Retracted: Knowledge and practices of delivery room midwives on delayed umbilical cord clamping time: a descriptive study from Turkey

This study aimed to evaluate the knowledge and practices of delivery room midwives on delayed umbilical cord clamping (DCC). This descriptive study was conducted with a total of 1,274 delivery room midwives from five regions of Turkey. The data were collected using a Google survey form. Most of the midwives defined DCC as clamping the umbilical cord in term newborns after cessation of pulsations (47.2%), and as clamping the umbilical cord in preterm newborns within 15-30 seconds of birth (31.2%). Their highest DCC time ranged between 0-10 seconds for term and preterm newborns (34.7% and 54.8%, respectively). The rates of applying DCC were 17.6% and 5.3% in term and preterm newborns, respectively. Dealing with the mother (75.6% and 33.4%, respectively), having workload (27.5% and 24.6%, respectively), considering that the newborn would have respiratory distress (16.1% and 33.4%), considering that the newborn would get cold (10.7% and 13.9%, respectively), preventing polycythemia and hyperbilirubinemia (6.7% and 9.7%, respectively), and being afraid of dropping the newborn (5.3% and 19%, 8, respectively) are the most common reasons for midwives not to apply DCC to term and preterm newborns. The majority of the midwives reported that they had no DCC protocol in their institution (80.5%) and did not receive in-service training on DCC (76.5%). This study has concluded that most midwives do not know the correct definition of DCC, do not apply DCC correctly, have quite short DCC times, have no DCC protocol in their institutions and do not receive in-service training on DCC. This article is retracted as requested by the authors. The retraction information is in volume 8, issue 1, 2023. - lin

Retracted: Knowledge and practices of delivery room midwives on delayed umbilical cord clamping time: a descriptive study from Turkey

This article is retracted as requested by the authors. The previously published article is in volume 7, issue 2, 2022. The authors suspected that we do not exercise proper publication workflow and threaten us to report to all of our indexers if we do not fulfill the request. We are maintaining good relationship with everyone involves in our workflow, hence the retraction. To make everyone happy, the authors in this case. We are not a business entity. We are supporting the open access initiatives fully and try to maintain a proper publication process. The publication of the authors' articles are based on the authors' proposals. We never beg authors to submit their manuscripts. Those entirely based on authors request for publication

Working with women in Turkey exposed to childhood sexual abuse

Objective Sexual abuse of children is an important public health issue. The aim of this study was to provide a multidimensional examination of women over the age of 18 who were exposed to sexual abuse in childhood and the effect of this abuse on their lives. Design and Sample Measures This qualitative study was conducted over the period June 2015-February 2017. Twenty-three women were gathered by the snowball sampling method. We collected the data using a semi-structured questionnaire and in-depth interviews. Content analysis was used in the evaluation of the data. Results Conclusion We found five themes that participants considered to result from their sexual abuse: emotional effects, sexuality, marriage, academic, and social aspects. Sexual abuse adversely affected the physical, psychological, and social lives of individuals. Public health nurses play a role in working with women who were exposed to sexual abuse in childhood

Vicdan algısı ölçeği’nin hemşirelerde Türkçe geçerlilik güvenilirliği

Amaç: Zihinsel bir süreç olan vicdan, özel ve mesleki yaşamda tutum ve davranışlara etki eden, felsefi, etik ve ahlaki yönü bulunan çok boyutlu bir kavramdır. Hemşirelerin çalışma hayatlarında hissettikleri vicdani rahatsızlık, ilerleyen süreçte suçluluk, hüzün, umutsuzluk ve güçsüzlük gibi olumsuz duygular yaşamalarına ve mesleki tükenmişliklerine sebep olabilir.Yöntem: Bu araştırma metodolojik bir araştırma olup, 163 hemşire ile yapılmıştır. Verilerin toplanmasında tanıtıcı bilgi formu ve Dahlqvist ve arkadaşları tarafından geliştirilen vicdan algısı ölçeği kullanılmıştır. Ölçeğin dil uyarlaması ve içerik geçerlilik incelemesinin değerlendirilmesinin ardından veriler, kapsam geçerlilik için uzmanlar arası uyum bakımından değerlendirilmiştir. Yapı geçerliliği için ise faktör analizi yapılmıştır. Güvenilirlik çalışması, madde toplam korelasyonu, Cronbach alfa katsayıları ve test tekrar test ile incelenmiştir.Bulgular: Ölçeğin kapsam geçerliliği değerlendirme puanları bakımından uzman görüşleri arasında uyum saptanmıştır (Kendall’s W=0,114; p=0,101 > 0,05). Ölçeğin madde-toplam puan korelasyon katsayıları (r) 0,090 – 0,697 arasında olduğu ve aralarındaki ilişkinin pozitif yönde istatistiksel yönden ileri düzeyde anlamlı olduğu (p 0.05). The item-total score correlation coefficients (r) of the scale were between 0.090 and 0.697, and there was a positively significant relationship between them (p<0.001). In the reliability analysis, Cronbach’s alpha coefficient was 0.84 and test-retest correlation analysis r=0.97 was determined. Conclusion: The statistical data showed that, after removing three items from the original version of the 16-item questionnaire, the 13-item Turkish version of the questionnaire is suitable for use in studies to be conducted with nurses in Turkey

VALIDITY AND RELIABILITY OF THE TURKISH VERSION OF THE STRESS OF CONSCIENCE QUESTIONNAIRE

Amaç: Bir iç ses olarak tanımlanan vicdan, hem özel hem de mesleki yaşamı etkileyen etiğin temel taşlarından biridir. Kültür, sosyal koşullar,toplum, benlik, kişilik özellikleri vicdanı etkiler. Sağlık çalışanlarında vicdan stresinin değerlendirilmesi, vicdani rahatsızlıklara bağlı duygu vedavranışlarını anlamamıza ve bunun sonucu ortaya çıkabilecek sorunları çözmemize yardımcı olabilir. Araştırmada, Glasberg ve ark. tarafından2006 yılında geliştirilmiş olan Vicdan Stresi Ölçeği’nin ülkemiz için geçerlik ve güvenirlik çalışmasının yapılması amaçlanmıştır.Yöntem: Bu araştırma metodolojik türde bir çalışmadır. Ölçek, 9 maddeli 6’lı likert tipi bir ölçektir. Ölçeğin değerlendirmesinde “Asla” (0 puan); “6ayda birden az” (1 puan); “6 ayda birden fazla” (2 puan); “her ay” (3 puan); “her hafta” (4 puan); “her gün” (5 puan) olarak puanlandırılmaktadır.Ölçekten alınan puanın yüksek olması, vicdan stresinin yüksek olduğunu göstermektedir. Ölçeğin geçerlilik güvenilirlik çalışması için Glasberg vearkadaşlarından öncelikle yazılı izin alınmış ardından ölçek üç uzman tarafından Türkçe’ ye ve farklı üç uzman tarafından da Türkçe’ den İngilizceye çevrilmiştir. Ayrıca ölçeğin kapsam geçerliliği de hemşirelik alanında görev yapan öğretim üyeleri (n:13) tarafından değerlendirilmiştir.Araştırma için etik kurul onayı alınmıştır. Araştırmanın evrenini bir üniversite hastanesinde çalışan toplam 270 hemşire,örneklemini ise çalışmayakatılmayı gönüllü olarak kabul eden 253 hemşire oluşturmuştur. Veriler Ocak-Eylül 2018 tarihleri arasında toplanmıştır. Veri toplama aracı olarakVicdan Stresi Ölçeği kullanılmıştır.Bulgular: Ölçeğin kapsam geçerliliği değerlendirme puanları; Kendall’s W testi ile analiz edildiğinde; uzman görüşleri arasında istatistiksel olarakfark olmadığı (Kendall’s W: 0,072; p:0,489>0,05) bulunmuştur. Ölçeğin madde analizinde madde toplam korelasyon değerleri 0,28 ile 0,52arasındadır. Faktör analizi sonucunda maddelerin iki faktör altında toplandığı bulunmuştur. Ölçeğin genel Cronbach Alpha değeri 0,74’dür.Sonuç: Vicdan Stresi Ölçeği, Türkiye’deki sağlık çalışanlarının vicdan stresini değerlendirmede ölçüm aracı olarak kullanılabilir.Objective: Conscience, defined as an inner voice, is one of the cornerstones of ethics affecting both private and professional life. Culture, social conditions, society, self, and personality traits affect conscience. Assessing the stress of conscience in health workers can help us understand the feelings and behaviors related to stress of conscience and to solve the resulting problems. The aim of this study was to conduct validity and reliability tests of the Stress of Conscience Questionnaire developed by Glasberg et al. in 2006. Methods: This is a methodological study. The instrument consists of nine items scored on a 6-point Likert scale ranging from “never” (0), through “less than once every six months” (1), “more than once every six months” (2), “every month” (3), “every week” (4), to “every day” (5). Higher scores indicate higher levels of stress of conscience. For the validity and reliability study of the scale, written permission was obtained from Glasberg et al. The original English version the scale was translated into Turkish by three experts, and the translated version was then back-translated into English by three different experts. Also, the content validity of the scale was evaluated by faculty members working in the field of nursing (n: 13). Ethics committee approval was obtained for the study. The population of the study consisted of 270 nurses working in a university hospital and the sample consisted of 253 nurses who voluntarily accepted to participate in the study. Data were collected between January and September 2018. Conscience Stress Scale was used as data collection tool. Results: The content validity scores for the scale were analyzed using Kendall’s W, and the results suggested no statistically significant difference between the experts’ opinions (Kendall’s W: 0.072; p=0.489>0.05). The item-total correlation values in the item analysis of the scale were between 0.28 and 0.52. The factor analysis showed that the items loaded on two factors. The overall Cronbach's alpha value of the scale was 0.74. Conclusion: The Stress of Conscience Questionnaire can be used as a measurement tool to assess the stress of conscience of health workers in Turkey

Annelik Hüznü Ölçeği’nin Türkçe Geçerlilik ve Güvenilirliği

Amaç: Bu çalışma, Annelik Hüznü Ölçeği’nin Türkçe geçerlik ve güvenirliğini test etmek amacıyla yapılmıştır. Yöntem: Araştırma, tanımlayıcı, kesitsel ve metodolojik bir tasarımla 320 anne üzerinde gerçekleştirilmiştir. Veriler Tanıtıcı Bilgi Formu, Annelik Hüznü Ölçeği ve paralel form olarak Postpartum Uyku Kalitesi Ölçeği kullanılarak toplanmıştır. Verilerin analizinde; faktör analizi, Cronbach’s alfa ve madde toplam puan korelasyonları kullanılarak yapılmıştır. Bulgular: Ölçek Türkçe geçerlilik güvenilirlik analizine göre 28 madde, beş alt boyuttan oluşmuş ve %55’lik bir varyans kaydetmiştir. Ölçeğin Türkçe versiyonunun Cronbach’s alfa katsayısı 0,85’dir. İki yarım test güvenirliği analizine göre birinci ve ikinci yarının Cronbach alfa katsayıları 0,70 ve 0,76, Guttman iki yarı katsayısı 0,88 ve yarılar arasındaki korelasyon katsayısı 0,81 olarak bulunmuştur. Hotelling T2 testi sonucuna göre ise ölçekte tepki yanlılığının olmadığı tespit edilmiştir. Sonuç: Annelik Hüznü Ölçeği’nin Türkçe versiyonunun postpartum süreçte annelik hüznünü ölçmek için kullanımında geçerli ve güvenilir bir araç olduğu belirlenmiştir

Varicose veins during pregnancy: Risk factors and impact on quality of life

Objective: This study was carried out to examine the risk factors for varicose veins during pregnancy and their impact on quality of life. Material and methods: This was a prospective, cross-sectional observational study in pregnant women in their second and third trimesters. In addition to the collection of sociodemographic and lifestyle data, the presence of varicose veins was assessed using the clinical, etiological, anatomical, and pathophysiological (CEAP) questionnaire, and the quality of life was assessed using the Chronic Venous Insufficiency Questionnaire (CIVIQ-20). Logistic regression analysis was conducted to identify independent risk factors for varicose veins. Results: A total of 658 women were included. Considering all types of varicose veins, prevalence of varicose veins was 29% (191 women). Varicose veins presence was found to be significantly associated with gestational week (odd ratio [OR], 1.047; 95% CI, 1.013-1.083; P=0.03), thyroid diseases (OR, 2.474; 95% CI, 1.109-5.522; P=0.019), smoking status during pregnancy (OR, 7.294; 95% CI, 2.408-22.093; P<0.001), and positive family varix history (OR, 213.437; 95% CI, 87.248-522.138; P<0.001). As regards the quality-of-life evaluation, scores in all CIVIQ-20 dimensions-physical (mean deviation [MD], -4.30; 95% CI, -4.76 to 3.83; P<0.001), psychological (MD, -8.67; 95% CI, -9.60 to 7.73; P<0.001), social (MD, -3.13; 95% CI, -3.48 to 2.79; P<0.001), pain (MD, -3.94; 95% CI, -4.37 to 3.51; P<0.001)-and the global index score (MD, 25.06; 95% CI, 22.50 to 27.62; P<0.001) were significantly higher in patients with varicose veins than in those without (P<0.001). Conclusions: In this prospective, observational study in pregnant women, gestational week, thyroid diseases, smoking status during pregnancy, and positive family history were identified as risk factors for varicose veins, and the presence of varicose veins was found to negatively impact quality of life in this setting

Acupressure application to relieve postpartum uterus pain during breastfeeding: A randomized controlled study

Objective: Postpartum uterus pain while breastfeeding is a situation that can affect mother-infant bonding negatively and is a matter of concern for women. The purpose of this study is to investigate the effectiveness of acupressure application in reducing postpartum uterus pain during breastfeeding. Methods: This prospective randomized controlled trial was carried out at a maternity hospital in northwestern Turkey between March and August 2022. The sample of the study included 125 multiparous women who were in the 6th to 24th hours after vaginal delivery. The participants were randomly divided into acupressure and control groups. Visual Analog Scale (VAS) was used to evaluate postpartum uterine pain. Results: While the VAS scores of the acupressure and control groups were similar before breastfeeding, the scores of the acupressure group at the 10th and 20th minutes of breastfeeding were lower (respectively, p = 0.038 and p = 0.011). In the intragroup comparisons, compared to their values before breastfeeding, the pain score of the acupressure group decreased at a statistically highly significant degree at the 20th minute of breastfeeding (p<0.001), whereas the score of the control group increased at a statistically highly significant degree at the 10th and 20th minutes (p[removed

Pregnancy and Epilepsy: Clinical Data and Adverse Outcomes of Pregnant Women with Epilepsy

Objectives:Pregnancy in women with epilepsy carries a higher risk for fetal development complications, including congenital malformations. In this study, data obtained from pregnant epilepsy patients in a tertiary epilepsy center were presented.Methods:In this study, 128 pregnancies of 110 pregnant women followed up in the epilepsy outpatient clinic between April 2011 and April 2021 were examined. Demographic data of the patients, antiepileptic drugs AEDs used, and pregnancy outcomes were reviewed retrospectively.Results:During pregnancy, 101 patients (78.9%) received monotherapy, and lamotrigine was the most commonly used drug in monotherapy. A two-drug combination was used in 18 patients (14.1%), and a three-drug combination was used in 5 patients (3.9%). Although the frequency of seizures did not increase in most patients, the frequency of seizures increased in 18 patients (14.1%) and decreased in 5 patients (3.9%). In our study, the intrauterine fetal loss occurred in five patients, newborn infants with congenital malformations in three patients, and neonatal death during delivery in one patient. The number of AEDs used in multivariate logistic regression predicted adverse outcomes such as intrauterine fetal loss, neonatal death, and newborns with congenital malformations.Conclusion:Management of pregnant patients with epilepsy is difficult for both mother and fetus. In our study, combination therapy was more associated with adverse outcomes for the fetus and newborn. Pregnancy should be planned, and seizure-free pregnancy should be targeted with low-dose monotherapy