Objectives:To determine the factors affecting the severity of menopausal symptoms and the quality of life among women living in Manisa, a western city of Turkey. Patients and Methods: After statistical estimation of the sample size reflecting the whole population, 268 climacteric women (mean age 50.7±6.6 years; range 40 to 60 years) with menopausal symptoms were investigated by sociodemographic questionnaire, menopause rating scale (MRS), and Quality of Life Scale (WHOQOL-BREF-TR) in Celal Bayar University Hospital. Results: Almost 1/3 of women had no knowledge on menopause. The MRS scores of women were inversely correlated with Physical Health, Psychological well-being, Social Relationship domains of quality of life. Educational level, menopausal knowledge, participation in decision-making in the family and economic status positively affected most domains of quality of life, whereas being married and having high BMI scores had negative effects. Conclusion: In climacteric women, quality of life was negatively affected by the severity of menopausal symptoms, low education level, limited menopausal knowledge, and being overweight.

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Background: Shoulder dystocia is an emergency and risky situation that most likely directly involves midwives. Aim: The aim of this study is to determine the effects of simulation training with a high fidelity mannequin on midwives' shoulder dystocia management. Subjects and Methods: This study utilized a quantitative, quasi-experimental research design. No sample selection was made. The study included all midwives (n:16) working in the maternity unit of Manisa Province Hospital, Turkey. Management of shoulder dystocia was lectured both theoretically and practically, using a high fidelity simulation. Midwives' shoulder dystocia management skills and knowledge were evaluated before and after training using shoulder dystocia knowledge form and management skill checklist. Results: There was a statistically significant increase in their shoulder dystocia management knowledge scores and management skills after simulation-based shoulder dystocia training (P < 0.05). Before the training, the midwives (62.5%) mostly used the McRoberts maneuver and suprapubic pressure as the primary interventions in shoulder dystocia management. After training, all the midwives were able to apply secondary maneuvers (Wood's or Rubin's maneuvres or posterior arm delivery) along with the primary maneuvers, in accordance with the shoulder dystocia management algorithm. Conclusion: Using a high fidelity simulation model in training increased midwives' shoulder dystocia management skills and knowledge.

Gained weight during pregnancy which have not been loosed following parturition or growing fat after parturition, effect the life of women on physiological, psychological and social aspects. It is aimed to observe loosing weight that were gained during pregnancy, in first year after parturition in this study. This is a croos -sectional type research. Sampling of the research is composed from mothers who were given birth one year ago and has accepted to attend this research who were admitted to three different family health centers between

48hildbirth education is frequently a good way to remove or alleviate fears associated with pregnancy and childbirth because it provides knowledge and skills to pregnant women and family.1 But, evidence on benefits of antenatal education for childbirth, remain largely unknown. Effects of Prenatal Education onFear of Childbirth A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to investigate effects of education on fear of childbirth between attendance at pregnant education classes program and routine care. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study was carried out as quasi-experimental study, comparing a pregnant education group and a control group. Demographic and obstetric data forms and Wijma Delivery Expectancy/Experience Questionnaire were used for data collection. R Re es su ul lt ts s: : Pregnant education classes were found to reduce fear of childbirth. The pregnant women in the intervention group had less fear of childbirth (39.1±23.9) than those in the control group (59.3±21.7). Women who had experienced fear of childbirth also had an increased risk for causes of fear of childbirth. Statistical significance was measured labour of pain, dying during childbirth, sick or handicapped child, perineal and vaginal tears, loss of control and emergency cesarean section and unfriendly staff in maternity hospital between groups. C Co on nc cl lu us si io on n: : Pregnant education classes are effective in reducing fear of childbirth. It is recommended that participation in pregnant education classes in public hospitals should be encouraged. As such, it may be thought that the rate of cesarean delivery depending on maternal request due to fear of childbirth will reduce.K Ke ey yw wo or rd ds s: : Fear; pregnant women Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmanın amacı; gebe eğitim sınıflarına katılan ve eğitim alan gebeler ile bu sınıflara katılmayan ve rutin bakım alan gebeler arasında, eğitimin doğum korkusu üzerindeki etkilerini incelemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma, deney ve kontrol grubunu karşılaştıran yarı deneysel olarak yürütülmüştür. Veri toplamak için demografik ve obstetrik veri formu ile Wijima Doğum Beklentisi/Deneyimleri ölçeği kullanılmıştır. B Bu ul lg gu ul la ar r: : Gebe eğitim sınıflarının doğum korkusunu azalttığı saptandı. Müdahale grubundaki gebe kadınların (39,1±23,9), kontrol grubundaki gebe kadınlardan (59,3±21,7) daha az korkuya sahip olduğu bulundu. Doğum korkusu yaşayan kadınlar aynı zamanda, doğum korkusunun nedenleri için artmış bir riske sahipti. Gruplar arasında doğum ağrısı, doğum eyleminde ölme, hasta ve özürlü çocuk, perineal ve vajinal yırtıklar, kontrol kaybı, acil sezaryen ve arkadaş canlısı olmayan personel arasında istatistiksel olarak anlamlı bir fark saptandı. . S So on nu uç ç: : Gebe eğitim sınıfları korkuyu azaltmada etkilidir. Devlet hastanelerinde gebe eğitim sınıflarına katılımın teşvik edilmesi önerilebilir. Bu nedenle doğum korkusundan dolayı maternal isteğe bağlı sezaryen ...