Aims and Objectives The aim of this study was to investigate in detail the traumatic birth experiences of midwives in the delivery rooms, and their attitudes, reactions, and coping strategies. Methods The design of the study is descriptive and the purposive sampling method was used. This approach is ideal for a preliminary exploration of the nature of a phenomenon. Between October 2018 and January 2019, semi‐structured interviews were conducted with a purposeful sample of midwives. The research was carried out with the participation of 29 midwives, who work in labour and birth room. They were asked to describe a particular stressful situation they had experienced during the birth process, their emotions about the event, and their coping strategies and support systems. All interviews were digitally recorded, stored in a database, and transferred to MAX Qualitative Data Analysis 18.1.0 for analysis. Findings As a result of the content analysis, three main themes emerged: psychological impact, defensive practice, and expectations in terms of support from the hospital. It was revealed that, after the traumatic birth, midwives experienced highly emotional exhaustion in the form of sadness, flashbacks, guilt, fear, and empathy, and they performed an increasingly defensive practice. During the interviews, we observed that 19 midwives needed psychological support. Besides, midwives explicitly stated that they were not prepared enough for traumatic events and that most traumatic births were simply ignored in their workplace. Eventually, it was determined that midwives received support mostly from their colleagues in case of a traumatic birth. Conclusion(s) Midwives need to feel valued and be supported by their institutions in coping with emotional stress. Therefore, performing clinical inspections by experienced or specialist midwives may serve as a supporting framework for reducing defensive interventions.

Maternal obezite önemli bir halk sağlığı problemidir ve üreme dönemindeki kadın yaş grubunda sıklıkla görülmektedir. Bu çalışmada maternal obezitenin prenatal bağlanma üzerine etkisi araştırılmıştır. Gereç ve yöntem: Tanımlayıcı ve kesitsel tipteki çalışmaya son trimestırda olan 400 gebe kadın alınmıştır. Veriler Konya'da bir kadın-doğum ve çocuk hastanesine başvuran gebelerden 14 Kasım 2016 ile 23 Ocak 2017 tarihleri arasında toplanmıştır. Veri toplama aracı olarak gebelerin sosyo-demografik ve obstetrik özelliklerini içeren anket formu ve Prenatal Bağlanma Envanteri kullanılmıştır. İstatistiksel analizlerde ortalama, standart sapma, yüzde, tek yönlü varyans analizi (ANOVA), iki ortalama arasındaki farkın önemlilik testi (independent sample t test) kullanılmıştır. Bulgular: Çalışmaya katılan gebelerin yaş ortalaması 28,41±6,23'dür. Gebelerin %63,3'ünün eğitim durumu ilkokul ve altıdır, %83'ü çalışmamaktadır ve %76'sı gebeliği istemiştir. Gebelerin Beden Kitle İndeks ortalaması 28,14±3,63, Prenatal Bağlanma Envanteri puan ortalaması ise 61,24±0,49'dur. Obez gebelerin Prenatal Bağlanma Envanteri puan ortalaması, normal ve pre-obez gebelere göre anlamlı düzeyde olacak şekilde daha düşük bulunmuştur (p<0,001). Sonuç: Maternal obezite prenatal bağlanma için bir risk faktörüdür ve prenatal bağlanma düzeyini düşürmektedir. Doğum öncesi dönemde ebe ve hemşireler; bakım verdikleri gebelerde maternal obezite konusunda dikkatli olmalı, risk faktörlerinin erken dönemde tespit ederek gerekli beslenme eğitimi vermeli ve gerekirse onları bir uzmana yönlendirmelidirler.

The purpose of this study was to investigate the effects of antenatal education on birth fear, depression, anxiety, stress, childbirth self-efficacy, and mode of delivery in primiparous pregnant women. This is a single-blind, prospective, randomized controlled trial, in which we applied the Consolidated Standards of Reporting Trials (CONSORT) statement. The study was conducted in a city in Turkey’s Central Anatolia region, and the data collection process was made between April and September 2019. One hundred and twenty primiparous pregnant women were assigned to either the antenatal education group ( n = 60) or the control group ( n = 60) via randomized block assignment. A total of 112 women were evaluated at the end of the study. Pregnant women in the antenatal education group were given two 2-hr sessions (240 min) twice a week for 4 weeks. It was found that those in the antenatal education group had less birth fear, depression, anxiety, and stress symptoms and increased childbirth self-efficacy compared to controls ( p < 0.05). Those in the antenatal education group had significantly lower postnatal birth fear, depression, anxiety, and stress symptoms compared to controls ( p < 0.001). More vaginal births occurred in the antenatal education group compared to controls ( p = 0.043). According to the outcome of this evidence-based study: antenatal education has important clinical benefits for women both during pregnancy and in the postpartum period and all pregnant women should receive this education.

Objectives This study was conducted to determine refugee women's attitudes towards family planning and related factors. Design and Sample Designed in descriptive and cross‐sectional type, the study involved 555 voluntary Syrian refugee women in Turkey. Measures A questionnaire and the Family Planning Attitude Scale (FPAS) were used. Independent Sample T test, ANOVA test, and Pearson's correlation analysis were used for data analysis. Results A significant association was found between the average FPAS scores with educational status, income level, social security, use of FP methods, spousal support for FP, and training for FP in Syria. Conclusions It was determined that the attitudes of women towards family planning were at the medium level, nearly half of them used a kind of family planning and received its training, and that their attitudes towards family planning were affected by their and their husband's educational level, their income level, the availability of social security, the type of family planning, the utilization of family planning, and spousal support. Based on our study findings, refugee women and their partners/husbands should be informed on FP and their attitudes towards and the barriers against FP should be investigated by further studies.

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