Introduction:Childbirth is a distinctive and joyous moment in every mother's life. Giving birth is one of the powerful and vital event. This study aimed to assess and evaluate the effectiveness of warm compression (moist heat) on lumbo-sacral region in terms of labor pain intensity and labor outcomes Methods: An experimental research design was carried out on 88 nulliparous mothers with normal singleton term pregnancy (44 participants in each group) who were admitted in the labor room. Mothers who had high-risk pregnancy were excluded. Warm compression was given to nulliparous mothers of the experimental group with hydrochollator pack at 70 0 C temperature for 20 minutes for 3 times with one-hour interval on lumbo sacral region starting from 4-5 cm of cervical dilatation. Labor pain intensity score, fetal heart rate, frequency and duration of uterine contractions were assessed before and immediately of warm compression and again after 30 minutes only labor pain was assessed. Results:Study results revealed that immediately after first, second and third time of warm compression labor pain intensity score in experimental group was lower than control group respectively ( t= 3.20; P< 0.001; t =4.45; P< 0.001; t= 6.18; P< 0.001). But no significant difference found in fetal heart rate and labor outcomes in terms of duration of labor, type of delivery, baby born alive/ not and cried immediately after birth. Conclusion:Warm compression was useful method to decrease the labour pain among nulliparous mothers in the first stage of labour and mothers reported satisfaction with intervention.

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Background: Menopausal transition initiates with menstrual cycle length variety and finishes when last menstrual period happens. As life expectancy has increased, a menopausal woman has to spend one-third of her life span with estrogen deprivation stage that leads to major long-term symptomatic and metabolic complications. Methods: This was a quasi-experimental study conducted on 103 menopausal women between 40 and 60 years of age residing in Ambala district, Haryana. In the experimental group, women received lifestyle modification program that includes six domains, i.e., health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Intervention was divided into two sessions of total 2-h duration on 2 consecutive days. Sociodemographic pro forma, Menopausal Rating Scale, and Health Promoting Lifestyle Profile II were used to collect data from women through face-to-face interview. Results: There was a significant difference ( P < 0.05) in mean menopausal symptom score and mean health-promoting behavior score in the experimental group after the intervention, but there was no significant difference in the comparison group ( P > 0.05). It was revealed that there was no significant difference between the groups with regard to mean menopausal symptom score and mean health-promoting behavior score before intervention ( P < 0.05). The mean posttest menopausal symptom score ( t = −8.99, P = 0.01**) was significantly low and the mean health-promoting behavior score ( t = 8.7, P = 0.01**) was significantly high in the experimental group. Conclusion: Based on the finding of the study, it can be concluded that Lifestyle modification program was significantly effective in reducing menopausal symptoms and improving health-promoting behaviors among women.

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INTRODUCTIONAdolescence proves to be the most vulnerable stage in the way of human life cycle after childhood, characterized by accelerated growth and development with a change from childhood to maturity. 1 The adolescent word is taken from Latin word 'adolescence' which means to grow into maturity. 1For girls, menstruation is a physiological process which unprecedented to women that begins in puberty. It is periodic discharge of blood and mucosal tissue from the uterus for 4-5 days (average) occur regularly every 28-30 days of cycle. 2 In India there are over 355 million menstruating women and girls but millions of girls across the country still facing significant problems to a comfortable and dignified experience with menstrual hygiene management. 3 In India about 88% of women use homemade products (e.g., old cloth or rags) during their menstrual period. The main reasons for using cloth-based product are: personal preference and familiarity, lack of approach to or affordability for good-quality commercial sanitary pads, and lack of adequate information about pads. Some girls also use locally made cotton cloth. The reproductive tract infection (RTI) incidence was 70 percent more common ABSTRACT Background: In India menstruation is generally considered as unclean. Orphanage girls are vulnerable group in our society. The unfailing support and a constant check of orphan girls during menstruation are usually absent. The objective of the study was to assess the knowledge and practices regarding menstrual hygiene among adolescent girls residing in selected orphanages of Haryana. Methods: A descriptive survey was conducted on 150 adolescent girls residing in selected orphanages of Haryana. Purposive sampling technique was used to select the adolescent girls for study. The data was obtained by structured knowledge questionnaire and structured practice questionnaire. Results: SPSS version 20 was used for statistical analysis. The result of the study indicated that more than half of adolescent girls (62.7%) were in age group of 12-15 year. Half (50.7%) of adolescent girls had age of menarche at 12 year. Only 16% adolescent girls had good knowledge regarding menstrual hygiene. 95.3% were using sanitary pad during menstruation. Conclusions: The present study concluded that adolescent girls had poor knowledge of menstruation and menstrual hygiene.

Introduction: “No matter where a newborn takes his or her first breath, the desire to give that baby the best start in life is universal.” The best gift a mother can give her baby is the gift of health. The gift of health can be given to the baby through early and adequate breastfeeding. Globally, only 2 out of 5 newborns are put to the breast within the first hour of life. Therefore, initiating breastfeeding is an evidence-based intervention for improving neonatal survival. Methods: We aimed to improve the first-hour breastfeeding initiation rate from the existing 12%–80% over 3 months through a quality improvement (QI) process. The setting was antenatal, perinatal, and postnatal wards of the Maharishi Markandeshwar Institute of Medical Sciences And Research Hospital. The participants were postpartum mothers with stable newborns 35 weeks and older of gestation born by normal vaginal delivery. Procedure for QI: A team of nurses and obstetricians was formed; we analyzed possible reasons for delayed initiation of breastfeeding by process cycle matrix chart and Fishbone analysis. Various change ideas were tested through sequential Plan-Do-Study-Act cycles. The outcome measure is the proportion of eligible babies breastfed within 1 hour of delivery. Results: After 3 months, the first-hour initiation of breastfeeding increased from 12% to 80%, without additional resources. Conclusions: A QI approach achieved an improvement in first-hour breastfeeding rates after normal vaginal delivery.