Zekiye Karaçam

and 2 more

Objectives In this study, we aimed to determine the prevalence of physical disorders, to examine hospitalization rates and the causes of hospitalization during the period of pregnancy, basing our conclusions on observational studies carried out in Turkey. Search strategy The literature search for the study was performed in April 2021 on the PubMed, EBSCO, OVID, Web of Science, PsycINFO, Clinics of Turkey-Turkey Reference Series, TR Series and Higher Council of Education-National Thesis Centre electronic data bases. Results Nineteen articles were included in this meta-analysis, amounting to a total volume of 159,022 samples. The studies contained data on 14 different physical health problems that developed during pregnancy. Based on the data, we observed that authors of the meta-analyses estimated a prevalence of 16% for urinary infection, 10% for preterm labour, 7.8% for gestational diabetes, 8.7% for premature rupture of membranes, 4% for hyperemesis gravidarum, 2.8% for preeclampsia, 2.7% for gestational hypertension, 0.3% for HELLP syndrome, 0.1% for eclampsia, 6.6% for threat of miscarriage, 3.8% for miscarriage, 1.2% for a history of bleeding in the third trimester, 0.4% for placental abruption, and 0.3% for placenta previa. None of the studies contained any report on hospitalization rates and the causes of hospitalization during pregnancy. Conclusion We obtained results in this systematic review that pointed to evidence that some preventable physical disorders and some that would necessitate hospitalization during pregnancy were prevalent, but no data could be reached on hospitalization rates and the causes of hospitalization.

Müge Sağlık

and 1 more

Rationale, aims, and objectives: This study aims to determine the effectiveness of structured education and follow-up in the management of perceived milk insufficiency and increasing the baby’s amount of milk intake among breastfeeding mothers. Methods: A randomized controlled trial was carried over the period December 2018-June 2019 at Family Health Centers in Turkey with 64 mothers (study group: 33 and control group: 31). The study group were provided with education with structured educational material and followed. Data were collected with a Descriptive Information Form, a Breastfeeding Follow-up Form and the IMDAT- Scoring System for Measuring a Baby’s Intake of Breast Milk. Results: Mothers in the study group started breastfeeding their babies in the first one hour after birth (study: 97.0%; control: 77.4%; χ² = 5.586, p = 0.018). It was observed at each monitoring that a significantly greater percentage of the mothers in the study group believed their milk to be sufficient (study: 84.8%, 90.9% and 78.8; control: 38.8%, 38.8% and 38.8%, respectively) and that they fed their babies exclusively with breast milk (study: 84.8%, 87.9% and 78.8; control: 32.3%, 38.7% and 35.5%, respectively) in the tree follow-ups. The data obtained at all three tracking times showed that that the baby’s amount of milk intake in the study group (%81.8; %78.8 and %60.6, respectively) were better than in the control group (%54.8; %48.4 and %29.0, respectively); these differences were seen to be statistically significant. These results were also confirmed by regression analysis, in which education level, working status and having experience in breastfeeding were considered as impact modifier variables. Conclusion: This study concluded that the structured education and follow-ups increased the feeding 0-2 month-old babies exclusively breast milk and the amount of the baby’s milk intake, and while perceptions of breast milk deficiency diminished