The aim of this study was to determine the effect of "precious baby" on Cesarean delivery rates. Materials and Methods: This study was carried out with 850 women meeting the inclusion criteria in the gynecology and obstetrics units of three hospitals in the city center of Trabzon between January and October 2018. A questionnaire form and patient files were used for data collection. The data were evaluated using logistic regression analysis, frequency, and percentage calculations. Results:The study revealed that the first three rankings of cesarean indications were the mother (52.6%), baby (21.4%) and social (13.1%) indications [having a baby with treatment (precious baby) (86.5%), the desire of the mother (13.5%)]. 88.7% and 11.3% of women giving cesarean delivery got pregnant spontaneously and through treatment respectively. 44.8% of them were in the 35-45 age group. Those who had a precious baby had their first pregnancy (50.0%), had no other alive children (86.5%), never had a miscarriage (60.4%) and stillbirth (91.7%), never had a cesarean delivery before (99%), had a singleton pregnancy (87.5%), had no chronic diseases (57.3%), had a pre-pregnancy health problem (53.1%) and gynecological diseases (37.5%). As the age of the woman increased, the risk of a pregnancy being a precious pregnancy having and a pre-pregnancy health problem increased 1.448 times and 5.74 times respectively. Conclusion: Pregnancies defined as precious babies ranked 3rd in cesarean indications, and contributed to the increase of cesarean rates. Amaç: Bu çalışma sezaryen doğum oranlarında "kıymetli bebek" etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntem: Bu çalışma Trabzon il merkezinde bulunan üç hastanenin kadın hastalıkları ve doğum servislerinde Ocak -Ekim 2018 tarihleri arasında örnekleme dahil edilme kriterlerine uygun 850 kadın ile yapıldı. Veriler toplanmasında anket formu ve hasta dosyası kullanıldı. Veriler, frekans ve yüzdelik hesaplamalarının yanı lojistik regresyon analizi ile değerlendirildi. Bulgular: Sezaryen endikasyonlarının ilk üç sıralamasında sırasıyla anneye bağlı endikasyonlar (%52.6), bebeğe bağlı endikasyonlar (%21.4) ve sosyal endikasyonlar (%13.1) [tedavi ile bebek sahibi olma (kıymetli bebek) (%86.5), anne isteği (%13.5)] ilk üç sırada yer aldı. Sezaryen doğum yapan kadınların %88.7'sinin gebeliklerinin kendiliğinden, %11.3'ünün ise tedavi ile olduğu saptandı. Bu kadınların %44.8'i 35-45 yaş grubundadır. Kıymetli bebek sahibi olan kadınların %50,0'sinin ilk gebeliği, %86,5'inin yaşayan çocuğunun olmadığı, %60,4'ünün daha önce hiç düşük, ölü doğum (%91,7) ve daha önce sezaryen ile doğum (%99) yapmadığı ve %87,5'inin gebeliklerinin tekil olduğu tespit edildi. Kıymetli bebek sahibi olan kadınların %57.3'ünün herhangi bir kronik hastalığı olmadığı ancak %53.1'inin gebelik öncesi bir sağlık probleminin olduğu ve ilk sırada jinekolojik hastalıkların (%37.5) yer aldığı saptandı. Kadının yaşı arttıkça gebeliğin kıymetli gebelik olma riski 1,448 kat, gebelik öncesi saptanmış sağlık probleminin varlığında ise 5,74 ...

PurposeThe study aims to determine the effect of educational intervention provided to caregivers of hospitalized patients with terminal cancer theoretically, practically, and visually on their own and patients' quality of life. Methods This quasi-experimental study was conducted at a palliative care unit in Turkey between January and June 2019. The study included 35 hospitalized patients with cancer and 35 caregivers. Caregivers were provided with educational intervention three times a week apart. The data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, Friedman test, and iterative analysis of variance. Results After the educational intervention, there was an increase in cancer patients' emotional function sub-scale and global health and decrease in their fatigue and nausea-vomiting symptoms (p<0.05). The mean scores of caregivers from role difficulty, pain, vitality, social function, emotional, and mental health sub-scales were high (positively) (p<0.001). Conclusions Educational intervention has a positive effect on caregiver burden and recovery in some quality of life subscales of both patients and caregivers.

Purpose The study aims to determine the effect of palliative care and training provided to caregivers of hospitalized patients with terminal cancer theoretically, practically and visually on their own and patients’ quality of life.Methods This quasi-experimental study was conducted at a palliative care unit in Turkey between January and June 2019. The study included 35 hospitalized patients with cancer and 35 caregivers. Caregivers were provided with palliative care and training three times a week apart. The data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, Friedman test and iterative analysis of variance.Results After the palliative care and training, there was an increase in cancer patients’ emotional function sub-scale and global health and decrease in their fatigue and nausea-vomiting symptoms (p<0.05). The mean scores of caregivers from role difficulty, pain, vitality, social function, emotional and mental health sub-scales were high (positively) (p<0.001).Conclusions Palliative care and training have a positive effect on caregiver burden and recovery in some quality of life sub-scales of both patients and caregivers.