Aim: The studies on human milk banking in Turkey, has being carried out at a hospital in Izmir province. There are different point of views about milk banking. The aim of the study is to determine the knowledge and the views of the mothers towards milk banking.
Material and Methods:This study is a cross-sectional survey. The study was carried out with 404 mothers who gave birth in a two maternity hospitals and one university hospital in İzmir using the face-to-face interview technique between March 2014 and June 2014. The study data were collected using a 30-item socio-demographic questionnaire.Results: The mothers' mean age was 28.4 years (16-46 years). Of the mothers, 45.5% were primary school graduates, 80.2% were members of a nuclear family, 75.7% had less than three children, 63.4% gave birth by caesarean section and only 79.5 percent were able to breastfeed before being discharged. Of the mothers, 41.6% were aware of milk banking, 71.3% were willing to receive milk bank services and 68.8% were willing to donate breastmilk. 62.2% of those who did not want to make donation stated risk of contagion as a reason, 8.2% of the participants had worked as wet-nurse before.
Conclusions:Most mothers revealed positive approaches and opinions about establishment of milk banking and milk donation. However, there were some concerns due to the risk of infectious diseases and religious beliefs. Efforts should be made to raise awareness and mothers should be informed about the importance of breast milk and breastfeeding so that milk banks can be regarded as an additional choice. (Turk Pediatri Ars 2015; 50: 83-9)
Aim: This study aims to determine the effect of acupressure (SP6) on first stage of labor pain and duration. Methods: A single blind, randomized controlled experimental trial was conducted with 60 pregnant women: 30 in the experimental group and 30 in the control group. At the active and transition stages of labor, acupressure was applied to the SP6 point of the experimental group, and the SP6 point of the control group was touched each contraction. The data were collected using the Pregnant Information Form. The Partograph Form was used to determine the duration of active stage and transition stage. The labor pain severity was measured using a numeric rating scale (NRS) immediately after each acupressure/touch SP6 in active and transition stages. A participant questionnaire on satisfaction was administered in the immediate postnatal period. The group difference was tested for statistical significance using the Chi-square test, Fisher's exact test, and the Mann-Whitney U test. Results: As the primary outcome, labor pain was less and duration of labor was shorter for the experimental group. As the secondary outcome, satisfaction was increased that could be as a result of reduced pain in labor and/or shorter duration of labor. The perceived pain level in the active stage in the experimental group (n = 30) was less than the control group (n = 30) (labor pain: 7.17 + 0.89 vs. 7.66 + 0.71, p = .002). The mean duration of the first stage of labor in the experimental group was shorter than the control group (4.88 + 0.85 hr vs. 5.56 ± 0.66, p = .001). It was also found that pregnant women in the experimental group would recommend this method to other pregnant women (Chi-square = 5.711, p = .017). Conclusions: Application of acupressure on SP6 was found to have a positive effect on pregnant women's labor experience and reducing the labor pain and shortening the duration of first stage of labor compared to touch on SP6. The women receiving acupressure had higher levels of satisfaction in acupressure application than women receiving only touch on SP6, which could be as a result of reduced pain in labor and/or shorter duration of labor.
When evaluated with a consideration of the pelvic floor, this study is important in demonstrating that vaginal delivery and cesarean section do not differ except for a short period of time in terms of sexual functioning.
Objective: Breast cancer is the most common type of cancer in women throughout the world. It is the second leading cause of cancer related deaths, after lung cancer. Breast cancer is the most common cancer in women in Turkey with a rate of 23,4%. One out of every four women has breast cancer. This study was conducted to determine the barriers on methods of early diagnosis of breast cancer.
Materials and Methods:The research population consisted of women over the age of 40 years who live in the neighborhood of Doğanlar (N=2404). The sample size was determined (n=251) with Epi İnfo Statcalc account program with 95% confidence interval, with the incidence of breast cancer accepted as 24%. Women over the age of 40 years who agreed to participate were included in the study. In order to collect the necessary data, a 27-item questionnaire including socio-demographic characteristics and methods of early diagnosis was created according to the literature. This study was conducted between March-October 2012 in Doğanlar neighborhood.Results: Two-hundred-fifty-four women participated in the study, with a mean age of 54,27±1, and an average monthly income of 895,0197 TL (min=0 TL, max=7000 TL). 79,1% were married, 89,8% were housewives, 56,7% were literate, and 83,1% had health insurance. The status of performing regular Breast Self Examination (BSE) was significantly higher in women who had knowledge about BSE, (p=0.000). Married (p=0.015) women and those who had a social security system (p=0.048) had significantly higher rates of mammography. Women who were informed on mammography (p=0.000) had significantly higher rates of mammography. When reasons for not getting mammography was addressed, it was observed that 99,2% was due to lack of information and education. Women who had regular BSE had significantly higher Clinical Breast Examination (CBE) (p=0.024). Women's sociodemographic characteristics did not affect the status of performing regular BSE and CBE significantly.
Conclusion:Barriers against implementation of breast cancer screening methods in women were related to level of education and lack of adequate information about breast cancer screening, and symptoms of breast cancer. Women's lack of information about signs, symptoms and treatment in the early stages of breast cancer needs to be eliminated. Health care providers may have a key role in increasing breast cancer early detection rates.
The results documented that breastfeeding training based on one-to-one demonstration utilizing specially designed audiovisual tools was more effective than the other two methods in the prevention of nipple cracks.
In the study, it was shown that there is a difference in the sexual problems of the women, depending on the religious and socio-cultural structure of the country they live in. For an effective case and training on sexuality,the norms and values of the society have to be understood in order to raise quality of lives and problem-free sexuality of pregnant women.
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