Objective Hyperemesis gravidarum (HG) is a pregnancy complication that can progress with persistent nausea and vomiting. The aim of the present study is to evaluate the relationship between hematological parameters and HG. Method A total of 532 pregnant women with HG who were admitted to the Department of Obstetrics and Gynecology between March 2019 and February 2021, and 534 healthy pregnant women with characteristics similar to those of the case group were included in the study. The hematological parameters of both groups were compared. In addition, the hematological parametersof patients with HG according to the severity of ketonuria were compared. Results The mean age of the HG group (n = 532) was 26.3 ± 4.1 years, and that of the control group (n = 534) was 25.9 ± 4.8 years. Among patients with HG, 46% (n = 249) had ketone (+), 33% (n = 174), ketone (++), and 21% (n = 109), ketone (++ + ). The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) were higher in the HG group than in the control group: 3.8 (2.8–5.8)/3.2 (2.6–4.0); p < 0.001; and 135.2 ± 30.4/108.9 ± 62.2; p < 0.001 respectively. The neutrophil count, NLR, and PLR were higher in the group with ketone (++ + ) than in the groups with ketone (+) or ketone (++): 7.6 ± 1.9/5.5 ± 2.4; p < 0.001; 3.8(2.8–4.6)/2.9(2.3–3.6); p < 0.001; and 149.9 ± 48.0/135.9 ± 65.7; p < 0.001 respectively. The mean corpuscular hemoglobin (MCH) level, the NLR, and the PLR were identified as independent predictors of the presence of HG and the level of ketone positivity in HG patients. Conclusion The NLR and PLR were high in patients with HG, suggesting the its inflammatory activity. They may be important markers associated with the presence and severity of HG.

The healthy development of the attachment which starts in the prenatal period and continues after the birth strengthens, positively supports the newborn care and contributes to raising healthy individuals in the future. This study was carried out to determine the effect of mother-fetus attachment that develops during pregnancy on mother-infant attachment in the postpartum period. This descriptive, correlational and longitudinal study was conducted with 150 volunteer mothers who could be reached again within 1–4 months after birth. Data were collected by the Questionnaire Form, the Prenatal Attachment Inventory (PAI) and the Maternal Attachment Scale (MAS). When the relationship between participants' PAI (41.20 ± 11.35) and MAS (26.05 ± 5.13) point averages was examined, it was observed that there was a weak, positive and statistically significant relationship between the two scales (r = 0.304, p=.000). It was observed that there was a relationship between the attachment between pregnant woman and developing fetus and the maternal attachment in the postnatal period.

The woman’s choosing the birth support partner herself increases her satisfaction, comfort and positively affects the process. Moreover, when the health staff provides supportive care to a woman, her physical comfort and satisfaction with birth, and the quality of care increase. This study aimed at investigating effects of companion support during labor on pregnant women’s birth comfort, satisfaction, and postpartum comfort. This randomized controlled trial was conducted in Training and Research Hospital between March 01-September 30, 2023 and 104 primigravidae were included. They were assigned to the intervention and control groups in equal numbers. The women in the intervention group received companion support during labor, whereas women in the control group received standard hospital care. The Birth Satisfaction Scale total score and its sub-dimensions quality of care provision, women’s personal attributes, and stress experienced during labor were significantly higher in the intervention group than in the control group (p < 0.05). Similarly, Childbirth Comfort Questionnaire scores were higher in the intervention group (p < 0.01), with a particular increase observed in the psychospiritual comfort subdimension. Postpartum Comfort Scale total scores and its subdimensions physical, psychospiritual, and sociocultural comfort were also significantly higher among women in the intervention group compared to the control group (p < 0.05). The results of the study revealed that companion support during the birth process played a significant role in increasing women’s birth comfort and satisfaction, and that companion support should be encouraged in health policies in order to improve birth services and to provide better support to pregnant women. ClinicalTrials.gov, NCT06624748. Registered on 3 January 2023.

Aim: This study evaluated the effects of antenatal education, which was provided in a pregnancy education class, on pregnant women’s concerns about labor and the mode of delivery. Materials and Methods: Primigravid pregnant women (n = 144) were enrolled into the study between May 2017 and November 2018. Pregnant women received standard education on nutrition during pregnancy, exercise, methods of coping with pain, and breastfeeding. The participants completed the “Introductory Information Form” and “Oxford Worries about Labour Scale” to collect data. Results: A statistically significant difference was found between the participants’ pain, distress, uncertainty, and interventions in the pre-education, post-education, and postpartum periods and mean total score on the Oxford scale (p<.05). However, education had no significant effect on the mode of delivery (p>.05). Conclusion: Education provided during pregnancy significantly decreased women’s worries about labor, but it did not lead to a significant difference in the modes of delivery.