LOCAL EXPERIENCES RELATED TO HIGH RISK PREGNANCY IN TURKEY Prof. Dr. Kamile KUKULU Akdeniz University

WHAT IS WOMEN’S EXPERIENCE IN PREGNANCY AT EXACT BED REST??? Women have a lot of stressors while hospitalisation. These stressors are; Thinking of baby’ s health, How much longer will be in the hospital Worry, Thinking about birth, Getting sick of bed, Worry about being a mother. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, Cilt:2, Sayı 2. 2009

WHAT IS WOMEN’S EXPERIENCE IN PREGNANCY AT EXACT BED REST??? Feeling of distressed, Thinking about test results, Being dependent on others, Sleeping in a foreign bed, Boredom due to do not anything. Because, there are not characteristics of healing environment in hospital rooms. https://internationalreportingproject.org/stories/view/can-cuban-medicine-help-solve-american-inequality1

WHAT IS WOMEN’S EXPERIENCE IN PREGNANCY AT PARTIAL BED REST??? Nightmares and more emotional feelings. Level of tenseness and sensitiveness are associated with number of children.

A Sample From The East Of Turkey What is perceived social support and the level of coping with stress of the risky pregnant? A Sample From The East Of Turkey There is a relationship between the perceived social support and coping with stress in risky pregnant. The perceived social support is low. Especially; Women who have low- standard learning, low monthly income, have a unplanned pregnancy, married to a relative, have married unwillingly or have a multiparous pregnancy and have experienced a stressful life- event have low perceived social support. Oruçlu, 2011

NOT ONLY AFFECTED PSYCHOLOGICAL HEALTH OF WOMEN BUT ALSO WOMEN’ S FEELINGS TO BABIES!!! Be in positive feelings about pregnancy affects prenatal attachment. Mother-infant attachment is affected negatively. Mother-infant attachment in high-risk pregnant women should be evaluated carefully. Bakır et al., 2014

The effect of antepartum symptoms experienced by high-risk pregnant women to pregnancy adaptation High-risk pregnant women experience antepartum symptoms similar to other pregnants and high-risk pregnancy does not affect their adaptation (Kamalak, 2015). It was determined that adjustment of the pregnancy was affect positively their social security assets, high income level of the family. The history of hospitalization in previous pregnancies, the distancing from the family bound to the hospital, and staying away from the family negatively affects pregnancy compliance (Paşalak, 2016).

CAN EFFECT OF HIGH RISK PREGNANCY BE LONG-TERM? J Turkish-German Gynecol Assoc 2013; 14: 11-4 Fear regarding new pregnancy is high and planning more children is decreased after high-risk pregnancies and post-traumatic stres disorder symptom scores were higher after high-risk pregnancies. The desire to become pregnant again might have decreased in complicated pregnancies cases due to prolonged hospital stay, exposure to additional trauma, life threatening nature of prior pregnancy, and the likelihood and fear of being exposed to the same risks again.

WHAT IS THE CONDITION OF THE ARTICLES ABOUT PSYCHOLOGICAL HEALTH OF HIGH RISK PREGNANT IN TURKEY??? The number of studies evaluating psychosocial health of high-risk pregnant women is limited AND mostly descriptive in Turkey. Focusing on psychosocial care needs of high risk pregnancies has been increasing in last decate. Recently, increasing the number of experimental studies as a doctoral thesis to improve of the high risk pregnancy’ s health.

EFFECT OF EDUCATION It was found that women who were provided a comprehensive nursing care, education and counseling, experienced less physical and psychological problems and hospital stressors. Oskay and Coşkun, 2012

EFFECT OF MUSICOTHERAPY There was no significant difference between the groups in the anxiety and mother infant communication scores, but satisfaction with nurses differed significantly in favor of the experimental group. The participants reported satisfaction with the musicotherapy. Toker, 2014

The Effect of Relaxation Exercises The results of the one study was to explore the effect of relaxation exercises on coping styles and anxiety level in primiparous women diagnosed with preterm labor have shown that the relaxation exercises were effective on coping with anxiety and stress in pregnant women under the risk of preterm labor. Arıöz, 2014

Effect of Diaphragmatic Breathing Exercise Program (DBEP) Prepared According to The Roy Adaptation Model DBEP prepared according to the Roy Adaptation Program provides positive physiological and psychological effects on pregnant women with gestational diabetes (GDM), increasing their adaptation to pregnancy GDM. Fışkın, 2016

EFFECT OF MINDFULNESS EXERCISES In a study designed to determine the effect of mindfulness program structured according to Meleis's Theory on transition to motherhood, There were improvement in the acceptance of pregnancy, adoption of maternal role and partnership in the experimental group with mindfulness- based integrative care. Körükcü, 2015

Thank You!!