Sule Gokyildiz Surucu

Amaç: Bu çalışmanın amacı annelerin bebek izlemi konusundaki tutum ve davranışlarını araştırmaktır.Yöntem: Tanımlayıcı tipte olan araştırmanın evrenini, Adana ilinin 4 merkez ilçesinde (Seyhan, Yüreğir, Sarıçam ve Çukurova) bulunan aile sağlığı merkezleri oluşturmuştur. Örnekleme alınacak aile sağlığı merkezleri kura ile belirlenmiş, gerekli izinler (il sağlık müdürlüğü izni, etik kurul onayı) alınmış ve 0–18 ay yaşında bebeği olan 783 kadın araştırmaya dâhil edilmiştir. Veriler, araştırmacı tarafından ilgili literatür incelenerek hazırlanan görüşme formu kullanılarak, karşılıklı görüşme yöntemiyle toplanmış ve SPSS v. 22.0 paket programıyla dağılım yüzdesi, ortalama ve standart sapma değerleri ve ki-kare testi kullanılarak analiz edilmiştir.Bulgular: Yaş ortalaması 28±5,469 yıl olan katılımcıların; %82,2’sinin eğitim düzeyinin ortaokul ve üzeri olduğu, %78’inin ev hanımı olduğu, %78,7’sinin gelir düzeyini orta düzey olarak ifade ettiği, %96,3’ünün sağlık güvencesinin bulunduğu ve %83,3’ünde aile yapısının çekirdek aile yapısı olduğu görülmüştür. Araştırma sonucunda çoğunluğun bebeğini sağlık kontrollerine götürdüğü görülmüş, fakat bebek izlemini düzenli yaptırma oranı yüksek olsa da bebeğine ilk 6 ay sadece anne sütü verme ve tam aşılama yaptırma oranının ideal düzeyde olmadığı belirlenmiştir. Ebeveynlerin eğitim düzeyi ve annelerin çalışma durumu, izlem tutum ve davranışlarını etkileyen faktörler olarak tespit edilmiştir.Sonuç: Sağlık profesyonelleri, ebeveynlere ve diğer aile üyelerine bebek izlemi konusunda eğitim ve danışmanlık vermeli, yanlış bilinenleri tespit etmeli ve bireyleri doğru bilgilenme yolunda desteklemelidir.

Amaç: Bu çalışma, ebelik bölümü öğrencilerinin bireysel yenilikçilik düzeyleri ile yapay zekâya yönelik tutumları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.Yöntem: Tanımlayıcı ve kesitsel tipte olan araştırma, bir devlet üniversitesinin Sağlık Bilimleri Fakültesi Ebelik Bölümünde öğrenim gören öğrenciler ile gerçekleştirilmiştir. Çalışmaya 250 gönüllü öğrenci katılmış olup bu oran toplam öğrencilerin %62’sini oluşturmaktadır. Veriler, kişisel bilgi formu, Yapay Zekâya Yönelik Genel Tutum Ölçeği ve Bireysel Yenilikçilik Ölçeği ile toplanmıştır. Elde edilen veriler SPSS (Statistical Package of Social Science) 22.0 programı kullanılarak değerlendirilmiştir.Bulgular: Öğrencilerin bireysel yenilikçilik kategorilerine göre yapay zekâya yönelik pozitif tutumları arasında anlamlı fark bulunmuştur (p

Introduction: Climate change affects maternal and fetal health negatively. Climate change affects not only women’s efforts to protect their health but also their climate anxiety. Uncertainty about the future, in particular, could affect women’s choices to have children as well as their fertility intentions. This study aims to examine the associations between women's climate change anxiety, awareness of maternal–fetal health impacts of climate change, and their desire to avoid pregnancy. Methods: This study used a descriptive and cross-sectional design. It was conducted with 365 women who sought treatment in the family planning clinic affiliated with a maternity hospital between March 3 and May 30, 2025. Data were collected by meeting the participants face-to-face, using the Personal Information Form, the Desire to Avoid Pregnancy Scale, the Pregnancy-Specific Climate Change Awareness Scale, and the Climate Change Women's Anxiety Scale. The data obtained were analyzed using univariate and multivariate tests. Findings: The average age of women was 28.17 ± 4.30 years. It was found that 66.6% used family planning methods, 61.4% believed that climate change led to negative consequences, and 36.4% reportedly postponed pregnancy due to climate change. A positive relationship was found between avoiding pregnancy and awareness of climate change ( r = 0.133, p = 0.011) and anxiety level ( r = 0.201, p < 0.001). Conclusion: Increased climate anxiety in women was found to predict pregnancy avoidance. Although higher awareness of climate change effects on maternal and fetal health increased the desire to avoid pregnancy, it was not a determining factor.

Background: Sense of touch is the individual's first form of contact with the external world, and it plays a fundamental role in the development of sensory‐motor skills as well as social and emotional behaviours. Physical contact with the mother‐parents could affect epigenetic mechanisms and thus lead to changes in gene expression. Aim/Objective: The purpose of this review is to make a comprehensive examination of the neurodevelopmental and epigenetic effects of kangaroo care and touch. Methods: Data were obtained from PubMed, Scopus, Web of Science and DergiPark databases without applying any language restrictions Results: Kangaroo care, which was developed to reduce the risk of infection, particularly in cases of inadequate equipment and experience for the care of premature babies, is of critical importance not only for physical but also emotional and biological health. Tactile stimulation has a critical effect on brain development and behavioural outcome, particularly in the early childhood period. Studies in the literature indicate that the physical touch provided in the early period has positive effects on the organization of the nervous system, attachment, emotional regulation and the development of social behaviours. Such contact regulates stress reactions, supports immune system functions and positively affects the neurodevelopmental process. Conclusions: This review examines the effects of kangaroo care and physical touch on brain and behaviour development and epigenetic processes. The findings show that kangaroo care, which is an easily applied and cost‐effective method, provides multifaceted benefits in terms of infant‐child health.

Background: Waist and back pain are common among healthcare professionals in labor and delivery units due to physical demands and psychological workload. Massage may alleviate symptoms; however, manual massage often lacks feasibility. Automated massage devices may offer an alternative, but evidence among healthcare professionals is limited. Objective: This study aimed to examine within-group changes in pain, perceived stress, state anxiety, fatigue, and psychological well-being among healthcare professionals following an automated massage application. Methods: This single-group pretest–posttest quasi-experimental study was conducted with 35 healthcare professionals working in the delivery room of a state hospital. Participants used an automated massage device applied to the waist and back regions during routine break periods for two weeks. Data were collected using the Visual Analogue Scale for pain, the Perceived Stress Scale, the State Anxiety subscale of the State–Trait Anxiety Inventory, the Piper Fatigue Scale, and the Psychological Well-Being Scale. Pretest–posttest comparisons were performed using paired-samples t tests or Wilcoxon signed-rank tests, as appropriate. Results: Statistically significant within-group reductions were observed in pain, perceived stress, state anxiety, and fatigue scores following the intervention (p < .001). Psychological well-being scores showed a statistically significant increase after the intervention period (p < .001). Conclusions: In this single-group study, automated massage use was associated with favorable short-term changes in pain, stress, anxiety, fatigue, and psychological well-being among healthcare professionals working in a labor and delivery setting. Further controlled studies with larger samples and longer follow-up periods are needed to confirm these results.

SUMMARY OBJECTIVE: The aim of this study was to examine the effects of midwife-led continuity education on fear of childbirth, mode of delivery, and postpartum trauma among primiparous women. METHODS: A single-blind randomized controlled trial was conducted at Adana City Hospital, Turkey, between December 2023 and November 2024. Ninety-two primiparous pregnant women were enrolled and randomized to an intervention group (n=46) or a control group (n=46). Inclusion criteria were age 18–35 years, singleton low-risk pregnancy, Turkish literacy, and no medical or obstetric contraindications to vaginal birth. Women with high-risk pregnancies, psychiatric disorders, systemic diseases, or prior structured childbirth education were excluded. The intervention group received a four-module education program based on the Midwife-Led Continuity of Care Model, while the control group received routine antenatal care. RESULTS: Baseline childbirth fear scores were comparable between groups. Following the intervention, mean childbirth fear scores were lower in the intervention group than in the control group. One month postpartum, mean City Birth Trauma Scale scores were 5.43±5.69 in the intervention group and 22.93±9.92 in the control group. Vaginal birth occurred in 69.6% of women in the intervention group compared with 24.4% in the control group. Among women who had vaginal births, postpartum fear scores remained lower in the intervention group. CONCLUSION: Midwife-led continuity education is associated with reduced fear of childbirth, lower postpartum trauma symptoms, and higher vaginal birth rates among primiparous women. These findings support the integration of continuity-based midwifery education into routine maternity care.

Amaç: Ebelerin görev ve yetkilerinin belirtildiği yeni yönetmelik, yeni gelişmeleri de beraberinde getirmiştir. Bu çalışmada amaç, ebelik yönetmeliği sonrası ebelik öğrencilerinin meslek algı ve görüşleri ile malpraktis korkuları arasındaki ilişkiyi belirlemektir. Yöntem: Çalışma, tanımlayıcı ve ilişki arayıcı tipte yürütülmüştür. Bu araştırmanın evrenini dahil edilme kriterlerine uyan ve gönüllü olan 347 ebelik öğrencisi oluşturmuştur. Araştırmada veriler, 12.03.2025-18.03.2025 tarihleri arasında, bilgi formu, öğrencilerin mesleklerine ilişkin görüşlerini belirleme formu, ebelik meslek algısı ölçeği kullanılarak toplanmıştır. Bulgular: Çalışmaya katılan ebelik öğrencilerin %68,6’sının yeni ebelik yönetmeliği hakkında bilgi sahibi olduğu, malpraktis yapma korkusunun %86,8 olduğu, Ebelik Yönetmeliği’nden haberdar olan öğrencilerin mesleki algı ve görüşlerinin istatistiksel olarak anlamlı düzeyde daha olumlu olduğu belirlenmiştir (p<0,05). Öğrencilerin Ebelik Yönetmeliğinden haberdar olma durumlarına göre mezuniyet sonrası malpraktis korkusu değerlendirildiğinde; yönetmelikten haberi olan öğrencilerin %73,6’sının (n=220) malpraktis korkusu yaşadığı ve aralarında istatistiksel olarak ileri derecede anlamlı fark olduğu görülmüştür (p<0,05). Sonuç: Ebelik Yönetmeliği’nin öğrencilerin mesleki algı ve görüşlerini olumlu etkilediği bununla birlikte malpraktis korkusunu arttırdığı belirlenmiştir.

Effective and accessible breastfeeding practices are essential for enhancing breastfeeding success, strengthening mother-infant bonding, and promoting optimal maternal and infant health. As a personalized support, breastfeeding counseling provides accurate information, supports breastfeeding continuity, and fosters bonding. Therefore, integrating breastfeeding counseling, which is applied in a hybrid (face-to-face and tele-consulting) manner, into maternal care is predicted to be a key strategy in strengthening maternal and child health. This study aims to investigate the effects of hybrid breastfeeding counseling (face-to-face and online), which was started in the last trimester and continued at certain intervals in the postnatal period, on primiparous women’s breastfeeding behaviors. This is a randomized controlled trial with a pretest-posttest design conducted in Türkiye on 90 primiparous women (experimental = 46, control = 44). Data were collected through the Antenatal-Postnatal Information Form, the Breastfeeding Motivation Scale (BMS), the IOWA Infant Feeding Attitude Scale (IIFAS), and the Mother-to-Infant Bonding Scale (MIBS). Data were analyzed using SPSS 25.0. The average age of all the participating women was 25.83 ± 4.63 years. The findings show that women in the experimental group had more positive attitudes and high motivation in terms of IIFAS scores and BMS subscale scores. In addition, data on MIBS scores and infants’ 4th month weight and 4th to 6th month length revealed that the experimental group showed more positive results compared to the control group (p < 0.05). Continuous hybrid breastfeeding support (face-to-face and online) given to primiparous mothers increased their breastfeeding motivation and attitude to breastfeed, and it was found to be effective in ensuring positive mother-to-infant bonding. The clinical trial registration number is NCT05484076/ https://clinicaltrials.gov/study/NCT05484076 Date of registration 07/28/2022 (registered prospectively).

Pregnancy is one of the periods when women of reproductive age have a high risk of weight gain, and maternal obesity is an important risk factor in this period. This study aimed to investigate the predictive factors of maternal obesity and its impact on pregnancy symptoms and sexual function in pregnant women living in the Eastern Mediterranean region of southern Türkiye. This study utilized a cross-sectional, hospital-based, and multi-center design. The study was participated in by 647 pregnant women. Data were collected through the Socio-demographic Form, the Pregnancy Symptoms Inventory, and the Female Sexual Function Index. The obesity prevalence of pregnant women was 36.6% in this study. This study found that maternal obesity was a predictive factor on pregnancy symptoms (p < 0.05). However, no difference was found between FSFI scores according to pregnancy symptoms in obese and non-obese pregnant women (p > 0.05). Quality pre-conceptional midwifery care and consultancy accompanied by regular pregnancy follow-ups are considered to prevent the development of maternal obesity, pregnancy complaints, and sexual dysfunction and be a fundamental step that can improve maternal health.

Background: Labor is an important experience for women that affects them physically and emotionally. Women and their families need safety and a humanistic approach during labor. Measuring women’s perception of respectful maternity care provided in health facilities is important to provide holistic and humanistic care during labor. Objectives: This study aimed ...