No abstract

Ö ÖZ ZE ET T Yaşam mucizesi olarak adlandırılan doğumun, anne ve bebek açısından en iyi şekilde sonlanması için doğal fizyolojisi içerisinde gerçekleştirilmesi, bakımda buna olanak sağlanması ve desteklenmesi gerektiği belirtilmektedir. Dünya Sağlık Örgütünün (DSÖ) önerisi de bu yönde olup, gerekmedikçe müdahale yapılmaması belirtilmekte ve doğum eylemi sürecinde bir ve ikinci evrede hareket serbestliği önerilmektedir. Son yıllarda üzerinde durulan, kanıta dayalı çalışmalarla desteklenen ve DSÖ önerdiği hareket serbestliğindeki mantık, doğum eylemi sürecinde kadının istediği zaman istediği hareketi yapmasına izin verilmesi ve buna olanak sağlanmasıdır. Doğum mekanizmasının fizyolojik olarak kadına hangi aşamada hangi harekete gereksinim olduğunu içgüdüsel olarak hissettireceği ve kadının o bağlamda eylemde bulunacağı ifade edilmektedir. Doğum eyleminin birinci evresi olan dilatasyon sürecinde (travay), kadının serbest hareket etmesi sağlanarak istediği pozisyonu almasının etkili doğum kontraksiyonu sağladığı, doğum süresini kısalttığı, fetü-sün inişini kolaylaştırarak doğumu hızlandırdığı, plasental kan akımını artırdığı, olumlu perineal sonuçlara neden olduğu, annenin konfor ve memnuniyetini artırdığı belirtilmektedir. Bu nedenle, doğum eyleminde travay sürecinde kadının içindeki dürtülerini izleyerek en rahat, en doğru pozisyonu bulması için özgürce hareket etmesi gerektiği ve bunun için hareket serbestliğin sağlan-masının önemli olduğu vurgulanmaktadır. Bu çalışmada, doğum eyleminde travay sürecindeki hareket serbestliğinin öneminin, doğum eylemine etkilerinin, anne ve bebek açısından yararları-nın ve kadın doğum hemşiresine düşen rollerin literatür bağlamında irdelenmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Doğum; travay; hareket serbestliği; etkileri; hemşirenin rolü A AB BS ST TR RA AC CT T Its stated that the birth-which is called as the miracle of life-is requried to be carried out through natural physiology, enabled and supported during care so that this miraculous experience can be concluded ideally for both mother and infant. World Health Organization (WHO) suggestion is also in this way. Furthermore, WHO underlines the fact that it shouldn't be interfered unless needed and freedom of movement should be suggested in 1 st and 2 nd phase during labor. The reason in the freedom of movement that has been also suggested by WHO, discoursed lately and supported with the evidence-based studies means that a mother to be should be allowed to perform whenever she wants and this allowance should be provided. It is indicated that the birth mechanism will make the woman feel physiologically what action is needed at which process and thus the woman will do an act in that context. In the dilatation process, which is the 1 st phase of labor, it is asserted that the woman is enabled to move freely so that she can have the position she demands-which provides an effective labor contraction. This also shortens the period of labor, expedites the labor by catalyzing the descent of the fetus, in...

ÖZET

Bu çalışma ebelik öğrencilerinin sosyal medya kullanım amaçları ve sıklıklarının, mesleğe bakış açılarının, sosyal çevreden etkilenme durumlarının değerlendirilmesi amacıyla planlandı. Gereç ve Yöntem: Kesitsel ve tanımlayıcı tipteki bu araştırmada veriler 19 soruluk "Öğrenci Bilgi Formu" ile online ortamda gönüllü olan 126 ebelik öğrencisi ile yapıldı (N=260). Verilerin analizinde tanımlayıcı istatiksel yöntemler kullanıldı.Bulgular: Ebelik öğrencilerinin çoğunluğu sosyal ağlara akıllı telefonlardan erişiyor (%99.2) ve sosyal medyayı 3 yıl ve üzeri süredir (%84.1), günde 2-3 saatini ayırarak ve genellikle "arkadaşları ile sohbet etmek" amacıyla ve "Whatsapp" hesabını kullanıyordu. Öğrenciler ebelik ile ilgili yapılan sosyal medya eğlencelerinden rahatsızdı ve "toplum yargıları"ndan dolayı mesleğin olumsuz bir imaja sahip olduğunu düşünüyordu. Ebelik öğrencilerinin çoğu sosyal medya kullanımının mesleki örgütlenmeye olumlu etkisi olacağını bildirdi. Sonuç: Ebelik mesleğinde toplum yargılarının değiştirilmesi, gelecekte iyi bir konuma gelebilmesi ve mesleki örgütlenmenin artması için sosyal medyanın bilinçli kullanımın eğitimle desteklenmesi önerilebilir.

Castleman’s disease was first described by Castleman et al. in 1956 as a non-lymphoproliferative disease. Castleman’s disease (CD), or angiofollicular lymphoid hyperplasia, is a rare disease with unknown etiology that can be easily misdiagnosed as lymphoma, neoplasm, or infection. Very few cases of pelvic origin and observed in pregnancy have been reported in the literature and are usually asymptomatic. Preoperative diagnosis is very difficult due to nonspecific imaging findings and rarity; most cases are diagnosed based on postoperative pathological examination. In this paper, a case of a 36-year-old pregnant woman suspected of adnexal origin in the uterine posterolateral, which was detected incidentally by ultrasound, was presented. The patient underwent a successful mass excision. Pathology of mass observed to be in the pelvic retroperitoneum was detected as localized unicentric and hyaline vascular CD. The study was conducted to discuss the diagnostic tools and perioperative management needed to identify the retroperitoneal unicentric Castleman case

In midwifery education based on theoretical and practical foundations, students encounter midwifery profession education which based on for the first time in the Basic Clinical Skills in Midwifery Course. The aim of the Basic Clinical Skills in Midwifery Course is to help students understand the basic philosophy of midwifery and the role of the midwife in the health system, and to provide the student with knowledge, skills and attitudes about the basic concepts, principles and methods in midwifery care. In the Basic Clinical Skills in Midwifery Course, students are offered learning methods that will enable them to develop behaviors in the cognitive, affective and psychomotor domains. In this context, the course is carried out in skill development laboratories and clinical environments, after the lecturer in the classroom explains the basic concepts, the health system and midwifery, the protection and development of health, the fulfillment of physiological care needs, and the demonstration of the skills related to the psychomotor domain. Clinical practices are an indispensable element of midwifery education. The Midwifery Basic Clinical Skills Course has a very important place in clinical skills training, as students experience the hospital environment for the first time in their education life and experience midwifery practices for the first time on real patients. The aim here is to discuss a case that can be experienced after the correct application of vital sign measurement techniques and erroneous measurement.

Objective: To determine the effect of freedom of movement implemented in the dilatation stage, which is the first stage of labor, on the labor process in pregnant women who will give their first birth. Methods: This study was designed as a randomized controlled trial. The study consisted of 70 primiparous women, including 35 in the study group (SG) and 35 in the control group (CG). Freedom of movement was provided to the study group in the first stage of labor. Data were collected using a Personal Information Questionnaire, a Labor Assessment Form, and the Visual Analog Scale (VAS) for perceived pain. Results: The SG was observed to be walking when dilatations were 4-7 cm and mostly squatting when 8-10 cm (94.2%). The level of effacement, frequency of contraction, and descent of the fetal head were faster (p

Aim: This research to determine factors related to exclusive breastfeeding for the first six months and breastfeeding up to two years and beyond, to investigate traditional methods used by mothers for weaning. Materials and Methods: This cross-sectional study was planned to identify factors associated with breastfeeding processes and traditional weaning methods in children aged 6-36 months through using Google online surveys (N=1091). Results: Exclusive breastfeeding (EBF) for the first 6 months was found to be 1.98 times lower in mothers who gave birth by cesarean section, 2.36 times lower in those who had 2 or more children, and 29.64 times lower in those who gave birth to girl babies and used traditional methods for weaning. The rate of breastfeeding for up to two years was 2.21 times lower in mothers with female babies, and 18.75 times lower in mothers who received support for breastfeeding from their close relatives. The use of traditional methods to stop breastfeeding was 35.69 times higher in those who did not apply EBF in the first 6 months. Conclusion: It was determined that mothers used traumatic traditional methods to stop breastfeeding.