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    Risk of Postpartum Sexual Dysfunction: A Link to Posttraumatic Stress Disorder Symptoms and Depression Symptoms
    (Routledge Journals, Taylor & Francis Ltd, 2024) Kocoglu, Ferdane; Asci, Oezlem; Bal, Meltem Demirgoz
    The aim of this study is to determine the association of the risk of postpartum sexual dysfunction (SD) with posttraumatic stress disorder (PTSD) and depression symptoms. This cross-sectional study was conducted by collecting data from eight different family health centers (n = 147). Data were collected with 'Descriptive Information Form', 'City Birth Trauma Scale (CityBiTS)', 'Edinburg Postpartum Depression Scale (EPDS)' and 'Female Sexual Function Index (FSFI)'. Data were evaluated with Chi-square test, Fisher's exact test, Student's t-test, Spearman's correlation and logistic regression analysis. The risk of SD in women between 6 and 12 months postpartum was 53.1%, and the risk of depression was 19%. Based on self-report data, 16.3% of women met all Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD in relation to birth-specific events. There was a negative correlation between the FSFI and the CityBiTS (r=-0.208) and EPDS total scores (r=-0.335). It was found that CityBiTS scores were not a significant factor affecting the risk of SD (p > 0.05), but an increase in EDPS scores increased the likelihood of SD (OR:1.22, p < 0.05). Half of the women are at risk of SD in the first postpartum year. As postpartum depression and PTSD symptoms increase, sexual function decreases.
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    The prevalence of obstetric violence experienced by women during childbirth care and its associated factors in Turkiye: A cross-sectional study
    (Elsevier Sci Ltd, 2023) Asci, Oezlem; Bal, Meltem Demirgoz
    Objective This study determined the prevalence of obstetric violence experienced by women during child-birth and related factors in Turkiye.Design Cross-sectional studySetting This study was conducted in the mother-child health and gynecology outpatient clinics of the training and research hospital in Turkiye.Participants The study was completed with 513 women who gave birth in the last two years between January and May 2022.Methods Data were collected using a questionnaire prepared by the researchers. Bivariate and mul-tivariate logistic regression analyzed the relationship between obstetric violence and socio-demographic and obstetric characteristics.Findings Obstetric violence was reported by 76.4% of the women: 44.4% physical abuse, 44.4% aban-donment of care, 26.5% non-consented care, 25.1% non-dignified care, 3.3% non-confidential care, and 0.4% discrimination. Low income (OR = 1.98), physician-attended birth (OR = 2.91), vaginal birth (OR = 6.04), and newborn admission to the neonatal care unit (OR = 2.99) were associated with higher reporting of obstet-ric violence. Primiparous women (OR = 0.51), whose pain was controlled by non-pharmacological methods (OR = 0.34) and who received companion support (OR = 0.24) were less likely to report experiencing ob-stetric violence ( p < 0.05).Key conclusions Approximately three out of four Turkish women report that they have been exposed to obstetric violence during childbirth. In Turkiye, vaginal birth is the type of childbirth with the highest rate of obstetric violence reporting. Women who are low-income and multiparous, who are deprived of midwife, companion, and pain control support during childbirth, are more likely to experience obstetric violence. Implications for practice Supporting low-income women, protecting women from traumatic acts and unnecessary interventions in a vaginal birth, increasing births under the attendance of midwives, and providing pain control with non-pharmacological methods, and companion support during labor may be protective factors against obstetric violence. & COPY; 2023 Elsevier Ltd. All rights reserved.