Immediate postpartum period refers to the care provided to the parturient woman and her newborn in the first two hours following the full expulsion of the placenta, after the baby is born. These hours are the initial and/or acute phase of the postpartum period. It is a very vulnerable period for both the mother and the newborn. The aim of this study: was to determine the effect of implementation of a teaching program about immediate postpartum care on nurses' knowledge and practice. Subjects and method: The study was conducted at the postpartum units of Tanta University Hospital, El-Menshawy and El-Mabara Hospitals affiliated to the Ministry of Health. All nurses (40 nurses) who were working in the previously mentioned study settings and provided care to women with normal vaginal delivery were assigned. Two tools were used for collection of data; Tool (I): Structured Questionnaire socio-demographic data and knowledge assessment. It comprised the following parts: Part I: Socio-demographic characteristics of nurses and Part II: Structured Questionnaire of nurses' knowledge about immediate postpartum care. Tool (II): It was developed to assess nurses' performance of immediate postpartum care .It comprised the following parts. Part I: Immediate Postpartum Care Nurses' Observation Checklist (for women) and Part II: Immediate Postpartum Care Nurses' Observation Checklist (for newborn). Results:The mean knowledge score of nurses regarding immediate postpartum care and newborn care was increased immediately after implementation of the program with a significant statistical difference P<0.05. The mean performance score of nurses regarding immediate postpartum care and immediate care of the newborn was higher immediately after implementation of the program with a significant statistical difference P<0.05 compared to pre-program. Conclusion and recommendations:The findings of present study revealed that after implementation of teaching program immediately and 3 months later the post program, there was a significant improvement of knowledge as well as performance among the studied nurses regarding the immediate postpartum care and the immediate newborn care compared to preprogram. Planned in-service training programs for all nurses working in the postpartum wards regarding the importance of the first 2 hour immediately postpartum must be conducted in order to improve their knowledge and performance and ultimately improving the quality of health care.
Diabetes Mellitus (DM) is one of the most common medical complication that often affects pregnancy. Diabetes in pregnancy may be gestational (90%) or pregestational (10%) when it antedates pregnancy. Gestational Diabetes Mellitus (GDM) can lead to range of adverse pregnancy outcomes including; serious short and long-term maternal, fetal, as well as neonatal complications. Effective management with health educational intervention regarding GDM risks and its proper self-care measures will contribute to complications reduction and improve pregnancy outcomes for the woman and her offsprings. The aim of this study: was to evaluate the effect of implementation of health educational guidelines on maternal and neonatal outcomes among women with gestational diabetes mellitus. Subjects and method: The study was conducted at antenatal units of obstetric department at three settings; Tanta University Hospital, El-Menshawy General Hospital and El-Mabara Hospital. A convenient sample of 50 pregnant women diagnosed with GDM selected from the previously mentioned settings fulfilling the inclusive criteria were included in the study. Four tools were used for data collection: Tool I: A structured interview schedule that included (a). Socio-demographic characteristics, (b). Reproductive history, and (c). History of present pregnancy. Tool II: Anthropometric measurements, collected data about body mass index (BMI) of pregnant women. Tool III: Structured GDM Women's Knowledge Interview Schedule, included data related to Part a: assessment of women's knowledge about GDM and Part b: assessment of women's actual self-care measures regarding GDM. Tool IV: Outcome Assessment Tool: that included two parts Part I: Maternal outcome assessment sheet and Part II: Neonatal outcome assessment sheet. Results: The results of the present study revealed that fair and good level of knowledge as well as satisfactory level of self-care measures about GDM was reported among the study group after implementation of the education sessions. As well as significant improvement of maternal and neonatal outcomes were revealed among women of the study group who were less likely to develop maternal and neonatal complications after the implementation of the health education sessions in relation to time of onset labor, labor complications, length of hospital stay, neonatal complications, apgar score, birth weight, and also gestational age at delivery, as well as admission to neonatal intensive care unit. Conclusion: Health educational guidelines provided to the study group had improved their level of knowledge, awareness as well as self-care measures regarding GDM which consequently reflect positive effect on the maternal and neonatal outcomes in comparison with the control group who received only the routine hospital care. Therefore, the study recommended: Planning and developing antenatal health educational classes for all women to increase their awareness about the importance of early antenatal proper screening and effective GDM management to improve their pregn...
Background: Iron deficiency anemia (IDA) is the most common nutritional disorder during pregnancy. The aim of this study: was to determine the effect of nutritional program on anemic status and pregnancy outcome among pregnant women suffering from iron deficiency anemia. Subjects and Method: The study was carried out at antenatal inpatient units and outpatient clinics in obstetrics and gynecological department at Tanta University and El-Menshawy Hospitals and four governmental antenatal clinics in Tanta city. Convenient sample of 60 pregnant women were included in the study and fulfilling the inclusive criteria. Five tools were used: Tool (I):A structured interview schedule included four parts: (a) Socio-demographic data, (b) Reproductive history, menstrual history, antenatal booking and attendance of antenatal care classes regarding IDA, (c) Current health history of women included: medical, surgical and also family history (d) History of iron deficiency anemia during current pregnancy. Tool (II): Women's knowledge assessment interview: it included two parts: a) Women's knowledge about iron deficiency anemia and b): Assessment of pregnant women's self-care measures and nutritional habits regarding iron deficiency anemia. Tool (III): Iron Intake Calculation Food Frequency Questionnaire it was used to assess women's iron dietary intake. Tool (IV): Bio-physiological measurement included: (a) Anthropometric measurements :Body Mass Index and Mid Upper Arm Circumference (MUAC), (b) Physical examination: to assess signs of iron deficiency anemia, (c) Measurement of serum hemoglobin level on capillary blood using one touch hemoglobin device(d) Stool analysis: was done to exclude parasitic infestation. Tool (V): Outcome assessment tool: included two parts, (a) Maternal outcome assessment sheet and (b) Neonatal outcome assessment sheet. Results: Itrevealed that mean blood hemoglobin level had increased from (9.05±0.98) pre-program to (11.8±0.95) at the end of the 2 nd trimester and (10.74±0.93) at the end of the 3 rd trimester. Conclusion: Significant improvement of the level of knowledge, dietary habits, anemic status (hemoglobin level) and the maternal & neonatal outcome were found after implementation of the program. Therefore, the study recommended: developing antenatal educational classes for all pregnant women to increase their awareness about importance of early and regular antenatal care as well as proper screening for early diagnosis and effective management of IDA to improve their pregnancy outcome.
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