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The aim of the study was to investigate the effect of implementing intrapartum digital versus paper Partographs on maternity nurses' performance and birth outcomes. Method: the researchers adopted a quasi-experimental methodology. The study was carried out at the University Hospital and Shebin El-Kom Teaching Hospital's labor wards in the Menoufia Governorate of Egypt. A convenience sample of fifty maternity nurses, and a purposive sample of two hundred pregnant women from the study settings were randomly selected. A structured interview questionnaire filled out by the maternity nurses, an observational checklist of maternity nurses' procedures, and a structured interview questionnaire filled out by the women were all used to collect the data. Results: Following the intervention, maternity nurses scored higher on both measures of knowledge and use of the digital Partograph than they had previously (75% and 90%, up from 5% and 6%, respectively). While the paper partograph was useful, the digital partograph was more accurate in predicting the chance of inferior maternal outcomes (prolonged labor 3 versus 11, cesarean section 3 versus 6, oxytocin augmentation 2 versus 4, and serious maternal morbidity or death 12 versus 22). Furthermore, when compared to the paper Partograph, the digital Partograph outperformed it in predicting the likelihood of poor fetal outcomes (7 versus 13 newborn resuscitations needed and none versus 1). Conclusion: As compared to the paper partograph, the digital version is simple to use, well-accepted, inexpensive, less invasive, and helpful in labor management, all of which contribute to a better chance of a safe birth for the mother and a healthy newborn. Recommendation: It is suggested that the digital Partograph be incorporated into labor management guidelines to aid in prompt decision-making for urgent obstetric interventions.

Background:Deep vein thrombosis (DVT) is one of the causes of maternal morbidity and mortality. During pregnancy, and after caesarian section surgery the risk of DVT increases by five-ten times than the other time. It can be prevented through practising of calf muscle pump exercise and following preventive measures as early ambulation.The purpose of the study:was to evaluatethe effect of calf muscle pump exercise and preventive measures on the prevention of deep vein thrombosis (DVT)and its manifestationsamong a postpartum cesarean section. Method: A quasi-experimental design was used to fulfil the purpose of the study. Sample: A purposive sample of(200)post-partum women after cesarean section (study and control groups) wererecruited. Setting:The study was carried out atante-natal and post-natal wards of Menoufia University HospitalatShebin El-Kom city at Menoufia Governorate, Egypt.Instruments: Five instrumentswere used by the researchers; (1) An interviewing questionnaire;(2) Author DVT risk assessment scale;(3) Women's knowledge assessment questionnaire;(4) Calf muscle pump exercise and preventive measures questionnaire, and (5)DVTand its manifestations questionnaire.Results:The mean age of the control and thestudygroups were (25.16±5.41) and (25.59 ± 5.92) years old respectively.There were highly statistically significant differencesbetween the study and the control groups regarding the level of knowledge, calf muscle pump exercise, preventive measures after the intervention (P<0.05*). Meanwhile, less than one-tenth of the control group had DVT and its manifestations during the follow up at the postpartum period. Conclusion:The study group had higher score regarding the level of knowledge, the performance of calf muscle pump exercise,and followingpreventive measures than the control group. Postpartum women who practiced calf muscle pump exercise and followed the preventive measures had a significant reduction in the occurrence of DVT and its manifestation than those who did not. Recommendation:Strengthen the nurses' role in providing health education about DVT as a preventable disease. Calf muscle pump exercise and preventive measures should be added as an essential part of the routine antenatal care during the third trimester of pregnancy.

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Background: During the COVID-19 outbreak, maternity nursing students face many obstacles as a result of online learning which was the greatest disruption of learning in history and had a global impact on learners and teachers. The study aimed to assess satisfaction and learning obstacles of online education among maternity nursing students during COVID-19 outbreak. Subjects and Methods: Design: A correlational descriptive research design was utilized to conduct this study. Setting:The study was applied in the Faculty of Nursing, Port Said University. Sample: A convenient sample of 180 including all the maternity nursing students. Four tools of data collection: (I) an online questionnaire was used. It consisted of two parts; (1) demographic characteristics of maternity nursing students, (2) educational platforms used, (II) learner satisfaction with onlinelearning, and (III) online learning obstacles faced by academic students. Results: The revealed that the most used platform among maternity nursing students was the Microsoft platform for online learning. Most obstacles faced by the students during online learning concern the Learners' characteristics dimension, as well as less than two-thirds of the studied academic nursing students, face a high level of obstacles. Also, about two-thirds of maternity students were unsatisfied with their online learning experience. Conclusion: It was discovered that maternity nursing students were dissatisfied with continuing their online education throughout COVID-19 and that they had numerous obstacles during their studies. Recommendations: Teaching maternity nursing students how to use online learning platforms would help them transition into the future by exposing them to a variety of media and faculties, which will help them gain knowledge and skills.

Background: Early initiation of breast-feeding produce hormones that improve the mood of the mothers and reducing the risk of depression among them. It is one of the steps introduced by WHO\UNICEF's Baby Friendly Hospital Initiative (BFHI). Aim of the study: to evaluate the effect of early initiation of breast-feeding on the prevention of postpartum depression among puerperal women through an interventional program. Design: A Quasi-experimental design was utilized. Setting: This study conducted at university hospitals in one governorate of Delta region in Egypt. Sample: Simple random sample was used in this study. Three Instruments were used for data collection, an interviewing questionnaire, Edinburgh Postnatal Depression Scale (EPDS), and Checklist of early initiation of breast-feeding for the Puerperal women. Results: There was high (SSD) related to the scores of Edin-burg scale after applying the intervention program about early initiation of breast-feeding. In addition, there was an improvement in the scores of the women during breast feeding steps. Conclusion: intervention program about early initiation of breastfeeding succeeded in raising Edinburgh (EPDS) scores of puerperal women and in doing breastfeeding early during early post-partum period. Recommendations: Encourage all women to breast feed early as possible after labor, screening all women for postnatal depression and anxiety during post-partum. Future studiesare recommended on a large sample of puerperal women to be able to generalize the study results.

Abstract. Alenezi AK, Hassan KAG, Amr TEE, Alsolais A. 2021. Impact of cognitive-behavioral therapy on daily living skills of high functioning autistic children with anxiety disorders. Nusantara Bioscience 13: 41-46. Cognitively Behavioral Therapy (CBT) is a psychotherapeutic intervention that is used to improve mental health. It is known to have positive effect on the daily living skills of autistic children with anxiety disorders. The aim of the current study was to evaluate the effect of cognitive-behavioral therapy on daily living skills of high functioning autistic children with anxiety disorders. A Quasi-experimental research design was adopted in this research. A purposive sample of 100 autistic children (50 in intervention group and 50 in control group) aged between 7-8 years were included in this study. Three main tools were used: Vineland Adaptive Behavior Scale used to measure the everyday living skills of children, Parent-Child Interaction Questionnaire (PACHIQ), and Diagnostic and Statistical Manual of Mental Disorders (DSM-V) for assessing anxiety disorder in children and adolescents 6-18 years. The results showed an improvement in children’s daily life skills and slight reductions in caregiver’s participation in the daily life skills of children. There was a significant difference between intervention group and control groups (p < 0.001). The current results exhibit that CBT may help in increasing autistic children's independence towards daily living skills.

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