Background: Complications linked to postpartum & pregnancy are one of the major causes of female death. In order to understand the causes of complications and encourage women to take sufficient action in order to receive emergency treatment, a critical step should therefore be taken to minimize complications related to pregnancy, in order to ensure the safety of both women and newborns. Aim of the work: Evaluate the effectiveness of the education programs for pregnant women on obstetric danger signs in rural areas and help minimize the incidence of pregnancy loss and comorbidities. Methods: A quasi-experimental design on 70 women from a population of through 372 women in six-month in antenatal clinics recruited from the previously mentioned settings with pre-and post-test was conducted at antenatal clinics (M.C.H centers) affiliated to the available geographical health zones in EL-fayoum rural area including: Al-sheikh hassan at sanorse. We collected the data of women characteristics by a self-administered interview questionnaire & a structured reported knowledge and practices checklist to evaluate pregnant women practices and knowledge. Follow up was done to the studied groups & histopathology assessments of the product of conception in cases of abortion secondary to the complications to compare between

Background: Breast engorgement is an uncomfortable and painful condition affecting a large slid of mothers in their early postpartum period. Several approaches have been explored for pharmacological or non-pharmacological interventions applied to the treatment of breast engorgement. Some of the non-medical interventions include Fenugreek seed poultice and cold cabbage leaves compresses. Aim: Study the impact of nursing intervention on relieves of breast engorgement among puerperal breastfeeding women and compare Fenugreek seed poultice versus could cabbage leaves compresses as two different nursing care approaches of on relieving of breast-engorgement.Methods: Setting: Postnatal unit and outpatient clinic of Beni-Suef and El-Fayoum University Hospital. Design: A quasi-experimental comparative study. Subjects: A purposive sample of a total of 100 puerperal mothers; 50 in the Fenugreek group \& 50 in the cold Cabbage group. Tools: A specialized designed structured interview schedule and Breast Engorgement Assessment Scale (Numerical rating scale, Modified Reeda Scale, Six-points engorgement scale, Fever Chart, and LATCH breastfeeding charting scale).Results: A significant improvement of breast condition after intervention for both groups regardless of the applied measure was found; however, the improvement was better and shorter time among Fenugreek group than Cabbage group (p < .05). Conclusions: For the management of breast engorgement, both Fenugreek seed poultice and cold Cabbage leaves were effective. However, Fenugreek seed was more highly effective where breast engorgement was alleviated in a shorter time than cold Cabbage leaves. Recommendations: Further randomized controlled trials with possible placebo treatment should be carried out to elucidate the non-specific effects of Fenugreek seed poultice and cold Cabbage leaves application.

Background: Post-mastectomy exercise is an important part of female breast cancer patients' recovery after mastectomy as well as after radiotherapy to maintain their shoulder movement and to prevent side effects as radiation-induced fibrosis. These exercises can increase shoulder and arm motion and usually be started in a few days. Aim: To evaluate the effect of booklet-based education versus mobile-based education on women's knowledge and practice related lymphedema regarding post mastectomy exercise. Design: A quasiexperimental research design was used with a pre-and post-test. Setting: The research was conducted at the outpatient clinic of Fayoum Oncology Center, Fayoum governorate, Egypt. Subjects: A purposive sample of 200 post-mastectomy women was included (100 were taught using a mobile Whats app application and 100 were taught using a booklet). Tools: Tool I: women' structured interviewing questionnaire, it included three parts: (a) demographic characteristics; (b) women' medical data, (c) clinical manifestations of lymphedema include swelling, induration, skin changes, and decreased functionality of the affected limb, Tool II: women' knowledge regarding post mastectomy exercise, and Tool III: women' practices regarding post mastectomy exercise (pre/post). Results: The study results indicated that the main source of knowledge among post-mastectomy women was doctors. The results revealed that the knowledge and practices of both groups were improved posteducation. The mobile-based education group showed more improvement in their knowledge compared to the booklet -based education group. There were statistically significant correlations between total knowledge and practice scores of the studied women. A significant improvement was detected between the two groups regarding improving degree of arm lymphedema post education Conclusion: Mobile-based education was more effective in improving post-mastectomy women's knowledge and practices regarding post mastectomy exercise than those who taught by booklet-based education. Recommendations: Mobilebased educational methods can be used for post mastectomy women regarding post mastectomy exercise to improve their knowledge and practices.

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