Labor pain management is one of the main goals of maternity care. Ice application or cooling has been claimed to be as an effective, safe and non-invasive adjuvant mean for providing pain relief during the first stage of labor. Aim of the study: To evaluate effect of ice pack application on pain intensity during active phase of the first stage of labor among primiparaous. Research design: None-randomized-controlled clinical trial research design was utilized. Setting: The study was conducted at labor and delivery unit of El Shatby Maternity University Hospital affiliated to Alexandria University. Subjects: Convenience sample of 80 pregnant women attending the previously mentioned setting were recruited in the study.

Background and objective: Peer learning is an efficient educational technique for nursing students. It equips them up for their future roles as instructors, promotes their psychomotor skills, and establishes their self-esteem. The current study aims to determine the effect of application of peer learning strategy on obstetric and gynecological nursing students' clinical performance. Methods: Quasi-experimental design was utilized. The study was carried out in the obstetric and gynecology skills lab at the Faculty of Nursing, Damanhour University, Albehera Governorate. It comprised a purposive sample of 160 undergraduate nursing students, enrolled in the Obstetric and Gynecology Nursing Department (second semester of the third year in academic year 2014-2015). They were equally randomly assigned to either one of two groups, intervention group (80) and control group (80). Three tools were used: First, a personal and academic questionnaire sheet. Second, students' performance observational checklist. Third, student feedback and satisfaction questionnaire. Results: It was shown that there was a statistically significant difference in clinical performance scores concerning the five tested clinical obstetric and gynecological procedures among the intervention and control group, where the intervention group was more satisfied and have positive feedback than the control group. Conclusions: Peer learning strategy is an efficient strategy in the improvement of nursing students' performance than traditional learning. The study recommended that implementation of peer learning strategy in clinical setting to increase the level of students' knowledge and clinical performance.

This study aimed at assessing the knowledge of women about pregnancy changes, self care during it, and development of an educational booklet based on the results of the assessment. The study was conducted at antenatal clinic at El-Shateby University Hospital. From the previous setting, a purposive sample consisting of 200 women was selected. A Structured Questionnaire sheet was developed and used to find out the knowledge and practice of the study sample about pregnancy changes and self care during it. The results found that the majority of women lack basic knowledge about pregnancy changes and self care during pregnancy.

Care during pregnancy is a major issue of women's health. The objective of such care is the birth of a healthy baby without any complications to mothers. However, adequate antenatal care can have serious impact on the current and future health of the mother and her off springs. This study aimed at assessing pregnant women utilization of antenatal care facility in maternity hospitals in Alexandria. This study was carried out in four maternity hospitals in Alexandria. The hospitals represent the different agencies involved in the provision of antenatal care. Ministry of health

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