Background: Antenatal care is a careful, systematic assessment and follow-up of pregnant women that includes education, counseling, screening, and treatment to assure the best possible health of the mother and fetus. Aim of the research was to examine the effect of antenatal instructional package on pregnant women' knowledge, attitude and practices. Design: A quasi-experimental research design was adopted to fulfil the aim of this research. Setting: The research was conducted at obstetrics & gynaecological outpatient clinic in Benha university hospital. Sample: A purposive sample of one hundred and forty pregnant women among those attending the above mentioned setting. Tools: Data were collected through five main tools: A Structured interviewing questionnaire, maternal knowledge questionnaire, maternal health attitude questionnaire, maternal health practices questionnaire, and women's satisfaction sheet. Results: showed that nearly one third of studied women in both study group (41.4%) and control group (37.1%) had source of information from friends and families while minority of them had source of information from newspaper. Also there was no statistical significant difference regarding all knowledge, attitude and practice items about antenatal care between the study and the control group before instructional package implementation. However, a highly statistically significant difference (p-values < 0.001) was observed between the study and the control group one month after instructional package implementation. Additionally total knowledge, total attitude and total practices regarding antenatal care were greatly improved after instructional package implementation than pre implementation among study group while there were minimal improvements after instructional package implementation than pre implementation among control group. Also the majority of pregnant women in the study group were satisfied with the antenatal instructional package implementation. Conclusion: the study concluded that research hypotheses are supported and the antenatal instructional package had appositive effect on improvement of pregnant women' knowledge and in turn attitude and practices were also improved in study group compared to control group .Also the majority of pregnant women in the study group were satisfied with the antenatal instructional package implementation. Recommendations: From time to time, the antenatal instructional package should be restructured and reviewed to meet up with the health needs of the pregnant women.
Background Bacterial vaginosis (BV) is the most common vaginal infection affecting women of reproductive age (15-49 years of age). 5-8% of women with acute infection experience recurrent vulvo-vaginal candidiasis. Side effects of vaginitis can affect other aspects of health, which could be prevented by promoting a healthy related to vaginal health. Aim of the study. The aim of the present study was to evaluate the Education intervention guideline on knowledge and self-care practice for women with vulvovaginities. Design: A quasi- experimental design was adopted in the current study. Sample: A purposive sample of (130) women's were included in the current study. Setting: the current study was conducted at outpatient clinic affiliated at obstetric department at Benha University Hospital. Data collection: Two tools were used for data collection, first, interviewing questionnaire to collect data about the women' socio demographic characteristics and women's knowledge regarding vulvovaginities as definition, risk factors, complication, second tool, Self-Care Assessment Structured Interviewing Schedule as (Clean genital area after each toilet, dry after cleanliness) Results: the result of the present study should that the total knowledge was improved from (9.2%) at pre intervention to (86.2%) at post intervention phase. In addition there was demonstrates that, 87.7% of the women had an unsatisfactory level of self-care practices before the educational intervention. Meanwhile, after the educational intervention, 75.4% of them got a satisfactory level of self-care practices. Conclusion: Educational intervention was effective in improving the women's knowledge and self-care practices regarding vulvovaginities. Recommendations: Provide different educational programs regarding knowledge and self-care practice for women with vulvovaginities at different female health care settings.
Background Postnatal periods are very sensitive periods for both the mother and the neonates where morbidity and mortality are high. Post natal care knowledge has significant role in reducing such complications. The research aimed to determine the educational guideline's effect on nurses’ performance regarding mothers and neonates’ postnatal care. Design A quasi-experimental design was decided to fulfil the aim of this study. Setting The study was conducted in the obstetric skill lab of faculty of nursing, Benha university. Sample A purposive sample was used to recruit 140 maternity nurses from Maternal and child health centres at kalioubia governorate. data collection: Two tools were used: Tool (I) Structured Questionnaire sheet. It is composed of these parts: Part I: Socio-demographic characteristics and Part II: nurses’ knowledge about postpartum care. Tool (II) postpartum care observation checklist. Results knowledge and practices about postpartum care showed highly statistically significant differences between pre and post- implementation phases, and total knowledge score regarding post-partum care were improved from 34.52% pre implementation to 45.65% after implementation with (t = 8.11 and p <0.01**) and total practice were improved from 38.52% pre implementation to 54.21% after implementation with highly significant difference (t = 12.75 and p < 0.01**). Conclusion Nurses’ knowledge and practice show a significant improvement post-implementation of health educational guideline regarding the care of postnatal mothers and neonates compared to pre-implementation.
Background: Endometriosis is a life-threatening gynecological health problem in women during the reproductive age that cause chronic pelvic pain, infertility, dysmenorrhea, dyspareunia, dysuria and dyschezia. Aim: The study aimed to evaluate the effect of application of health promotion model on lifestyle of women with endometriosis. Design: Quasi-experimental study design (preposttest). Setting: The study was conducted at Obstetric and Gynecological out -patient clinic in Benha University hospital. Sample: A purposive sample consisted of 146 women with endometriosis. They divided control group comprised 73 women and study group comprised 73 women. Tools: Structured self-administered questionnaire, health promotion lifestyle profile-II and patient's satisfaction sheet. Results: 65.8% of study group were highly satisfied of health promotion model compared to only 7.2% of control group, total health promotion lifestyle profile-II improved from 20% before program implementation to 64.4% after program implementation among study group while there was no improvement in the control group, nearly three quarters of both study and control groups respectively had poor knowledge score about endometriosis before program implementation. Meanwhile, more than three quarters of study group had good knowledge score about endometriosis. Conclusion: The present study showed that there was a highly statistical significant difference regarding all health promotion lifestyle profile-II items (health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations and stress management) between study and control groups after program implementation (P< 0.001). Application of health promotion model has positive effect on lifestyle of women with endometriosis therefore, the study hypothesis was supported. Recommendation: A simplified and comprehensive booklet should be available for all patients with endometriosis which include a clear, brief and simple explanation about non pharmacological modalities to reduce endometriosis related pain.
Background: Postpartum depression is a mood disorder that begins after childbirth and usually lasts beyond six weeks, in some cases up to a year. Aim: The study aimed to evaluate the effect of educational program on preventing postpartum depression among mothers. Design: A quasi experimental prepost test of two groups was used. Setting: This study was conducted in Obstetrics and Gynecological outpatient clinic at Benha university hospital. Sample: A purposive sample of 100 pregnant mothers. Tools: Three tools were used for data collection: 1) A structured interviewing questionnaire include three parts, part I: Include demographic characteristics, part II: Include obstetric history and risk factors of depression during current pregnancy, and part III: Include maternal knowledge questionnaire), 2) Maternal beliefs questionnaire and 3) Edinburgh postpartum depression scale. Results: Total maternal knowledge and beliefs regarding postpartum depression were greatly improved after educational program implementation of the study group than the control group. There was no statistically significant difference between the study and control group pre-program implementation, while there was a highly statistically significant difference between the study and control group post program implementation (after 6 weeks of delivery) regarding preventing of postpartum depression measuring by Edinburgh scale. Conclusion:There was a significant difference in preventing postpartum depression among mothers who received educational program regarding postnatal depression than those who don't. The total maternal knowledge and beliefs regarding postpartum depression were greatly improved after educational program implementation of the study group than the control group. Recommendation: Posters and educational materials about prevention of postpartum depression during pregnancy should be located in well-visible areas in outpatients and private clinics.
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