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    Changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic
    (Wiley, 2023) Duran, Sedef; Duran, Ridvan; Acunas, Betul; Şahin, Erkan Melih
    Background: Concerns about the safety and adverse reactions of rapidly-developed vaccines against COVID-19 contributed to parents' vaccine hesitancy and this situation created an opportunity for anti-vaccine campaigners. The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic. Methods: In this cross-sectional study, parents of children who applied to the outpatient clinic of pediatric department of Trakya University Hospital, Edirne, Turkiye, between August 2020 and February 2021 were recruited into two study groups according to COVID-19 peak time in Turkiye. Group 1 included parents of children who applied after first peak of the COVID-19 pandemic and Group 2 included parents of children who applied after second peak. The World Health Organization 10-item Vaccine Hesitancy Scale (WHO-VHS) was applied to each group. Results: A total of 610 parents agreed to participate in the study. Group 1 and 2 consisted of 160 and 450 parents, respectively. While the number of parents who were hesitant about childhood vaccines was 17 (10.6%) in Group 1, it was 90 (20%) in Group 2. A statistically significant difference was found between the two groups ( p = 0.008). The (WHO-VHS) mean +/- SD score was found to be higher in Group 2 (23.7 +/- 6.9) than Group 1 (21.3 +/- 7.3) (p < 0.001). The WHO-VHS-mean +/- SD scores of parents who experienced COVID-19 infection themselves or their family or acquaintances were significantly lower than those who did not (20.0 +/- 6.5 vs. 24.7 +/- 6.9) (p < 0.001). Conclusions: The hesitant attitudes towards childhood and COVID-19 vaccines were low in parents who directly or indirectly experienced COVID-19 or were worried about the devastating effects of this disease. However, it was shown that as the COVID-19 pandemic progressed, parents' hesitations towards childhood vaccines increased.
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    Comparison of the Knowledge and Attitudes of Midwives about Breastfeeding with Breastfeeding Behaviors of the Mothers They Provide Counseling
    (Aves Yayincilik, Ibrahim Kara, 2010) Duran, Sedef; Duran, Ridvan; Sahin, E. Melih; Dagdeviren, Nezih; Guzel, Ahmet
    Objectives: Midwives and nurses are considered as the essential sources of information about feeding and nutrition of the babies, who encourage breastfeeding and support the mother. In this study, it is aimed to compare the knowledge and attitudes of midwives and nurses about breastfeeding with breastfeeding practices of the mothers they provide counseling on baby feeding. Patients and Methods: The present study was carried out on 161 mothers having babies aged 12-18 months who lived in Edirne and on 59 midwives and nurses who had conducted their counseling and follow-up visits. Data were collected via two questionnaires prepared for the midwives and mothers. Results: Midwives/nurses reported that they were visited by each mother for a mean of 6.5 +/- 2.9 times during their pregnancy. Twenty-two of them had fed their babies only with breast milk for at least six months and 33 of them had suckled their babies for at least 12 months. Of the mothers, 65 had fed their babies only with breast milk for at least six months, while 82 had suckled their babies for at least 12 months. Conclusion: This study stresses the importance that nurses/midwives should enhance mothers' consciousness for a successful breastfeeding. It is important that midwives should provide continuous support to mothers, which can be achieved by continuous professional training to midwives, nurses and other health staff regularly.