Samiye Mete

Effects of antenatal education on maternal prenatal and postpartum adaptation

AIM This paper is a report of a study of the effects of antenatal education on prenatal and postpartum adaptation in a Turkish context. BACKGROUND Although there have been a number of studies on the effects of antenatal education on pregnancy, childbirth and parenthood, the evidence of its effectiveness is limited and equivocal. There is insufficient evidence regarding the effects of antenatal education on prenatal and postpartum adaptation and whether individual or group education is more beneficial. METHODS A Roy Adaptation Model-based quasi-experimental study with 120 nulliparous women was conducted between 2006 and 2008. Two experimental groups received either group education or individual education; the control group received standard care. Data were collected using a demographical data form and Ledermans prenatal and postpartum self-evaluation questionnaires. FINDINGS While there were statistically significant differences between the groups in terms of prenatal adaptation, no difference was found in postpartum adaptation. Post hoc analysis showed that women in the experimental groups (individual and group education) were better adapted in the prenatal period compared with those in the control group. CONCLUSION Roys adaptation model may be useful as a guide in prenatal adaptation programmes. Group antenatal education might be preferred over individual education because it is less costly.

Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey

OBJECTIVE to determine the relationship between pregnancy planning and antenatal behaviours. DESIGN AND METHOD a descriptive study using a questionnaire completed during face-to-face interviews. SETTING the obstetric and gynaecology department of one public hospital in Turkey. PARTICIPANTS 1355 postpartum women. FINDINGS of the pregnancies among these women, 71.3% were planned, 17% were unplanned and 11.7% were unwanted. Women with unwanted or unplanned pregnancies smoked more often than the women whose pregnancies were planned; these women were also less likely to take recommended vitamins such as folic acid, and were less likely to have adequate nutrition or gain an appropriate level of weight during pregnancy. Women with unwanted pregnancies tended to attend later for antenatal care, to not attend as often as women with planned or unplanned pregnancies (p<0.01). This study found that pregnancy planning influenced antenatal health behaviour.

Nursing and Midwifery Malpractice in Turkey Based On the Higher Health Council Records

Medical malpractice has attracted the attention of people and the media all over the world. In Turkey, malpractice cases are tried according to both criminal and civil law. Nurses and midwives in Turkey fulfill important duties in the distribution of health services. The aim of this study was to reveal the legal procedures followed in malpractice allegations and malpractice lawsuits in which nurses and midwives were named as defendants. We reviewed 59 nursing and midwifery lawsuits reported to the Higher Health Council between 1993 and 1998. Health professionals were held liable in 59% of the lawsuits. Midwives had the highest percentage of malpractice liability (52%), followed by physicians (29%) and nurses (19%). To reduce potential liability, nurse education should be improved, a nursing malpractice law should be enacted, and instructions for nursing procedures should be formulated.

Nursing Care of Nausea and Vomiting in Pregnancy Roy Adaptation Model

Nursing theories and conceptual models need to be developed and used in practice for accumulation of nursing knowledge. The authors in this article explain the concepts and nursing process of the Roy adaptation model in light of an example with the nausea and vomiting of pregnancy. It is expected that the article will provide guidance for nurses who want to use the model while offering nursing care and conducting research.

Experiences with Nausea and Vomiting During Pregnancy in Turkish Women Based on Roy Adaptation Model: A Content Analysis

PURPOSE This qualitative study aimed to explore how Turkish women experience nausea and vomiting in pregnancy based on the Roy Adaptation Model. METHODS To collect data, in-depth interviews were undertaken with 35 pregnant women who had nausea and vomiting. The sample of the study included pregnant women who were in their first 12 weeks of gestation, did not have medical problems and had nausea, retching and/or vomiting for at least the last 3 days. Data were collected in semi-structured interview form based on the Roy Adaptation Model and with a background data sheet. Data were analyzed using direct content analysis. RESULTS Data were classified into four adaptive modes according to the Roy Adaptation Model. The behaviors in the physiological mode were nausea, vomiting, fatigue, changes in sleep patterns, inadequate nutrition, inguinal pain, burning sensation and irritation in the throat, ketosis, and urinary incontinence. The behaviors in the self-concept mode were feeling weak, crying, inadequate self-care, changes in sexual intercourse, and social isolation. The behaviors in the role function mode were being unable to fulfill the responsibilities at home and work. The behaviors in the interdependence mode were dissatisfaction with relationships. CONCLUSION The study findings help nursing staff detect the stimuli and the behaviors of pregnant women with nausea and vomiting. Further research may evaluate the impact of a counseling program prepared under the guidance of a nursing model on nausea and vomiting in pregnancy.

Development and Testing of Women's Perception for the Scale of Supportive Care Given During Labor

The aim of this study was to develop and validate womens perceptions of the supportive care received during labor. This study had a methodological design. A total of 360 women giving birth at two state hospitals in 2012 participated. Written permission was obtained from the Ethics Committee, the hospitals, and the participants. Data were collected via participant characteristics forms and the Scale of Womens Perception for Supportive Care Given During Labor. Content validity of the scale (0.94) was achieved with expert views. Three factors-comfortable behaviors, education, and disturbing behaviors-were exposed to exploratory factor analysis, and factor loading varied between 0.38 and 0.76. The factor structures were confirmed by confirmatory factor analysis. Cronbachs coefficient was 0.94 for the scale, 0.92 for comforting behaviors, 0.85 for education, and 0.87 for disturbing behaviors. The correlation coefficient between the first and second part of the scale was 0.80. Item-total point correlations of the scale varied between 0.42 and 0.77. The scale was valid and reliable for measuring womens perception of supportive care given during labor. It can be used to determine the care aspects that midwives/nurses should develop, to improve the quality of care, and to help women have more positive labor experiences and higher labor satisfaction.

Effects of Vaginal Douching Education on Turkish Women's Vaginal Douching Practice

Background: Vaginal douching (VD) is a very common practice in Turkish culture. This practice is affected by individual and cultural characteristics. Purpose: The aim of the research was to determine how the education based on Pender’s Health Promotion Model (HPM) affects women’s decision to quit vaginal douche and the factors that cause women to continue VD practices. Methods: The HPM guided the 2-hr education process. The sample has 58 women. Results: As a result, the model education-based HPM helped 69% of women to quit VD practice. It was also determined that education affected women who performed VD to feel clean and to comply with the religion but was less effective in women who had lower education or performed VD to comply with the husband’s demand. Conclusions: Finally, the study showed that the education based on HPM affected the women to change their attitude toward VD and quit it.

Comparison of Two Different Methods for the Measurement of Gastric Residual Volume

The objective of this study was to determine the difference between gastric residual volume measurements without giving air compared to giving 30 ml of air via the feeding tube. This experimental study was on 60 subjects fed enterally at a university hospital. Data collection was with the 12-item “Gastric Residual Volume Measurement Instructions” and “Gastric Residual Volume Observation Form.” The same subjects composed experimental and control groups. Gastric residual volume measurements were taken before feedings at 10:00 a.m., 1:00 p.m., and 4:00 p.m. with a 60-ml syringe. First measurement was taken without giving air by withdrawing the syringe piston at 2–3 ml/second. Second measurement was applied by giving 30 ml of air and withdrawing the piston at the same speed. Students t test was used for data analysis. A total of 180 measurements were made for each method. Gastric residual volume averages were 3.71 ± 7.97 ml without air and 3.78 ± 8.08 ml with air. The difference between averages was statistically significant (p < .05). Difficulties withdrawing the syringe piston without giving air occurred in 85% of the intermittently enterally fed patients and 22.8% of those fed continuously. Gastric residual volume measurements with air were higher than those without air. The aspiration procedure with air was easier. Gastric residual volume measurements should be made with 30 ml of air and by withdrawing the syringe piston at 2–3 ml/minute.

Labor Support: An Aplication is Starting Again Come into Prominence

Labor support is more important care for maternal, fetal and neonatal. This implemenatation is new for our country but foreign literature is examined it’s impact of birth outcomes. The number of research which investigating the importance of labor support is very limited in our country. However, mother-child health begins in the delivery room. Labor support’s objectives, benefits, types and its effect are known by nurses and midwives are worked in the delivery room is extremely important. Also labor support’s types and content is important to health professionals to plan the intrapartum care. Labor support is taken in hand all aspects in this review and according to time to the labor support is first presented in this studies in our country.

The effect of counselling on nausea and vomiting in pregnancy in Turkey

OBJECTIVES The aim of this study was to assess the effects of follow-up counselling on the duration and severity of nausea and vomiting in pregnant women. STUDY DESIGN This study is quasi-experimental and included 62 pregnant women with nausea and vomiting. The group that received counselling was considered to be the experimental group, and the group that received a standard outpatient clinic service was the control group. Data were collected with a demographic data form, that is, the Nausea and Vomiting in Pregnancy Instrument and Pregnancy Unique Quantification of Emesis and Nausea. Significance tests of the differences between two mean values, the Mann-Whitney U test and survival analyses were used to test the hypotheses. RESULTS In pregnant women with mild or moderate nausea and vomiting, nausea and vomiting terminated in a significantly shorter time in the experimental group than in the control group (p <0.001), but this difference was not significant for pregnant women with severe nausea and vomiting (p > 0.05). In addition, the number of weekly telephone follow-ups in the experimental group was significantly smaller (p <0.001). CONCLUSION Counselling effectively reduced the duration and severity of mild or moderate nausea and vomiting during pregnancy. However, it did not affect the duration of severe nausea and vomiting during pregnancy.