Muslim women choice for gender of obstetricians and gynecologist in Turkey

Objective: It would generally be thought of that the Muslim women especially preferred female obstetricians/gynecologists (ob/gyn). The aim of this study is to investigate the gender preference of Turkish Muslim women regarding ob/gyn, and identify other features that affect their choice.Methods: In this study it has been included 710 women attending to gynecology and antenatal clinics and they have been asked to complete a survey questionnaire containing 16 items and requiring opinion on whether they want to be examined medically by a female or male ob/gyn and have no preference. The questions have also contained the reasons for the stated preference.Results: Of all participants, 230 (32,3%) preferred to have a female ob/gyn, 380(53,5%) declared no preference, and 100(14,2%) preferred to have a male ob/gyn. The reasons for female preference were i) having a very good communication (36%), ii) embarrassment (32%) and iii) feeling comfortable with female ob/gyn (27%). Surprisingly, only 5% women responded that the religious orders are important in their preference. The participants who have larger family, lower level of education, lower income, higher unemployment, parity of 4 and over, and first gynecological examination, have preferred female ob/gyn (p<0,05). One hundred women who preferred to be examined by a male doctor stated that the reasons for their preference were i) surgical skills (45%), ii) even tempered (35%) and iii) understanding problems better (20%).Conclusions: The majority of women have expressed no preference about gender of their ob/gyn, but a significant proportion of the remainder would prefer to be examined by a female doctor when they have been given the choice. However the religious effects on female ob/gyn preference have been found much less than the cultural effects

Chronic Pelvic Pain and Nursing Care

Kronik pelvik ağrı (KPA); menstruasyon veya cinsel ilişki ile ortaya çıkmayan, gebelikle ilişkisi olmayan, aralıklı ya da sürekli olarak en az 6 aydır süren, alt abdomen veya pelviste olan ağrıdır. KPA, hastaların yaşam kalitesini yüksek oranda etkilemektedir. KPA, fonksiyonel yetersizliklere yol açar ve medikal veya cerrahi tedavi gerekir. Kronik ağrı her zaman iyileştirilememesine rağmen, hastaların normal veya normale yakın düzeyde fonksiyonlarını devam ettirmeleri ve daha kaliteli bir yaşam sürmeleri sağlanabilir. Kronik pelvik ağrının oluşumunda rol oynayan etyolojik faktörler, tanılama ve tedavi yöntemleri; Royal Collage of Obstetricians and Gynaecologists (2012) tarafından geliş- tirilen kronik pelvik ağrı kanıt temelli klinik rehberi temel alınarak açıklanmış ve hemşirelik yaklaşımı ele alınmıştır.Chronic pelvic pain (CPP) can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman lasting at least for 6 months, not occurring exclusively with menstruation or intercourse and not presenting in association with pregnancy. CPP, significantly affects the quality of life of patients. CPP, leads to functional disability and requires medical or surgical treatment. Although the CPP does not always improve, the patients can maintain their functions at normal or near normal levels and their quality of life might be better. Etiologic factors, diagnostic and treatment methods that are involved in the formation of chronic pelvic pain are explained based on evidence-based chronic pelvic pain clinical guideline that is improved by Royal College of Obstetricians and Gynaecologists (2012) and handled by using nursing approach