Background: Post-Dural Puncture Headache (PDPH) is the most prevalent complication after lumbar puncture (LP), with reported frequency varying from 6% to 36% of patients. Aim: investigate the effect of coffee consumption on the incidence and severity of post-dural puncture headache among post cesarean section women. Research design: Randomized controlled clinical trial. Setting: Postpartum department at Damanhour National Medical institute/ Elbehira governorate. Egypt. Sample: 120 women undergoing elective caesarean section under spinal anesthesia were randomly allocated to study and control group using randomization block. Tools: three tools were used for data collection. Structured interview schedule to collect basic data, headache assessment tool (visual analogue pain scale, short-form McGill pain questionnaire, assessment of headache aggravating and alleviating factors) and physical activities limitation questionnaire. Results: The incidence and severity of PDPH is higher among control more than coffee group. While, the maximum incidence of continuous PDPH occurs in the third post-operative day among control group (40%) compared to only 13.3% among intervention. Both VAS and McGill Pain score are statistically higher among control compared to intervention group over several time points. PDPH is aggravated by light, noise, standing, moving and siting in control groups than intervention groups. Laying down, closing eyes, drinking fluids are major soothing factors for both groups. The highest percentages of coffee group had no effect on activity of daily living compared to control group. The differences between the two groups are statistically significant intergroup, intragroup and for group time interactions. Conclusion: Coffee decreased both incidence and severity of PDPH and increased tolerance of post Cs activities. Recommendations: Oral coffee may be added to post Cs nursing care protocols to decrease PDPH incidence, severity and enhancing early physical activities.

Background: The quality of life for females who experience primary dysmenorrhea, which causes spasmodic cramping in the lower abdomen, back, or inner thighs, may be negatively impacted. Therefore, non-pharmacological methods such as Jacobson's relaxation technique and warm compresses can be safe and effective treatment for primary dysmenorrhea, as they reduce women's menstrual pain and improve their quality of life. Aim of the study: to investigate the effect of Jacobson's relaxation technique versus warm compresses on pain intensity, fatigue and quality of life among nursing students with primary dysmenorrheal Design: A quasi-experimental, comparative research design. Sample: A convenient sample of 100 female students with primary dysmenorrhea. Setting: This study was carried out at the Faculty of Nursing, Damanhour University in El-Beheira Governorate, Egypt, from the beginning of March 2022 till the end of June 2022.Data Collection Tools: four tools were utilized, tool one: basic data structured interview schedule, which included socio-demographic and clinical data as well as menstrual history and dietary habits; tool two: Visual Analog Scale (VAS);tool three: Fatigue Severity Scale (FSS) and tool four: 36-Item Short Form Survey (SF-36).Results: after intervention, severe pain was declined (2%) among the Jacobson's relaxation technique group, but it remained the same among the warm compresses group. in contrast, fatigue was diminished (78%) among the latter group, while it was dropped (52%) among the former group. In addition; the warm compresses group obtained significantly better total score of quality of life than the Jacobson's relaxation technique group in terms of general health (P=0.000), energy/fatigue (P=0.043) and emotional well-being (P=0.046) Conclusion: : it was concluded from this study that although Jacobson's relaxation technique was a little bit more effective in relieving menstrual pain than warm compresses, the latter was more effective in relieving fatigue and improving quality of life than the former. .Recommendations: Health teaching classes for adolescent should be conducted to teach them about the benefits of Jacobson's relaxation technique and warm compresses in decreasing menstrual pain

Background: Female Genital Cutting is a complex issue requiring continuing care for girls and women who may be at risk or may have been undergone this harmful practice.Objective: Assess the experiences of Female Genital Cutting and its relation to sexual satisfaction among rural women in El Beheria Governorate.Design: cross-sectional descriptive design.Settings: The study was carried out at 16 rural health units representing the 16 health zones in El Beheria Governorate.Subjects: A convenience sample of 800 women selected from the previously mentioned setting (50 from each health unit).Tools: Two tools were used for data collection. The first tool was women’s experience of FGC structured interview schedule to identify data related to personal and socio-demographic characteristics, their experience of FGC, as well as their attitude towards FGC, which was assessed through 21 statements in three points Likert scale. The second tool was sexual satisfaction Scale to assess the sexual satisfaction among the married women.Results: Findings of the present study revealed that the majority (90.0%) of the women had undergone FGC. Moreover, less than two thirds (63.0%) of the women had positive attitude toward combating FGC. Additionally, around one tenth 9.8% of the women suffered from low sexual satisfaction compared to 18.4% of them who had high satisfaction. Moreover, significant correlations were found between women’s experience of FGC and their attitude toward it as well as with their sexual satisfaction.Conclusion: The study concluded that FGC is highly prevalent practices among rural women. There are a significant association between women’s experience of FCG and their attitude towards it as well as with the women’s sexual satisfaction.