Background: Psycho-physiological care during the third stage of labor including breast crawl technique comprises immediate and continued mother and baby skin-to-skin contact as well as breastfeeding. It has been believed to bring numerous protective effects for the mother and her newborn. Aim of the study: This study aimed to evaluate the effect of breast crawl on the third stage of labor, initiation of breastfeeding, and bonding among primiparae. Design: A quasi-experimental research design was utilized. Subjects: A convenient sample of 60 primipara women. Setting: labor and delivery unit of Damnhour Medical National Institute, Egypt. Tools: Data was collected through four tools, basic data structured interview questionnaire, clinical assessment sheet, modified LATCH scale, and postpartum bonding questionnaire. Results: This study revealed significantly decreased mean of blood loss (312.67 ± 51.154 ml) after delivery and short duration of the 3rd stage of labor (12.75 ± 4.858 min) among the study group, compared to (357.50 ± 43.127 ml & 20.25 ± 5.217 min) respectively of the control group. In addition, the study revealed a significantly higher total score of breastfeeding initiation and bonding among 80% & 90% respectively of the study group, compared to 0% &10% respectively of the control group. Conclusion: This study concluded that breast crawl significantly reduced the amount of blood loss after delivery, shortened the duration of the 3rd stage of labor, enhanced good breastfeeding initiation and strong bonding. Recommendations: It is suggested that maternity nurses should support evidence-based breast crawl practice during the 3rd stage of labor.
Breast engorgement can cause breastfeeding difficulties. Different non-pharmacological methods to relieve breast engorgement have been attempted and investigated. The aim of the study was to assess the effect of lukewarm water compresses versus cold gel packs on breast engorgement among puerperal women. Subject and method: A quasi-experimental research design was utilized. This study was conducted at the Obstetric and Gynecologic Department of Damanhur National Medical Institution at El-Behira Governorate. A convenient sample of 80 puerperal women was recruited according to inclusion criteria. The selected women were assigned randomly and equally into two groups; group 1 (lukewarm water compresses) and group 2 (cold gel packs). Three tools were used to collect the necessary data (basic data structured interview schedule, Six-Point self-rated engorgement scale and Visual Analogue Scale. Results: According to the breast engorgement rating scale, a highly statistically significant difference (P=0.000) was found between the two groups after the 2 nd intervention day. Conclusion: breast engorgement and pain intensity were significantly reduced after the second intervention day among lukewarm water compresses group, compared to the cold gel packs group. Recommendations: nurses should be trained to advise women during their discharge teaching plan about lukewarm water compresses application to relieve breast engorgement.
Background: Rheumatic arthritis (RA) affect all aspects of patients' life, lead to various degrees of disability, and ultimately has a profound impact on the social, economic, psychological, and sexual aspects of the patient's life. Aim of the study: Identify physical, psychological, and sexual implications of rheumatoid arthritis among women in reproductive age. In addition to investigating the correlations between physical functional disability, psychological problems, and sexual dysfunction. Settings: The study was conducted at Rheumatology Clinic at the Main University Hospital of Alexandria. Subjects: Purposive sample was chosen from women patients with rheumatoid arthritis to be subjects of this study (n=250). Tools: Four tools were used to collect data. Tool I: Socio-demographic questionnaire. Tool II: Stanford Health Assessment Questionnaire Disability Index (HAQ-DI). Tool III: Depression Anxiety Stress Scale (DASS). Tool IV: The Sexual Dysfunction Questionnaire (SDQ) Results: The majority of the studied women suffer from severe physical disability, extreme level of depression, anxiety and about half of them had an extreme level of stress. Also, the majority of the studied women had a severe level of sexual dysfunction. Also, statistically significant correlations between women's physical disability index, psychological problems, and sexual dysfunction were detected. Conclusion: The findings from this study confirm that women patients with RA suffer from multiple negative implications on the physical, psychological and sexual functions. Recommendations: Provide ongoing support to the patients from the time of diagnosis throughout their care and management. To help them to manage their pain and disabilities, improve their sexual function, promote their mental health, and optimize psychosocial functioning.
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