Background:-Early skin to skin contact between mother and newborn after labor makes an ideal environment for the adaptation of the newborn to extra uterine life. This simple procedure is recommended as an important enhancement in care directly after delivery. The aim of this study: was to evaluate the effect of early maternal and newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. Subjects and Method: The study was conducted at Tanta University and El-Menshawy hospitals. A convenient sample of 100 parturient women was recruited. The study included a study group (50) who considered skin to skin contact and a control group (50) who received routine hospital care. Five tools were used for the collection of data: Tool (I): A structure interview schedule included the basic data related to a. socio demographic characteristics, b. Reproductive history. Tool (II): Assessment of the third stage of labor. Tool (III): Mother's breastfeeding knowledge Assessment tool. Tool (IV): Breastfeeding Assessment Tool: It included three parts: Part a: The Infant Breastfeeding Assessment Tool (IBFAT), Part b: Assessment of initial breastfeeding outcome, Part c: Assessment of successful latch on. Tool (V): Exclusive breastfeeding: Follow-up assessment tool. The results of the present study shown that the skin to skin contact group had well contracted uterus, less need for uterotonic drugs and no uterine atony or excessive blood loss have been recorded compared to the control group. Accordingly, the mean duration of third stage of labor was shorter (6.48 ± 1.25) among the skin to skin contact group than among the control group (14.87± 3.88). It also revealed that success in first breastfeeding was higher among study group compared to control group. Conclusion and Recommendation: The study concluded that there is a positive effect of early maternal newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding.Therefore, it is recommended that refreshing courses, preservice and in-service training programs especially for newly appointed nurses working in the delivery room about the implementation of skin to skin contact technique for all mothers and newborns.
Background: As the pandemic of COVID-19 is still present up to now, major concerns are being raised up about its effects on pregnancy and the potential risks of vertical transmission from the pregnant women to their fetuses. Aim: the present study aim to assess pregnant women's concerns about Coronavirus disease 2019 (COVID-19) and its relationship to their preventive behaviors. Subjects and methods: design: A descriptive cross-sectional research design was used in this study. Setting: The study was conducted at obstetric and gynecological outpatient clinics at Tanta University hospital. Sampling: A convenient sample of 284 pregnant women. Tools of data collection: Three tools were used for data collection. Tool I consisted of three parts, part I: Socio-demographic characteristics, Part II: Obstetric history, Part III: Women's Knowledge about Corona Virus, Tool II: Pregnant Women's Concerns about Corona Virus and Tool III: Pregnant Women's Preventive Behaviors regarding Corona Virus. Results: the results of the present study revealed that (55.3%) had high knowledge level, (70.4%) had high concerns about COVID-19 pandemic respectively, and (52.8 %) of studied pregnant women's had satisfactory preventive behaviors against covid-19 virus. Conclusion:Based on the findings of the present study, it can be concluded that pregnant women's level of knowledge and concerns significantly correlated to their compliance with recommended preventive behaviors regarding COVID-19. Recommendation: The current study suggested that maternity nurses should pay more attention and reach to the lower-educated younger pregnant women especially in rural areas being a group with the least engagement in health preventive behaviors.
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