Department Of Medical Services and Techniques

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    Problems Experienced by the Mothers in Post-Cesarean Period: A Narrative Review
    (Iranian Journal of Public Health, 2023-10-14) Duran, Serpil ; Vural, Gülşen
    Cesarean delivery rates have been increasing which leads to a rise the problems experienced. After cesarean deliveries important problems for the mother and baby may be seen. The most common problems in the mothers after cesarean delivery are; bleeding, infection, fatigue, sleep disorders, breast problems, self-care issues, and sense of inadequacy in care of the newborn. The method used in this study was narrative review. A literature review was conducted by searching the materials published in databases including Web of Science, PubMed, Google Scholar search engine and, the WHO website. Pain, maternal death, breastfeeding problems, worsened sleep quality and comfort, anxiety, delayed recovery, prolonged hospitalization and infection rates in the cesarean deliveries are higher than in vaginal deliveries. Nurses can facilitate adaptation to the role of motherhood and prevent risky situations by evaluating mothers’ care needs and providing proper interventions and support. Nurses should not only focus on the physical care needs of the mother and baby; they should also ensure the physical and psycho-social adaptation of family members in the face of role changes.
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    The Effect of Kangaroo Care on Paternal Attachment A Randomized Controlled Study
    (Advances in Neonatal Care, 2023-12-15) Yıldırım, Fatma ; Büyükkayacı Duman, Hayriye ; Şahin, Ebru ; Vural, Gülşen
    Background: During the first interaction between the father and the infant, touch can be very important especially father–infant skin-to-skin contact. Few studies have focused on the effect of kangaroo care (KC) on paternal attachment. Purpose: This randomized controlled study was conducted to determine the effect of KC on paternal attachment. Methods: A total of 90 fathers of healthy newborns, including 45 in the intervention group and 45 in the control group who met the inclusion criteria, were included randomly in the study. Data were collected using the Introductory Information Form at study admission and the Father–Infant Attachment Scale (FIAS) at 3 months of age. T test, Mann–Whitney U test, and Kruskal–Wallis test were used for statistical analysis. Results: The mean FIAS scores for the intervention group (I) were higher than for the control group (C) (I: 80.57 ± 13.70; C: 56.76 ± 13.23) (P < .05). Patience and tolerance (I: 13.70 ± 1.18; C: 11.57 ± 2.30), pleasure in interaction (I: 29.50 ± 2.86; C: 17.13 ± 5.93), and love and pride (I: 37.37 ± 2.85; C: 28.06 ± 5.82) mean scores for FIAS subdimensions in the intervention group were also higher than in the control group (P < .05). Implications for Practice and Research: Findings of this study demonstrate that KC has the potential to increase paternal attachment. Healthcare providers should provide discharge education for fathers on KC to increase father–infant attachment. There is a need for studies with larger samples in different cultures on the factors related to parents that affect father–infant attachment and evidence-based practices that increase attachment.