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    Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study
    (Ataturk Universitesi, 2024) Aşci, Özlem; Demigöz Bal, Meltem; Ergin, Ayla
    Objective: The aim of the study was to assess the experiences of midwives in providing childbirth care to women with coronavirus disease 2019 (COVID-19). Methods: This qualitative study was conducted with 25 midwives who worked in a public hospital for at least one year and actively provided childbirth care to women with COVID-19 between 15-30 January 2021.The data were obtained through one-to-one video conference interviews using a semi-structured interview form consisting of seven open-ended questions prepared by the researchers and analyzed thematically. Results: Four main themes were identified. Theme 1: ‘Change in midwifery care performance’ describes the performance of midwives in providing childbirth care to women with COVID-19 and the influencing factors. Theme 2: ‘Unusual labour and delivery’ explained the isolation processes of midwives in labour and birth, the changes they experience regarding the acceptance of a birth partner during the birth, and the way they handle the increasing number of cesarean section decisions. Theme 3: ‘Strict policies that disrupt postpartum care’, explained the practices of midwives in the postpartum period, which changed with political decisions. Theme 4: ‘Emotional problems’ explain the emotional problems directly experienced from a professional and human perspective. Conclusion: In the COVID-19 period, midwives preserved their compassion and empathy, but had difficulty providing woman-centered care. They defended natural birth, but could not have their say in the changes. Anxiety, fear, increased stress, and burnout significantly affected the professional quality of life. © 2024, Ataturk Universitesi. All rights reserved.
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    The breastfeeding experiences of COVID-19-positive women: A qualitative study in Turkey
    (Wiley, 2022) Asci, Ozlem; Bal, Meltem Demirgoz; Ergin, Ayla
    Aim The aim of the study was to determine the breastfeeding experiences of COVID-19-positive women. Methods This was a qualitative study of 14 women diagnosed with COVID-19. One-to-one telephone interviews were conducted and recorded. The data were analyzed thematically. Results Three main themes were identified. Theme 1 was increased emotional load, outlining the emotional effects of the disease in the women, such as feeling sad and inadequate, in addition to anxiety and fear. Theme 2 was breastfeeding during the disease, which illustrated the effects of the treatment process on the women, the disease-related symptoms, their influence on breastfeeding attitudes and behavior, and the effects of social media and television. Theme 3 was perceived social support and need, defining the social support perceived and expected by the women during isolation with needs. Conclusion Women who could not get the professional support they expected had to face the difficult choice between taking medical treatment and breastfeeding. Many women refused drug treatment for COVID-19 and continued to breastfeed with all the resultant emotional and physical difficulties, as they believed in the benefits of mother's milk. The experiences of the women were discussed with an approach that enabled developing health care services further. It was concluded that Turkish health care professionals need to develop an evidence-based and female-centered approach for COVID-19 management in breastfeeding women.
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    The use of hydrotherapy in the first stage of labour: A systematic review and meta-analysis
    (Wiley, 2024) Ergin, Ayla; Asci, Ozlem; Bal, Meltem Demirgoz; Ozturk, Gizem Gunes; Karacam, Zekiye
    Aim: To explore the effect of hydrotherapy applied in the first stage of labour on the health of mother and newborn.Methods: This systematic review and meta-analysis was carried out by following PRISMA. The studies were obtained by scanning EBSCO, PubMed, Science Direct, Ovid, Web of Science and Scopus electronic databases. Twenty studies published between 2013 and 2023 were included.Results: The total sample size of the studies was 8254 (hydrotherapy: 2953, control: 5301). Meta-analyses showed that the perception of pain decreased, comfort level and vaginal birth rate were higher and assisted vaginal birth rate and APGAR scores in the first minute were lower in women who underwent hydrotherapy. There was no difference between groups in terms of the duration of the first and second stage of labour, episiotomy, perineal trauma, intrapartum and postpartum bleeding amounts, use of pain medication and labour augmentations, APGAR scores in the fifth minute, positive neonatal bacterial culture and neonatal intensive care unit need.Conclusion: This study revealed that the results that hydrotherapy decreased the perception of pain and assisted birth, increased the rate of vaginal birth and comfort level and did not adversely affect the health of the mother and baby during the birth process.