Objective: Challenges in todays' work environment require professional competent nurses not only educated well but being creative, have a desire to achieve success, able to work under pressure, and accomplish the organizational and personal goals. Aim of the study: The study was aimed at assessing nurses' achievement motivation and its relation to their decision making beliefs, ability, and job burnout at obstetrics and gynecological departments. Methods: Setting: This study was conducted in Port Said governorate, Egypt. Design: A descriptive co-relational research design was used. Subjects: Consisted of all staff nurses working in all obstetric and gynecologic departments affiliated to ministry of health, with a total number of 75 nurse. Tools: Achievement Motivation Scale (AMS), decision making beliefs, decision making ability questionnaire, and job burnout scale. Results: The study revealed that nurses' age ranged between 22 and 60 years. The majority of nurses were holding a nursing diploma. More than three quarters of nurses have achievement motivation and having well beliefs about decision making. The total mean score for decision making ability was 74.2 ± 7.3. Nearly half of nurses evaluated in this study have burnout. Conclusions: A significant correlation between achievement motivation and decision making ability while no statistically significant correlation was detected between achievement motivation and both of decision making beliefs and total score of job burnout. Recommendations: Strategies for the preservation and promotion of achievement motivation is very important. In addition, this study recommended in the different nursing departments to identify and influence achievement motivation among nursing staff.

Introduction: Lactation issues are a painful ailment that affects postpartum women and leads to failed breastfeeding. As a result, there is a strong need to improve women's awareness and self-care behaviors related to breast problems especially among primi gravidae. Aim: to evaluate the effect planned teaching programed through booklet for primi gravidae women regarding Lactation problems. A quasi-experimental design was utilized. Setting: The study was done at antenatal clinic of Suez Canal university Hospital. A Purposive sample that consisted of 200 primi gravidae women was divided into two groups (control group comprising 100 pregnant women and study group comprising 100 pregnant women) using structured interview schedule, observational checklist regarding lactation and lactation problem were used for data collection. The procedure passed through four phases; interviewing and assessment, designing, implementation, and evaluation phase. Results: Pre intervention study design showed that the majority of the sample in both the study and control groups had poor lactation and it is related with knowledge and practices compared to post intervention. About 74% of the study group had good knowledge, whereas the control group had no significant difference from pre intervention (P ≤ 0.001). It was seen that 72.0% of the study group-initiated breast feeding directly after delivery compared to only 25.0% of the control group. 63% of control versus 39% in study faced breast problems. Conclusion In pre-intervention, most of the members of both study and control group primi moms had poor knowledge and practice about breastfeeding and breastfeeding issues, according to the study's findings. As a result, the program and the booklet distributed were effective in increasing knowledge and practice of lactation problems in primi gravidae. The findings confirm the research hypothesis that women who enroll in the program and receive the booklet are able to avoid and overcome lactation disorders than those who did not. Recommendation: Classes for Mother are necessary to educate primi gravidae mothers regarding the bases of breastfeeding and breast-feeding problems during pregnancy that will help to reduce the risk of various complications and breastfeeding disorders.

Background:The placental stage of labor occurs between the completion of the newborn's delivery and the completion of the placenta's delivery. Aim: To evaluate the effectiveness of placental stage of labor care protocol on performance of maternity nurses in Port Said city. Design: A quasi-experimental design was used. Setting: The current study was performed in the labor and delivery departments of two hospitals in Port Said: Obstetrics and Gynecological Specialized Hospital and Alhayaa Hospital. Subjects: A total of 48 nurses were selected convenience for the intervention part of this study. Tools: Structured Self -administered questionnaire and an observational checklist were used to collect data. Results: In the pre-test, more than two thirds of the studied nurses had an unsatisfactory level of knowledge and practices regarding caring of women during the placental stage of labor, but in the post-test and follow-up tests, the highest percentage of the nurses had a satisfactory level of knowledge and practices. Also, there was a highly statistically significant positive correlation between nurses' knowledge and practice about caring of women during placental stage of labor at pre-post and follow-up of developed nursing protocol implementation. Conclusion: The placental stage of labor care protocol had a highly statistically significant positive impact on the studied maternity nurses' performance regarding caring of women during the placental stage of labor. Recommendations: Availability of the developed care protocol and creating a standardized guideline for different services to follow in order to sustain and provide high-quality health care for women during the third stage of labor.

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Background: Leucorrhea (vaginal discharge) is a condition of persistent and excessive vaginal discharge it is one of the most common chief compliant in the world. The aim of the study is to assess knowledge, attitude and seeking care behaviors of women about Leucorrhea in Al-Azhar University Hospital, in Damietta city. The sample size was 500 women their Age between 15-45 years and all women married and un married, the tools for data collections included 2 questionnaire sheets, first one included three parts. Part I: Patients' socio demographic characteristics. Part II: Questions about knowledge of women about Leucorrhoea, and Part III: Questions about Leucorrhoea seeking care behaviors. Second questionnaire sheet based on Likert scale, it included: Questions about women attitude about leucorrhea, Results shows that most of studied women had unsatisfactory level of knowledge. Most of them had positive attitude towed vaginal care during discharge. And most of them had satisfactory level of seeking care behavior regarding leucorrhea care. There is significant statistically relation or correlation between studied women's sociodemographic characteristics and their total score of knowledge or total score of seeking. The study recommended that improved women's knowledge and clinical practices regarding leucorrhea care and design heath teaching programs according their needs. Continue research in this topic.

Background: Cesarean delivery is associated with increased maternal risks such as puerperal infection, hemorrhage, thromboembolism and death. Despite the gross increase in caesarean section rate, there is still high perinatal mortality. Aim:The aim of the study was to determine the effect of nursing intervention guidelines for women undergoing cesarean section on the occurrence of postoperative complication. Materials and Methods:The study was carried out in the obstetric and gynecological departments in Port Said Hospitals using a quasi-experimental study design. This study was carried out in the obstetric and gynecological department at three governmental hospitals located in Port Said city: Port Said general hospital, Port Fouad hospital and El-tadamon hospital. The sample constituted 250women; the study subjects were divided into two equal groups of 125 parturient women each, as follows: Group A; the study group, who receive postoperative care program. Group B; the control group who receive postoperative routine hospital care after cesarean section. Data were collected using four tools devised specifically for the study.Results: Women in the study group had lesser percentages of danger signals that denote wound infection than the control group. Majority of women in the study group had mild pain grade in the third day after the operation compared to the control group. The overall incidence of wound complication was higher in the control group than the study group. There was a statistically significant difference between the study and control groups in favor of the former regarding; sub-involution of the uterus, secondary PPH, breast problems In addition to DVT, abdominal distention, constipation Conclusion:The majority of women in the study group had mild pain grade in the third day after the operation compared to the control group. Incidence of wound complication was higher in the control group than the study group.

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