Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Depression, Anxiety, Stress Level, COVID-19 Fear with Socio-Demographic Characteristics of Pregnant Women: Descriptive Research
Gebelerin Sosyodemografik Özellikleri Depresyon Anksiyete Stres Düzeyinin COVID-19 Korkusu ile İlişkisi: Tanımlayıcı Çalışma
Yılmaz SARIBOĞAa, Özkan SİRb, Sinan ATAŞc, Burcu DEMİR GÖKMENd
aClinic of Gynecology, Van Training and Research Hospital, Van, Türkiye
bDepartment of Nursing, Van Yüzüncü Yıl University Faculty of Health Sciences, Van, Türkiye
cClinic of Psychiatry, Van Training and Research Hospital, Van, Türkiye
dDepartment of Nursing, Ağrı İbrahim Çeçen University Faculty of Health Sciences, Ağrı, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):228-35
doi: 10.5336/nurses.2022-91034
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to see the fear of coronavirus disease-2019 (COVID-19) and depression, anxiety and stress with socio-demographic characteristics of pregnant women. Material and Methods: The descriptive study was conducted with 209 pregnant women who met the research criteria and applied to the pregnant service of a training and research hospital between July 01, 2021- September 15, 2021. The data of the study were collected with the 'Participant Information Form', 'COVID-19 Fear Scale', and 'Depression, Anxiety and Stress Scale.' The analysis of the data was made in the SPSS-25 package program, and the level of significance was accepted as p<0.05. Results: Average age of pregnant women was 27.70±5.51, the mean week of gestation was 27.31±9.92, 37.8% were between 24-28 years old, 37.8% had less than their income, 22% had less than their income. It was determined that she graduated from secondary school. It was determined that there was a significant difference between the number of pregnancies, the number of children and the fear of COVID-19, the age and planned pregnancy and depression, and the income level and stress (p<0.05). A positive and significant correlation was found between the total score on the fear of coronavirus scale and the total anxiety scores in pregnant women (p<0.05). Conclusion: It can be said that the anxiety level of pregnant women increases as the fear of COVID-19 increases. In the face with the anxiety, it is recommended that the expectant mother receives nursing support.

Keywords: Pregnant women; COVID-19 virus; depression; anxiety; psychological stress
ÖZET
 Amaç: Bu çalışmanın amacı, gebelerin sosyodemografik özelliklerinin koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] korkusu ile depresyon, anksiyete ve stres arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Tanımlayıcı olarak yapılan araştırma, 01 Temmuz 2021-15 Eylül 2021 tarihleri arasında bir eğitim ve araştırma hastanesinin gebe servisine başvuran, araştırma kriterlerine uyan 209 gebe ile yürütülmüştür. Araştırmanın verileri, 'Katılımcı Bilgi Formu', 'COVID-19 Korkusu Ölçeği', 'Depresyon, Anksiyete ve Stres Ölçeği' ile toplanmıştır. Verilerin analizi SPSS-25 paket programında yapılmış olup, anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.Bulgular: Gebelerin yaş ortalamasının 27,70±5,51 yıl, gebelik haftasının ortalaması 27,31±9,92, %37,8'inin 24-28 yaş aralığında, %37,8'inin gelirinin giderinden az, %22'sinin ortaokul düzeyde eğitim aldığı tespit edilmiştir. Katılımcıların gebelik sayısı, çocuk sayısı ile COVID-19 korkusu arasında, yaş ve planlı gebelik ile depresyon arasında, gelir düzeyi ile stres arasında anlamlı bir fark olduğu belirlenmiştir (p<0,05). Gebelerde COVID-19 Korkusu Ölçeği toplam puanı ile anksiyete toplam puanları arasında pozitif yönde anlamlı bir ilişki olduğu bulunmuştur (p<0,05). Sonuç: Gebelerin COVID-19 korkusu artıkça anksiyete seviyesi de artmıştır. Aksiyete ile yüz yüze kalan anne adayının gebelikte hemşirelik desteği alması önerilir.

Anahtar Kelimeler: Gebe kadınlar; COVID-19 virüsü; depresyon; anksiyete; psikolojik stres
REFERENCES:
  1. Aktaş HA, Aboalhasan Y, Aygün T, Başol G, Kale A. COVID-19 ve gebelik [COVID-19 and Pregnancy]. Southern Clinics of Istanbul Eurasia. 2020;31(Suppl):69-73. [Crossref] 
  2. World Health Organization [Internet]. © 2022 WHO. Weekly epidemiological update on COVID-19 - 20 July 2021 Edition 49 2021 [Erişim tarihi: 10.11.2022] Available from: [Link] 
  3. T.C. Sağlık Bakanlığı [İnternet]. © 2022 T.C. Sağlık Bakanlığı. Genel Koronavirüs Tablosu 2021. [Erişim tarihi: 10.11.2022] Erişim linki: [Link] 
  4. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-2. [Crossref]  [PubMed]  [PMC] 
  5. da Silva AG, Miranda DM, Diaz AP, Teles ALS, Malloy-Diniz LF, Palha AP. Mental health: why it still matters in the midst of a pandemic. Braz J Psychiatr. 2020;42(3). [Crossref]  [PubMed]  [PMC] 
  6. Bahrami N, Bahrami S. Corelation between depression during pregnancy and delivery and newborn anthropometric indices. Koomesh. 2013;15(1):39-45. [Link] 
  7. Esra Ü, Atik DA, Gözüyeşil E. COVID-19 pandemisi ve kadınlar [COVID-19 pandemic and women]. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2021;4(1):1-8. [Crossref] 
  8. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. [Crossref]  [PubMed]  [PMC] 
  9. Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141-8. [Crossref]  [PubMed]  [PMC] 
  10. Breastfeeding and caring for newborns if you have COVID-19. [Cited: 20.06.2022]. Available from: [Link] 
  11. Chen D, Yang H, Cao Y, Cheng W, Duan T, Fan C, et al. Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection. Int J Gynaecol Obstet. 2020;149(2):130-6. [Crossref]  [PubMed]  [PMC] 
  12. Eroğlu M, Çıtak-Tunç G, Kılınç FE. Gebelik stresi ile COVID-19 korkusu arasındaki ilişkinin incelenmesi [Investigation of the relationship between the pregnancy stress and fear of COVID-19]. Toplum ve Sosyal Hizmet. 2021;125-39. [Crossref] 
  13. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public-A systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. [Crossref]  [PubMed]  [PMC] 
  14. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict. 2022;20(3):1537-45. [Crossref]  [PubMed]  [PMC] 
  15. Ladikli N, Bahadır E, Yumuşak FN, Akkuzu H, Karaman G, Türkkan Z. KOVİD-19 Korkusu Ölçeği'nin Türkçe güvenirlik ve geçerlik çalışması [The reliability and validity of Turkish version of coronavirus anxiety scale]. International Journal of Social Science. 2020;3(2):71-80. [Link] 
  16. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. [Crossref]  [PubMed] 
  17. Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018. [Crossref] 
  18. Lin CY. Social reaction toward the 2019 novel coronavirus (COVID-19). Social Health and Behavior. 2020;3(1):1-2. [Crossref] 
  19. Maharlouei N, Keshavarz P, Salemi N, Lankarani KB. Depression and anxiety among pregnant mothers in the initial stage of the coronavirus disease (COVID-19) pandemic in the southwest of Iran. Reprod Health. 2021;18(1):111. [Crossref]  [PubMed]  [PMC] 
  20. Uzun A, Öztürk GZ, Bozkurt Z, Çavuşoğlu M. Investigating of fear of COVID-19 after pregnancy and association with breastfeeding. Journal of Ideas in Health. 2021;4(1):327-33. [Crossref] 
  21. Salehi L, Rahimzadeh M, Molaei E, Zaheri H, Esmaelzadeh-Saeieh S. The relationship among fear and anxiety of COVID-19, pregnancy experience, and mental health disorder in pregnant women: a structural equation model. Brain Behav. 2020;10(11):e01835. [Crossref]  [PubMed]  [PMC] 
  22. Naghizadeh S, Mirghafourvand M. Relationship of fear of COVID-19 and pregnancy-related quality of life during the COVID-19 pandemic. Arch Psychiatr Nurs. 2021;35(4):364-8. [Crossref]  [PubMed]  [PMC] 
  23. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med. 2022;35(2):205-11. [Crossref]  [PubMed] 
  24. Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand. 2020;99(7):848-55. [Crossref]  [PubMed] 
  25. Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychol. 2020;8(1):99. [Crossref]  [PubMed]  [PMC] 
  26. Muraca GM, Joseph KS. The association between maternal age and depression. J Obstet Gynaecol Can. 2014;36(9):803-10. [Crossref]  [PubMed] 
  27. Çuvadar A, Özcan H, Arıkan MGG, Sinan A. Covid-19 tanılı gebede postpartum kaygı düzeyi: iki olgu sunumu [Level of postpartum anxiety in a pregnant women diagnosed with COVID-19: presentations of two cases]. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2020;3(3):297-301. [Crossref] 
  28. Yüksel A, Dabanlı Z, Bahadır Yılmaz E. Gebelerde bilinçli farkındalık ile depresyon, anksiyete ve stres düzeyleri arasındaki ilişkinin belirlenmesi [Determining of the relationship between conscious awareness, depression, anxiety and stress in pregnancy]. Journal of Academic Research in Nursing. 2020;6(2):195-202. [Crossref] 
  29. Yücel P, Çayır Y, Yücel M. Birinci trimester gebelerde depresyon ve anksiyete bozukluğu [Depression and anxiety among first trimester pregnancies]. Klinik Psikiyatri. 2013;16:83-7. [Link] 
  30. Dündar T, Özsoy S, Hilmiye A, Toptaş B. Obstetrik özelliklerin gebelikte distres üzerine etkisi [Effect on distress in pregnancy of obstetric properties]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019;22(1):17-24. [Link] 
  31. Çelik Sis A, Atasever İ. Gebelerde algılanan stres düzeylerinin ve etkileyen faktörlerin belirlenmesi [Determination of the level of perceived stress and affecting factors in pregnant women]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(2):267-76. [Crossref] 
  32. Dule A. Psychological distress among Ethiopian pregnant women during COVID-19: negative correlation with self-efficacy. Psychol Res Behav Manag. 2021;14:1001-10. [Crossref]  [PubMed]  [PMC] 
  33. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020;277:5-13. [Crossref]  [PubMed]  [PMC] 
  34. Dığrak E, Koçoğlu D. Meslek ve hobi edindirme kursuna katılan ve katılmayan kadınların ruh sağlığı durumlarının karşılaştırılması [The comparison of psychological states of women participating and non-participanting in vocational and hobby course]. Journal of Psychiatric Nursing. 2015;6(3). [Link] 
  35. Koçak Z, Harmancı H. COVID-19 pandemi sürecinde ailede ruh sağlığı [Mental health in the family during the COVID-19 pandemic process]. Karatay Sosyal Araştırmalar Dergisi. 2020(5):183-207. [Link] 

.: Up To Date

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com