEDING AND MATERNAL ATTACHMENT LEVELS(Dokuz Eylul Univ Inst Health Sciences, 2022) Yilmaz, Ayse Nur; Derya, Yesim AksoyPurpose: This study was conducted to compare the postpartum breastfeeding and maternal attachment levels of women who underwent planned caesarean deliveries in which labor had begun and in which it had not. Methods: This comparative-descriptive study was carried in postpartum services of a public hospital and a university hospital in a provincial center in eastern Turkey between March and August of 2017. This study included 180 women who underwent planned caesarean sections after labor began and 180 women who underwent planned caesarean sections before labor began. A personal information form, the LATCH Breastfeeding Assessment Tool, and the Maternal Attachment Scale (MAS) were used to collect the study data. For the statistical evaluation, the percentage distributions, arithmetic means, standard deviations, chi-squared test, independent samples t test, and Pearson correlation analysis results were used. Results: In the puerperant who had undergone planned caesarean sections after labor began, the MAS total score mean was 97.08 +/- 7.54 and the LATCH score mean was 9.34 +/- 1.13. These means were 72.97 +/- 10.20 and 6.96 +/- 1.12, respectively, in the puerperant who had undergone planned caesarean sections before labor began (p<0.001). Additionally, in the puerperant who underwent planned caesarean sections after labor began, it was determined that the rates of breastfeeding and breast milk only feeding were significantly higher, while the jaundice development rate was significantly lower during the first half hour after birth (p<0.05). Conclusion: The postpartum breastfeeding and maternal attachment levels were significantly higher in those women who underwent planned caesarean sections after labor began.Öğe 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 NurThis 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.Öğe THE EFFECT OF COVID-19 PHOBIA ON THE SATISFACTION WITH LIFE AND FAMILY SENSE OF BELONGING LEVELS OF MIDWIFERY STUDENTS(Dokuz Eylul Univ Inst Health Sciences, 2021) Altiparmak, Sumeyye; Yilmaz, Ayse Nur; Derya, Yesim A. K. S. O. Y.Purpose: This research was conducted with the purpose of determining the impact of COVID-19 phobia on the satisfaction with life and family sense of belonging levels of midwifery students. Methods: Sample of this cross-sectional research consisted of 484 students studying at Midwifery Departments of two universities located in the eastern of Turkey. The data was collected with Personal Information Form, Satisfaction with Life Scale, Family Sense of Belonging Scale and Coronavirus 19 Phobia Scale. Average, standard deviation, percentage distribution and Pearson Correlation Analysis were used in the statistical assessment. Results: The average score that midwifery students get from Satisfaction with Life Scale was found as 13.54 +/- 4.37, their average score from Family Sense of Belonging Scale was found as 64.59 +/- 13.29 and average score from Coronavirus 19 Phobia Scale was found as 50.02 +/- 17.36.It was determined that Family Sense of Belonging Scale total and all sub-dimension average scores increased significantly as the Coronavirus 19 Phobia Scale Psychological Phobia sub-dimension average score increases (p<0.05). In addition, it was determined that Family Sense of Belonging Scale Family Sense of Belonging sub dimension average score increased significantly as the Coronavirus 19 Phobia Scale Social Phobia sub dimension average score increases (p<0.05). However, it was determined that Satisfaction with Life decreased significantly as Coronavirus 19 Phobia Scale Psychosomatic Phobia and Economic Phobia sub-dimension average scores increase (p<0.05). Conclusions: It was determined that midwifery students have moderate level of COVID-19 phobia and psychological and social phobia levels regarding COVID-19 increase family sense of belonging, but psychosomatic and economic phobia levels decrease satisfaction with life.Öğe The effect of marital adjustment on mother-baby bonding and breastfeeding self-efficacy level(2021) Altiparmak, Sumeyye; Yilmaz, Ayse Nur; Aksoy Derya, YeşimAbstract: This study was conducted to determine the effect of marital adjustment on mother-baby bonding and breastfeeding self-efficacy. This cross-sectional study is conductedon 510 postpartum women, who delivered a baby in a public hospital in the eastern region of Turkey, between January and June 2019. Data were collected using PersonalInformation Form, Marital Adjustment Scale (MAS), Mother-Infant Bonding Scale (MIBS) and Breastfeeding Self-Efficacy Scale Short Form (BSES). Data were analyzedby descriptive statistics and t test and Pearson correlation analysis were used in independent groups. The mean age was 29.2 ± 6.67 and it was found that 78.8% ofthe postpartum women had a desired / planned pregnancy, 48.4% breastfed their baby within the first half hour after birth, and 70.2% gave only breast milk within thefirst 24 hours after birth. The mean MAS score was 44.29 ± 8.06; the mean MIBS score was 22.97 ± 2.58; and the mean BSES score was 59.02 ± 9.84. It was found thatpostpartum women with an adjusted marriage relationship (59%) had a statistically higher level of mother-infant bonding and breastfeeding self-efficacy compared topostpartum women with non-adjusted marital relationships (p <0.05). It was found that there was a weak positive correlation between the mean MAS score and the meanMIBS score (r = 0.278, p = 0.000). It was also found that there was a moderate positive correlation between the mean MAS score and the mean BSES score (r = 0.507, p= 0.000). It was found that postpartum women who had an adjusted marital relationship had higher levels of mother-infant bonding and breastfeeding self-efficacy thanthose leading a non-adjusted marital relationship. In addition, it was observed that mother-infant bonding and breastfeeding self-efficacy increased as marital adjustmentincreased in postpartum women.Öğe Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety(Elsevier Sci Ltd, 2021) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Akca, Emine; Gokbulut, Nilay; Yilmaz, Ayse NurAim: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. Method: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a Personal Information Form, the Revised Prenatal Distress Questionnaire (NuPDQ) and the Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. Results: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75 +/- 5.10 and 11.50 +/- 4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of fear of giving birth and worries of bearing a physically or mentally handicapped child was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. Conclusion: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.Öğe Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety (vol 92, 102877, 2021)(Elsevier Sci Ltd, 2021) Aksoy Derya, Yesim; Altiparmak, Sumeyye; Akca, Emine; Gokbulut, Nilay; Yilmaz, Ayse Nur[Abstract Not Available]
