Browsing by Author "Ulas, SC"

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    The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study
    Saral, N; Ulas, SC
    Objective: The aim of the study was to determine the effect of short pregnancy interval on perinatal outcomes. Methods: The research was a retrospective study. The material consisted of birth records of a state hospital for the last three years in Manisa in the western region of Turkey (2015-2017) (n:8961). The research population included women whose gestational interval was <= two years and the gestational week was over 22 weeks (n:2089). Perinatal outcomes were assessed through preterm birth, stillbirth, and low birth weight. Results: The mean age of women who are in the research group is 26.7 +/- 5.32. According to the perinatal results of women with a pregnancy interval of two years and shorter; 8.2% of women had birth before 37 weeks and 0.3% resulted in stillbirth. It was determined that 4.8% of infants were born with low birth weight. There was no difference between the short pregnancy interval and stillbirth or preterm birth. However, a significant difference was found between the low birth weight and short pregnancy interval. (p>0.05). Conclusions: Pregnancy interval does not affect preterm birth and stillbirth from perinatal outcomes, but has a significant effect on the birth weight of the newborn.
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    Effect of simulation training on students' childbirth skills and satisfaction in Turkey
    Çalim, SI; Ulas, SC; Demirci, H; Tayhan, E
    This study examined the effects of simulation training on student midwives' management skills for normal childbirth and their satisfaction. This study utilized a quantitative, quasi-experimental, comparison group research design. Students were placed into two groups according to the last digit of their school identity number (odd versus even), given by The Directorate of Student Affairs. Lots were drawn to decide which simulation model the odd and even numbers would represent. One group received simulation training for normal birth skills using a low-fidelity pelvic model (n = 37) while the other group used a high-fidelity computer-based mannequin (n = 38). After the skills training, each student midwife managed the second and third stages of a simulated normal childbirth. The skill checklists were used to evaluate the students' second and third stage labor midwifery skills. After the simulation activity, the Students' Satisfaction and Self-confidence Scale was used to measure their levels of satisfaction with the simulation activity and their self-confidence in learning. There were no significant differences between the groups in terms of childbirth management skills and satisfaction in learning (p > 0.05). Thus, both methods can be recommended for simulation training of student midwives.
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    Effects of High Fidelity Simulation Model on Midwives' Shoulder Dystocia Management Skills: An Educational intervention Study
    Calim, SI; Ulas, SC; Demirci, H; Tayhan, EB
    Background: Shoulder dystocia is an emergency and risky situation that most likely directly involves midwives. Aim: The aim of this study is to determine the effects of simulation training with a high fidelity mannequin on midwives' shoulder dystocia management. Subjects and Methods: This study utilized a quantitative, quasi-experimental research design. No sample selection was made. The study included all midwives (n:16) working in the maternity unit of Manisa Province Hospital, Turkey. Management of shoulder dystocia was lectured both theoretically and practically, using a high fidelity simulation. Midwives' shoulder dystocia management skills and knowledge were evaluated before and after training using shoulder dystocia knowledge form and management skill checklist. Results: There was a statistically significant increase in their shoulder dystocia management knowledge scores and management skills after simulation-based shoulder dystocia training (P < 0.05). Before the training, the midwives (62.5%) mostly used the McRoberts maneuver and suprapubic pressure as the primary interventions in shoulder dystocia management. After training, all the midwives were able to apply secondary maneuvers (Wood's or Rubin's maneuvres or posterior arm delivery) along with the primary maneuvers, in accordance with the shoulder dystocia management algorithm. Conclusion: Using a high fidelity simulation model in training increased midwives' shoulder dystocia management skills and knowledge.
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    Risk Perceptions Regarding COVID-19 and Compliance with Protective Measures of Midwifery and Nursing Senior Students
    Ulas, SC; Açil, D; Büyük, DS; Durgun, SK; Açisli, FU
    Objective: This study aims to examine the risk perceptions of midwifery and nursing senior students regarding COVID-19 and compliance with vaccination and protective measures. Method: This cross-sectional study was conducted in two academic years on senior midwifery and nursing students (n = 358). In the present study, the descriptive characteristics of the students and the COVID-19 risk perception scale were used. Results: The students' COVID-19 Risk Perception Scale scores were at a moderate level and a similar level in both years of this study. More than 80% of the students were fully vaccinated, and the family history of COVID-19 was positive in approximately half of them. In the second year of the pandemic, they paid less attention to social distance and avoidance of being indoors. Conclusion: Although the COVID-19 risk perceptions of future health professional students remained at a similar level during the examined period, it was found that in the second year of the pandemic, they started to get used to the process and paid less attention to social protective measures.
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    Attitudes of Married Women Towards Induced Abortion in Manisa
    Özmen, D; Çetinkaya, AÇ; Ulas, SC; Bolsoy, N
    Introduction: This study was aimed at revealing attitudes of married women towards induced abortion. Methods: This study was descriptive and the study population included 64.382 married women aged 15-49 years in the city of Manisa. Three hundred and eighty-three women were selected from 11 family health care centers by proportional stratified sampling. The data were collected using Socio-demographic Information Form, Attitude Inventory of Induced Abortion and Knowledge of Induced Abortion Form. Results: The participants had the highest rates of agreement with the items induced abortion is a sin and induced abortion is a murder. Multivariate analyses showed that women at an older age, women with higher education, women having a nuclear family, women with fewer living children, women with a previous induced abortion, women using a modern family planning method, women defining themselves as nullifidians or who did not fulfil religious rituals, and women having higher scores for knowledge of induced abortion had a more positive attitude towards induced abortion. Conclusion: The results of the study showed that the attitudes of women towards induced abortion were affected by religion, but that they had the enough flexibility to have a positive attitude when a medical or social necessity arose.
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    Evaluation of midwifery students' learning approaches to the compulsory biochemistry course
    Kosova, F; Çelik, N; Simsek, HN; Ulas, SC
    Objectives Learning approach in a certain learning process is based on the student's intentions, behaviors, and habits according to his/her perceptions of the task of learning and determines the amount and quality of learning. The objective of this study is to evaluate the learning approaches of 1st and 4th grade midwifery students to biochemistry course and the change, if there is any, through their education. Methods This is an observational, cross-sectional study. The research population consisted of the voluntary students (86.47%, n:147) of the 2017-2018 season of the 1st and 4th class of Manisa Celal Bayar University, Health Science Faculty, Midwifery Department (n:170). Data were collected by using the Introductory Information Form and the Learning Approach Scale, and evaluated in the SPSS package program by performing number, percentile, mean, standard deviation, independent t test. Results The mean age of the students was 20.82 +/- 1.81. Over 95% of the students stated that biochemistry lesson was necessary, while 59.9% reported that their biochemistry knowledge was insufficient. Over 87% of the student expressed their belief that the content of the biochemistry classes will help them in their professional career. Mean score of deep approach for Learning Approach Scale was 34.13 +/- 6.07 (Min:19.00-Max:50.00), and mean score of superficial approach for Learning Approach Scale was 26.94 +/- 6.37 (Min:15.00-Max:50.00). There was a significant relation between deep approach scale score and the perception of high importance of biochemistry in the professional life (p<0.05). Conclusions Midwifery students, who believe that biochemistry is necessary for their professional career have a higher motivation for learning biochemistry, thus perform a deeper approach to learning. In general, creating effective and dynamic educational environments that support deep learning is necessary for enhancing the learning of biochemistry.
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    Behaviors of Mothers in Complementary Feeding of their 6-12-month-old Babies
    Ulas, SC; Durgun, SK; Çalim, SI
    Objective: This study aimed to determine the behaviors of mothers in the complementary infant feeding of their 6-12-month-old babies. Materials and Methods: The research is descriptive and cross-sectional. The sample of the study consisted of mothers with 6-12-month-old babies registered in two family health centers selected by using the purposive sampling method in the city center of Manisa (n:190). The data were collected with a data collection form consisting of 65 questions prepared by the researchers. In the evaluation of the data, categorical variables were shown as numbers and percentages, and continuous variables as mean and standard deviation. Result: The mean age of the mothers participating in the study was 28.74 +/- 4.55 years. It was determined that 53.2% of them had 6-9-month-old babies and 80.5% of them continued to breastfeed. It was stated that 22.6% of the mothers started giving complementary foods to their babies at the fifth month and before, 33.2% of them tried a new food every day, and about 20% of them gave complementary foods to their babies for more than three meals. 83.4% gave their babies a regular breakfast. In this period, the most frequently used complementary foods were yogurt (68.4%), soups (51.6%), mashed fruit (48.4%), and mashed vegetables (36.3%). Conclusion: It was determined that mothers exhibit faulty behaviors in starting complementary feeding at the right time, giving nutrients in amounts appropriate to the baby's age, and starting new foods at appropriate intervals. It is important to educate mothers about complementary feeding and to support them.
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    Knowledge and Practices of Primary Health Care Professionals on Maternal Blues
    Durgun, SK; Ulas, SC
    In this study, determining the knowledge and practices of primary health care professionals regarding maternity blues was aimed. The descriptive study was conducted in the Family Health and Community Health Centers in the city center of Manisa together with health care professionals (N:252). The entire relevant population was tried to be reached without using any sample selection method (n:214). The data of the study were collected with a questionnaire form prepared by the researchers in accordance with the relevant literature. Informative questions were evaluated indefinitely by giving correct answers for one score out of the total knowledge score (32 points in total). The average age of the health care professionals included in the survey was 40.22 +/- 8.99. Of the research group, 41.1% was the doctors, and 48.9% was other health care professionals. When the knowledge of the health care professionals about the maternity blues is investigated, 30.4% stated they have never heard maternity blues before, and 41.6% stated not to have received any knowledge about this issue up to date. The mean scores of health care professionals regarding knowledge in maternity blues were 16.85 +/- 6.65 (p < 0.05). Maternity blues isn't known by almost half of midwives and nurses. Awareness of health care professionals should be increased by providing in-service training and vocational training on this subject.
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    Exploring Turkish women's gynecological examination perceptions based on their metaphors: a qualitative study
    Ulas, SC; Çalim, SI; Çetinkaya, A
    BackgroundDuring the gynecological examination, women especially feel uncomfortable with the lithotomy position and experience shame and anxiety. This study aims to explore metaphors used by women who have experienced gynecological examinations.MethodsThis study is qualitative and phenomenological. The study group consisted of 90 women. Data were collected online using a data form in May-June 2021. It consisted of the sociodemographic characteristics of women and their metaphorical perceptions of gynecological examination. Data were analyzed and interpreted using a metaphorical analytical method inspired by Kochis and Gillespie. Metaphoric linguistic expressions, sequences, words, and sentences related to each other, were highlighted. The Consolidated criteria for Reporting Qualitative research (COREQ) checklist was used in the study report.ResultsThe average age of the women was 37.29 +/- 10.14, and 73.0% were high school graduates. Three different conceptual categories were created by associating each metaphor image with a certain theme concerning women's perspective on gynecological examination. The characteristics compiled during the category development phase were used to collect 24 metaphors under a specific category. The metaphor revealed that the process, instrument (examination table), and affective aspects of the gynecological examination are in interaction. In this study was found that the main metaphor image for the gynecological table was a fork, the gynecological examination brought to mind the pregnancy because of the reason for the procedure, and most of the women used the metaphors of ache/pain for their gynecological examination experience.ConclusionsThe metaphors used for the gynecological examination expressions suggested that women's experiences were negative. Such metaphors may reflect physical and emotional discomfort experienced during the examination. Health professionals' understanding of these negative perceptions and their empathy may facilitate positive experiences for women and the detection and treatment of health problems.