Further studies in other populations are warranted to better delineate the prevalence rates, which will provide useful data for developing policies aimed at improving postpartum care.
Araştırma, jinekolojik muayene öncesi kadınların anksiyete düzeyi ve etkileyen faktörleri saptamak amacıyla yapılmıştır. Tanımlayıcı ve kesitsel tipte planlanan çalışma, bir üniversite hastanesinin doğum ve kadın sağlığı polikliniğine başvuran 250 kadın ile yürütülmüştür. Veriler, araştırmacılar tarafından hazırlanan, kadınların sosyo-demografik değişkenlerini ve jinekolojik bilgilerini içeren anket formu ve anksiyete düzeyini belirlemek için kullanılan Beck Anksiyete Ölçeği ile toplanmıştır. Araştırma kapsamındaki kadınların %68,4'ünde düşük, %20,7'sinde orta ve %10,9'unda ise yüksek düzeyde anksiyete yaşandığı belirlenmiştir. Kadınların %81,3'ünün daha önce jinekolojik muayene olduğu, anksiyete nedenlerinin en çok mahrem bölgenin açıkta kalması (%28,7) ve muayene sonrası jinekolojik bir hastalığının ortaya çıkma korkusu (%22,7) olduğu belirlenmiştir. Jinekolojik muayene öncesi anksiyete yaşama nedenini ağrı ve acı hissetmek olarak ifade edenlerin (19,52±9,84) anksiyete puan ortalamaları diğer gruplara göre anlamlı düzeyde daha yüksek bulunmuştur (F=2,331, p=0,043) (p<0,05). Bu çalışma sonucunda kadınların jinekolojik muayene öncesinde "orta düzeyde" anksiyete yaşadığı belirlenmiştir. Jinekolojik muayene esnasında yapılacak olan destekleyici hemşirelik/ebelik yaklaşımı ile kadınların edinecekleri deneyimin olumlu olması büyük önem taşımaktadır.
<b><i>Aim:</i></b> The research was conducted as a randomized controlled pilot study to evaluate the effects of reflexology on lactation in mothers who delivered by cesarean section (CS). <b><i>Methods:</i></b> A single-blind randomized controlled experimental study was conducted with a total of 60 postpartum women in the reflexology application (<i>n</i> = 30) and control groups (<i>n</i> = 30). After the CS, the mothers in the control group were given approximately 3-h routine nursing care after recovering from the effects of anesthesia; the introductory information form was applied, and the Breastfeeding Charting System and Documentation Tool (LATCH) and visual analog scale (VAS) for the signs of the onset of lactation were implemented on the first and second days. Reflexology was applied to the women in the intervention group after an average of 3 h following the mother’s condition had become stable and she had recovered from the effects of anesthesia. Reflexology was applied a total of 20 min – 10 min for the right foot, 10 min for the left foot – twice a day with 8-h intervals on the first and second days after CS. After the last reflexology application, the LATCH and VAS for the signs of the onset of lactation were applied. <b><i>Results:</i></b> Of the women, 70% breastfed their babies within 60 min after delivery; 46.7% of the mothers received breastfeeding training and 81.7% needed support for breastfeeding after the CS. The LATCH breastfeeding scores of the women in the intervention group on both days were significantly higher compared to those of the women in the control group (<i>p</i> < 0.001). On the first day after the CS, apart from breast pain, there was no significant difference between the two groups in terms of breast heat and breast tension (<i>p</i> > 0.05). On the second day after the CS, apart from breast tension, there was no significant difference between the groups in terms of breast heat and breast pain (<i>p</i> < 0.05). In the study, women in the intervention group were found to have higher scores in terms of all three symptoms compared to the control group (<i>p</i> < 0.05). <b><i>Conclusions:</i></b> In the study, it was determined that LATCH scores and signs of the onset of breastfeeding increased in the mothers who received reflexology after CS.
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Midwifes who have an important role in "Mother and Child Health Services" in the world; is not included as a specialist area of forensic midwifery within the specialties of forensic sciences. We can see that studies of forensic midwifery are only implemented by forensic obstetric gynecology and forensic nursing. The midwife is one of the health personnel who can see the first forensic evidence, who first see the individual in most judicial cases, who first contacts the family or relatives, touches his or her equipment during the examination, and contacts the laboratory specimens taken individually. The purpose of this chapter is informing about content and characteristic of forensic midwifery that cannot find an application field in the world, attracting attention to forensic midwifery and stating that forensic midwifery can contribute to assessment of forensic apparitions.
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