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            <front>

                <journal-meta>
                                                                <journal-id>ktd</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Kocatepe Tıp Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">3061-9904</issn>
                                                                                            <publisher>
                    <publisher-name>Afyonkarahisar Sağlık Bilimleri Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.18229/kocatepetip.1168482</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Clinical Sciences</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Klinik Tıp Bilimleri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>GEBELERİN COVID-19 HASTALIĞI HAKKINDA BİLGİ DÜZEYİ VE AŞILANMA DURUMLARI</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>KNOWLEDGE LEVEL AND VACCINATION STATUS OF PREGNANTS ABOUT COVID-19 DISEASE</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-4418-4692</contrib-id>
                                                                <name>
                                    <surname>Türkoğlu Yılmaz</surname>
                                    <given-names>Emine</given-names>
                                </name>
                                                                    <aff>TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-0236-9202</contrib-id>
                                                                <name>
                                    <surname>Kalıpcı</surname>
                                    <given-names>İrem</given-names>
                                </name>
                                                                    <aff>Turhal Devlet Hastanesi</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20231009">
                    <day>10</day>
                    <month>09</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>24</volume>
                                        <issue>4</issue>
                                        <fpage>399</fpage>
                                        <lpage>406</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20220830">
                        <day>08</day>
                        <month>30</month>
                        <year>2022</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230104">
                        <day>01</day>
                        <month>04</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1999, Kocatepe Tıp Dergisi</copyright-statement>
                    <copyright-year>1999</copyright-year>
                    <copyright-holder>Kocatepe Tıp Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>AMAÇ: Gebelik varlığında koronavirus hastalığı 2019 (COVID-19) daha ağır seyredebilmektedir. COVID-19 aşılarının gebelerde kullanımı güvenli ve etkilidir. Bu çalışmada gebelerin COVID-19 hastalığı hakkında bilgi düzeyini irdelemek, aşılanma durumlarını belirlemek, aşı karşıtlığının boyutunu ortaya çıkarmak ve bunun altında yatan sebepleri araştırmak amaçlanmıştır.GEREÇ VE YÖNTEM: Çalışmaya Turhal Devlet Hastanesi’ nde, 6 Eylül 2021 - 27 Eylül 2021 tarihleri arasında, Kadın hastalıkları ve doğum polikliniğine başvuran 276 gebe hasta dahil edilmiştir. Hazırlanan anket formu, yüzyüze görüşme tekniği kullanılarak uygulanmıştır.BULGULAR: Çalışmamızda katılımcıların bilgi sorularını doğru yanıtlama oranı %58.7-%74.3 arasında, enfeksiyondan korunma önlemlerine uyum oranları ise %35.9-%73.9 arasında saptandı. COVID-19 aşısı olmayan gebelerin oranı %52.5 olup, en önemli aşı (%59.3) olmama nedeni ise gebeliğine zarar verme korkusuydu. Katılımcıların %69.9’u gebelik döneminde yapılan diğer aşıları yaptırdığını/yaptıracağını, %92.8’i ise bebeğinin çocukluk aşılarını yaptıracağını belirtti.SONUÇ: Bu çalışmanın sonucunda gebelerin, COVID-19 bulaş yolları hakkında orta düzeyde bilgi sahibi olduğu bulunmuştur. Aşılar hakkında olumsuz düşünce oranı az olmasına rağmen, aşılanma oranı düşük bulunmuştur. Aşı yaptırmamanın altında yatan en önemli neden ise gebeliğine zarar gelmesi endişesiydi. Hekimlerin hastalarını açık ve şeffaf doğru bilgilendirmesi ile aşı tereddütü giderilebilir ve aşılanma oranları artırılabilir.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>OBJECTIVE: Coronavirus disease 2019 (COVID-19) can be more severe in the presence of pregnancy. The use of COVID-19 vaccines is safe and effective in pregnancy. In this study, it was aimed to examine the knowledge level of pregnant women about COVID-19 disease, to determine their vaccination status, reveal the extent of vaccine hesitancy, and investigate the underlying reasons.MATERIAL AND METHODS: A total of 276 pregnant women/patients who applied to the obstetrics and gynecology outpatient clinic of Turhal State Hospital between September 6, 2021 and September 27, 2021 were included in the study. The prepared questionnaire was applied using a face-to-face interview technique.RESULTS: In our study, the rate of participants answering the information questions correctly was between 58.7% and 74.3%, and the rate of compliance with the infection prevention measures was between 35.9% and 73.9%. A total of 52.5% of the pregnant women were not vaccinated against COVID-19, and the most important reason for not being vaccinated (59.3%) was the fear of harming their pregnancy. 69.9% of the participants stated that they had/would have other suggested vaccinations done during pregnancy, and 92.8% stated that they would have their baby&#039;s childhood vaccinations done.CONCLUSIONS: As a result of this study, it was found that pregnant women had moderate knowledge about the transmission routes of COVID-19. Although the rate of negative thoughts about vaccines was low, the rate of vaccination was low. The most important reason for not vaccinating was the thought of harming their pregnancy. Vaccine hesitancy can be eliminated, and vaccination rates can be increased by providing clear and transparent information to their patients by physicians.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Aşı tereddütü</kwd>
                                                    <kwd>  COVID-19</kwd>
                                                    <kwd>  COVID-19 aşıları</kwd>
                                                    <kwd>  Gebelik</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>Vaccine hesitancy</kwd>
                                                    <kwd>  COVID-19</kwd>
                                                    <kwd>  COVID-19 vaccines</kwd>
                                                    <kwd>  Pregnancy.</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
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                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1. Acker K, Eagen-Torkko M, Riley LE, et al. COVID-19 infection, prevention, and control considerations in the obstetric environment. Clin Obstet Gynecol. 2022;65(1):134-47.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2. IDSA. Pregnant/Lactating. Erişim tarihi: 8 Nisan 2022. Avaliable from: https://www.idsociety.org/covid-19-real-time-learning-network/special-populations/pregnant-women/.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3. Centers for Disease Control and Prevention (CDC). Interim considerations for infection prevention and control of Coronavirus Disease 2019 (COVID-19) in inpatient obstetric healthcare settings. Erişim tarihi: 29 
Ocak 2022. Avaliable from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcareguidance.html.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4. Villar J, Ariff S, Gunier RB, et al. Maternal and neonatal morbidity and mortality among pregnant women with and without COVID-19 infection. The INTERCOVID multinational cohort study. JAMA Pediatr. 
2021;175(8):817-26.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5. COVID19 Vaccine Tracker. Erişim Tarihi: 2 Şubat 2022. Avaliable from: https://covid19.trackvaccines.org/vaccines/approved/#vaccine-list.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6. Telli Dizman G. Aşılamada beyin yakan sorular. In: Aydın M, Sayın Kutlu S. XXI. Türk Klinik Mikrobiyoloji Ve İnfeksiyon Hastalıkları Kongresi; 2021 May 26-30; Çevrimiçi, Türkiye. p. 214.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7. Larsona HJ, Jarrett C, Schulz WS, et al. Measuring vaccine hesitancy: the development of a survey tool. Vaccine 2015;33:4165-75.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8. World Health Organization (WHO). Ten threats to global health in 2019. Erişim Tarihi: 2 Şubat 2022. Avaliable from: https://www.DSÖ.int/emergencies/ten-threats-toglobal-health-in-2019.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9. Centers for Disease Control and Prevention (CDC). COVID data tracker. Erişim tarihi: 29 Ocak 2022.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Avaliable from: https://covid.cdc.gov/covid-data-tracker/#pregnant-population.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">10. Centers for Disease Control and Prevention (CDC). Emergency preparedness and response. Erişim tarihi: 30 Ocak 2022. Avaliable from: https://emergency.cdc.gov/han/2021/han00453.asp.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">11. T.C. Sağlık Bakanlığı. COVID-19 aşısı bilgilendirme platformu. Erişim tarihi: 17 Şubat 2022. Avalieable from: https://covid19asi.saglik.gov.tr/?
gclid=CjwKCAiAgbiQBhAHEiwAuQ6Bkrxtj7o3BkZBmr6shaAoXNQu9Daqtv4LqeU7scLQvVdgMZdH2Ds-SxoCsOMQAvD_BwE.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">12. Çınar G, Köksoy ÜC, Bayındır Z, ve ark. Gebelerin SARS-CoV 2 aşılarına karşı bilgi, tutum ve davranışlarının ve aşı kararsızlığı/reddi nedenlerinin değerlendirilmesi. In: Sümer Ş, Türker NXXII Türk Klinik Mikrobiyoloji 
ve İnfeksiyon Hastalıkları Kongresi, Mart 2022 9-12, Antalya, Türkiye. p.344.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">13. Adhikari EH, Spong CY. COVID-19 vaccination in pregnant and lactating women. JAMA. 2021;325(11):1039-40.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">14. Centers for Disease Control and Prevention (CDC). Scientific brief: SARS-CoV-2 transmission. Erişim tarihi: 29 Ocak 2022. Avaliable from: http//: www.cdc.gov/coronavirus/2019-ncov/science/science-
briefs/sars-cov-2-transmission.html).</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">15. Al-Kuraishy HM, Al-Gareeb AI, Atanu FO, et al. Maternal transmission of SARS-CoV-2: safety of breastfeeding in Infants born to infected mothers. Front Pediatr. 2021;9:738263.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">16. World Health Organization (WHO). Breastfeeding advice during the COVID-19 outbreak. Erişim tarihi: 29 Ocak 2022. Avaliable from: http://www.emro.who.int/nutrition/news/breastfeeding-advice-during-the-
covid-19-outbreak.html#:~:text=Standard%20infant%20feeding%20guidelines, years%20of%20age%20or%20beyond.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">17. Owusu M, Sylverken AA, El-Duah P, et al. Low risk of SARS-CoV-2 in blood transfusion. PLoS ONE. 2021;16(4): e0249069.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">18. Desdicioğlu R, Yavuz AF. COVID-19 ve gebelik. Ankara Med J. 2020;(2):482-487.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">19. Santarpia JL, Rivera DN, Herrera VL, et al. Aerosol and surface contamination of SARS-CoV-2 observed in quarantine and isolation care. Scientific Reports. 2020;10:13892.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">20. Kaplan Ö, Kaplan A, Çağlı F, Çetin Ş. Gebelerin Covid-19 korku düzeyleri ile kullandıkları koruyucu, geleneksel ve tamamlayıcı tıp uygulamaları arasındaki ilişki. İnönü Üniversitesi Sağlık Hizmetleri Meslek 
Yüksekokulu Derg. 2022;10(2):590-602.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">21. Kaya Şenol D, Uçar Z. COVID-19’un gebelik, doğum öncesi bakım ve doğum üzerindeki etkileri. TJFMPC. 2022;16(1):57-65.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">22. Pickering LK, Baker CJ, Freed GL, et al. Immunization programs for infants, children, adolescents, and adults: clinical practice guidelines by the infectious diseases society of America. Clin Infect Dis. 
2009;49(6):817.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">23. Shimabukuro TT, Kim SY, Myers TR, et al. Preliminary findings of mRNA Covid-19 vaccine safety in pregnant persons. N Engl J Med. 2021;384(24):2273-82.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">24. Polat G, Sağlam ZA, Polat İ, Yücel B. Gebelikte COVID-19 aşılamasını etkileyen hasta faktörleri: Bir anket çalışması. İKSSTD. 2022;14(2):170-5.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">25. Skjefte M, Ngirbabul M, Akeju O, et al. COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries. Eur J Epidemiol. 2021;36:197–211.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">26. Goncu Ayhan S, Oluklu D, Atalay A, et al. COVID-19 vaccine acceptance in pregnant women. Int J Gynaecol Obstet. 2021;154(2):291-6.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">27. Suzuki S, Eto M. Screening for depressive and anxiety symptoms during pregnancy and postpartum at a Japanese perinatal center. J Clin Med Res. 2017;9(6):512-5.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">28. Suzuki S. Psychological status during the first trimester of pregnancy under the COVID-19 epidemic in Japan. J Matern Fetal Neonatal Med. 2022.;35(15):3007-8.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">29. Demirel Bozkurt Ö, Taner A, Doğan S. Gebelerin COVID-19 pandemi sürecinde anksiyete düzeyleri, baş etme durumları ve etkileyen faktörler. J Nursology. 2022:25(2):69-76.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">30. Battarbee AN, Stockwell MS, Varner M, et al. Attitudes toward COVID-19 illness and COVID-19 vaccination among pregnant women: a cross-sectional multicenter study during August-December 2020. Am J 
Perinatol. 2022;39(1):75-83.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">31. Kul G, Erdoğan N. Gebelerin mevsimsel influenza aşısı ile ilgili bilgi, tutum ve davranışları. Anadolu Klin Tıp Bilim Derg. 2020:25(3):258-63.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">32. Dereli F, Kundakçı G, Yıldırım JG, Uyanık G, Yılmaz M. Aile sağlığı merkezine başvuran gebelerin bağışıklama durumlarının belirlenmesi. İKÇÜSBFD 2021;6(2):77-83.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">33. Vila-Candel R, Navarro-Illana P, Navarro-Illana E, et al. Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain. BMC Public Health. 2016;16:1173.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">34. Kahn KE, Black CL, Ding H, et al. Influenza and tdap vaccination coverage among pregnant women United States, April 2018. MMWR Morb Mortal Wkly Rep. 2018;67(38):1055–9.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">35. Pirdal H, Yalçın BM, Ünal M. Gebelerin gebelik izlemleri, gebelikleri ile ilgili bilgi düzeyleri ve etkileyen faktörler. Türk Aile Hek Derg.2016;20(1):7-15.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
