No abstract

Obstetrical and Gynecological nursing is a healthcare profession that focuses on the care of the women and newborn, for that reason Obstetrical and Gynecological nurses (OB/GYN nurses) should be highly knowledgeable and well trained caregivers for the overall safety and well-being of women from the moment of menarche to menopause. The aim of this study was to assess the educational needs among obstetrical and gynecological nurses in Gharbia Governorate. This study followed a descriptive design. The study was carried out at Tanta University Hospital and Zifta General Hospital these were selected using multistage random sample technique. The subjects of the study consisted of all obstetrical and gynecological nurses working in the previously mentioned settings (151 nurses). A structured interview questionnaire sheet was designed to collect the required data regarding the study elements. It comprised questions about socio-demographic and practice, general health educational programs, specific health educational programs and the specific health training programs. The main results of this study revealed that the majority of the nurses (90.7%) weren't attended any training courses in obstetrical and gynecological nursing. The results also illustrated that around one half of the studied nurses (56.1%) had low need for general theoretical education courses. The results also illustrated that 73.2%, 56.2% of the nurses in the study had low need for specific theoretical education courses and clinical training courses, respectively. The study concluded that the main general theoretical educational needs among the nurses in the study were; infection control, medical terminology, and decision making skills. While, the specific theoretical educational needs included: common medications during labor, normal labor, and emergency obstetrical and gynecological nursing. Also, the top clinical training needs among the nurses in the study were insertion and removal of IUD, immediate care of newborn, pre and post-operative nursing management and CPR. The study recommended the development of a series of continuing in-service training programs based on the educational needs assessment.

No abstract

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.