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Objective: This study aimed to compare the level of anxiety in pregnant women who were admitted to our institute before and after confirmation of COVID-19 outbreak have reached Turkey. Methods: One-hundred and fifty consecutive pregnant women admitted to our institute following the emergence of the global COVID-19 outbreak (Group 1) and ISO age-matched pregnant women who were admitted to our institute for delivery following the confirmation of CO VID-19 outbreak have reached Turkey (Group 2) were enrolled in this study. All patients were asked to fill out the State and Trait Anxiety Inventor)? (STAI). Results: STAI-Trait scores, which reflect long term anxiety levels were similar in subjects admitted to our institute for deliver)? before the COVID-19 outbreak in Turkey compared to those admitted after COVID-19 outbreak (42.$±5.8 vs. 42.2+3.2, respectively; p=0,487). However, there was a significant difference in STAI-State scores, indicating state anxiety, between subjects admitted to our institute for delivery before and after confirmation of COVID-19 outbreak in Turkey (44,6+5.3 vs. 42.9±5.1, respectively; p=0.05). Conclusion: Pregnant women admitted to our institute for delivery subsequent to the announcement of first COVID-19 case and declaration of the state of alarm have higher levels of state anxiety compared to those admitted before the establishment of first CO VID-19 cases and containment measures. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to determine the relationship between psychosocial health and prenatal attachment in pregnant women. Methods: This quantitative and descriptive study was conducted with 241 pregnant women who admitted to the Obstetrics and Gynecology Clinic of a state hospital in the Mediterranean Region between December 2019 and March 2020. The Introductory Characteristics Form, Prenatal Psychosocial Health Assessment Questionnaire and Prenatal Attachment Inventory were used to collect the data. Results: It was found in the study that 84.9% of the pregnancies were planned, 83.8% of them were at the last trimester, and 31.3% of them were their first pregnancy. The mean score of pregnant women was 454+0.18 (range: 3.87 to 4.87) in the Prenatal Psychosocial Health Assessment Questionnaire and 72.24+7.48 (range: 50.00 to 84.00) in the Prenatal Attachment Inventor)-'. It was found that the mean scores obtained in the Prenatal Psychosocial Health Assessment Questionnaire were significantly different between the groups according to age, education level, family type and number of pregnancy. There was also significant difference in the mean scores obtained in the Prenatal Attachment Inventory between the groups according to age, education level, family type, number of child and household income level. Conclusion: We did not find any statistically significant correlation between the scores of the Prenatal Psychosocial Health Assessment Questionnaire and the Prenatal Attachment Inventory in our study. [ABSTRACT FROM AUTHOR]

Objective: We planned and conducted this study to determine the knowledge levels of midwifery students for the non-pharmacological methods used in the management of labor pain and to raise awareness on this topic. Methods: This descriptive study was conducted with 60 students who attend the Department of Midwifery, Health College, İstanbul Bilim University and accepted to participate in the research. The data were collected by the questionnaire forms upon obtaining the approvals of the institution and the ethics committee. The questionnaires were assessed by SPSS version 22 (SPSS Inc., Chicago, IL, USA). Results: We found that 43.3% (n=26) of the midwifery students have knowledge on the non-pharmacological methods and apply at least one of these methods to the pregnant women. When the students were compared according to their grades, it was found that the total scores of responses given by students in 2nd grade for the questions to determine their attitudes for the non-pharmacological methods used in the management of labor pain were higher in a statistically significant way than the scores of students in 4th grade, and when they were compared in terms of their ages, it was seen that the total scores of the responses given by the students who are 1-19, 22-23 and 24 years old and above for the questions to determine their behaviors were higher in a statistically significant way than the students who are 20-21 years old. Conclusion: It is needed to increase the knowledge level of the students on the non-pharmacological methods used in the management of labor pain. In order to do this, the knowledge level of the students should be reinforced by using visual learning techniques and simulation practice methods in addition to their theoretical education. [ABSTRACT FROM AUTHOR]

Objective: To present a placenta percreta case in a pregnant woman with massive hematuria who admitted at 21 weeks of gestation. Case: Thirty-two-year-old with hematuria who was pregnant for the fifth time referred to our clinic. There was no significant condition on her medical history except cesarean section for 4 times. In the ultrasonographic examination, the pregnancy consistent with 21 weeks where live placenta located on lower segment was identified. We planned magnetic resonance imaging and cystoscopy, but carried out emergency operation due to the worsening in the general condition of the patient. During the operation, we observed that bladder was attached to uterus. A living female baby was delivered through a vertical incision from fundus of uterus. We performed partial cystectomy due to the hemorrhage of invasive vessels. We also applied partial resection on the lower segment of uterus. On postoperative 4th day, we attached a bigger catheter for urinal drainage since the patient had bladder glob and urine leakage into abdomen. The patient was discharged on postoperative 15th day. Conclusion: Preoperative diagnosis of placenta percreta and multi-disciplinary approach are significant in terms of the successful management of complications. [ABSTRACT FROM AUTHOR]

Objective: A case which was injured during the civil war in Syria and had intrauterine penetrating ankle trauma was presented. Case: Twenty-year-old pregnant woman who was at 37 weeks of gestation and had abdominal gunshot wound was reached to Turkey border through their own means and brought to the emergency service of our hospital by Turkish ambulance. Upon the detection of intraabdominal bleeding and live fetus by USG in the emergency service, she was taken to the operating room. Bullet entrance hole was seen in the uterus, and it was found out that there were bullet entrance and exit holes only on the left ankle of the baby which was taken out alive. While uterus was being repaired, the ankle of the baby was plastered by an orthopedist simultaneously. The mother and the baby were discharged on fifth day when their hemodynamics was observed as stable. It was seen that both mother and baby were healthy on the first month follow-up. However, their further follow-ups could not be done since the mother and the baby returned to their country. Conclusion: Although the mortality rate of penetrating abdominal traumas during pregnancy is high both for mother and the fetus, there was no life-threatening condition for the mother and the fetus in our case, and their postoperative follow-up was normal. [ABSTRACT FROM AUTHOR]