Background: Stroke is one of the leading causes of death globally. Pregnancy and the puerperium increase the risk of ischemic and hemorrhagic stroke, with rates three times higher than in non-pregnant women. Knowledge and awareness of pregnancy-associated stroke risk factors and warning signs are important for stroke prevention and seeking early care. Prenatal education is an important component of supporting and maintaining a healthy pregnancy, Objectives: This study was to assess the effectiveness of a self-instructional module on pregnant women's knowledge and awareness regarding risk factors and warning signs of pregnancy-associated stroke. Methods: A quasi-experimental design (one group pre-posttest design) was used. A purposive sample of (100) strokerisk pregnant women. Tool: Three instruments were used to collect the current study data, A self-administered questionnaire, The stroke knowledge questionnaire (SKQ), and the stroke awareness questionnaire (SAQ). Main Results: The current study findings revealed statistically significant differences showing that more than two-thirds (70%) of the participants had a poor level of knowledge before the intervention compared to about four-fifths (79%) of them had good knowledge after the intervention (p < 0.001) and before /after knowledge mean scores knowledge scores were (5.70 ± 2.35) and (25.56 ± 4.11), respectively. In addition, three-quarters of the participants (75%) had a poor level of awareness before the intervention compared to the vast majority of them (82%) had a good level after the intervention (P < 0.001). Conclusions and Recommendations: Self-instructional module succeeded in inducing statistically significant improvements in pregnant women's knowledge and awareness about pregnancy-associated stroke. Regular continuing education programs should be conducted in antenatal care units regarding pregnancy-related stroke risk factors, warning signs, and how to maintain healthy lifestyles during pregnancy.
Menopause is one of the women’s lifespan conditions that increases the potentiality of developing multiple physical and psychological diseases. Thus, it exposes the women to many fears and pressures, mainly during the COVID-19 pandemic. This study aims to assess stressors and coping strategies among Egyptian menopausal women during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was used to identify the associated menopause complaints stressors and the types of coping strategies among 126 university working women ages 40 to 60. Three tools were used: the demographic-characteristic, menopause rating scale, and coping with menopause symptoms questionnaires. Results: The most prevalent complaints were psychological stressors with a mean of 88.8 (70.5%), where fear of infection and death by COVID-19 was the most common problem (87.3%). Further, the most coping technique used by participants was protective measures with a mean of 82.2 (65.2%). There is a highly significant difference (p=0.001) with all coping strategies based on the women’s menopausal status. Conclusion and recommendations: The COVID-19 pandemic with menopause represents a significant burden on women at a critical time of their lives. Based on the results, it is essential to address the effectiveness of highly competent nursing care and support that includes effective coping strategies. Establishing and adopting nursing care guidelines that deal with stress and caring during this pandemic is highly recommended.
Background: Coverage and quality of postnatal care for women and newborns tend to be relatively poor especially with COVID-19 outbreaks and length of stay in the health facility has shortened resulting in limited knowledge and skills of the postnatal homecare as well as family planning seeking care. With the development of communication technology, the maternity nurse becomes able to provide postpartum health teaching for enriching women with information to be able to deal with postpartum minor health alignments and timely family planning seeking care, also minimize the risk of infection caused by face-to-face follow up. Aim: The current study aimed to assess the impact of mobile communication on post-partum minor health alignments’ recovery and family planning seeking care among primiparous. Design: A quasi- experimental (Intervention /Control)) research design was used. Setting: This study was carried out in Obstetric and Gynecological Inpatient Wards and Labor and childbirth unit at Beni-Suef University Hospitals, Study subjects: A non-probability purposive sample of 119 primiparous mothers who were fulfilling the criteria. Tools: A structured interviewing questionnaire to conceal the data related to socio- demographic characteristics and mother’s knowledge about postpartum minor health alignments and family planning seeking care, follow up card and satisfaction Likert scale.
Pregnant women at an advanced age 35 year or more are exposed to an increased risk of excessive or insufficient Gestational Weight Gain (GWG), which may exacerbate pregnancy outcomes, which represent a double burden of risk along with the risk of pregnancy at an advanced age, which leads to maternal, fetal, and neonatal risks. Many advanced age gravidas have poor knowledge, self-care practices as well as poor perception about gestational weight gain, their consequences and management strategies. Educational interventions seem to be the most appropriate and beneficial choice for these women to prevent being overweight or underweight during pregnancy. Aim: the aim of the current study was to assess effect of an educational session on improving pregnant women's knowledge, self-care practices and perception regarding GWG among advanced age pregnant women. Methods: A quasi experimental design was used to conduct the study. Sample: A total of 75 advanced age pregnant who attended maternal and child health center at (Badr City) were recruited. Data was collected by a structured self-administered questionnaire, gestational weight gain knowledge and self-care practices questionnaire (pre/posttest) and women perception scale. Result: There were a significant improvement in the total knowledge, self-care practices and perception score after educational session (P = 0.000) as (62.7%) of the participants had poor knowledge pretest compared to (81.3%) had good knowledge posttest. Also, there was significant differences in total self practice score before and after the session (p=0.000). More than two third (70.7%) had poor self-care practices pretest compared to (78.7%) had good self-care practices posttest. In addition to there was significant differences in total perception score before and after the session (p<0.001). About (74.7%) had negative perception pre teaching session compared to (90.7%) had positive perception post intervention Conclusion: The educational session has an impact on improving advanced age pregnant women's knowledge, selfcare practices and perception about proper weight gain during pregnancy. And the inclusion of programs to control GWG in antenatal care is very important, especially with advanced age pregnancy. Recommendation: Counseling on maternal diet and exercise programs should be included in antenatal care guidelines especially with advanced age pregnancy
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