: The women vulnerability to vaginal infection might be affected by their utilization of vaginal hygienic practices. Aim

Background: The competency of students performance requires the integration between learned theory as will as practice well through its attributes in clinical learning environmenment. Aime: was to evaluate the factors interfering with nursing students performance through practical training of maternal and newborn health. Design a descriptive design was adopted. Sitting: technical instituation of nursing, suez canal university (2 nd year). Sample: convenient sample included 458 nursing students studing maternal and neonatal health course was enrolled.Tools: Tool I. self adminestred questioner include questions about: socio demographic data and factors interfering with nursing students performance in lab and clinical practice sitting Tool II: An observational checklist for students' performance on four skills (abdominal examination, vaginal inspection, handling procedure, and perineal care). Result:-The bulk of the studied students (94.1%) reported that they didn't have enough time to performing a vaginal examination. Additionally, 79.9 and 82.1% of the students in the study demonstrate that there are not enough instructors to adequately train students. During the re-demonstration of the abdominal gripping skills, perineal care, handling, and vaginal exam, respectively, 46, 7, 46, 7, 47, and 60.5% of the studied students didn't communicate well with the trainer.Conclusion: One of the factors associated students' performance in the lab was an insufficient ratio of students to lab space. The clinical sitting also revealed that there weren't enough patients in relation to the number of students.Recommendation: suggested that, appeal technical nursing institutions dircate to serves suitable lab area and recruit staff members to cover the gap.

Background: Vaginal infection is a significant feminine health problem, that is a great burden and associated with substantial discomfort, it is the most frequent problem for gynecologic medical visits.Aim: This study aimed to evaluate health behaviors that are associated with vaginal infections among married women in Ismailia city. Materials and Methods:Descriptive study design was conducted in the month of July 2012. Eight governmental rural & urban PHC centers in Ismailia were randomly selected to representing the geographical zones and flow up rate. A total of (360) married woman at reproductive age was included. Pregnant women, medical disorders such as diabetes & thyroid disorder, after antibiotic treatment and use of oral contraceptive pills were excluded. Two main tools were used, structured interviewing and vaginal swap for microbiological tests. Results:The study results revealed that the majority infected woman had unsatisfactory health behavior, with only 17.0% of them had satisfactory behavior. Conclusion:Most of the sample got unsatisfactory level of health behaviors and there were high significant association between unsatisfactory health behaviors as personal hygiene, sexual hygiene, menstrual hygiene, vaginal hygienic practices and toileting practices and vaginal infection. Recommendation: Health educational program through different media to women for vaginal proper hygienic care and health behaviors that can be used to promote the prevention of vaginal infection for women throughout their lives.

Background: Due to the debilitating effects of severe labor pains, its management continues to be an essential subject that needs much attention. Application of a nonpharmacologic solution could have a significant impact on nursing practice to reduce labor pain and anxiety. Aims: To compare the effect of virtual reality and chewing mint gum on labor pain intensity and anxiety level. Methods: This is a single-blind, three-group clinical trial study on 300 mothers affiliated to Beni Suef University Hospitals and Elnada maternity and Plastic surgery hospital for natural childbirth during the year 2021 -2022. Subjects: were randomly divided into three groups of chewing gum, virtual reality, and control using six blocks. Group one (Chewing gum interventions), group two (virtual reality) where dilatation for 20 min were performed twice in 4-5 cm and 7-8 cm. Group three is the control group, where nurses performed the routine hospital care only. Tools: included A structured interviewing Questionnaire, Numerical rating scale, Visual anxiety scale or Observational scale of behavioral distress and mothers`satisfaction Questionnaire. Results: There was differences in pain intensity and anxiety level before and after the intervention. There was significant difference between pre-intervention pain intensity and anxiety level scores among the three studied groups, but there was a significant difference between pain intensity and anxiety level scores immediately and after 30 min post the intervention implementation. Conclusion:The results of this study displayed that virtual reality and chewing mint gum as an intervention decrease pain intensity and anxiety level during the first stage of labor. Recommendations: for further research include a larger sample, long-term retention, and opinions pregnant women.

Context: Infection prevention remains a significant public health challenge for healthcare systems, especially in maternity and delivery units. Good understanding and compliance of nurses with infection control measures during delivery are essential factors that improve maternal and neonatal outcomes and decrease morbidity and mortality. Aim: This study aimed to assess nurses' practice regarding infection control measures during the second stage of labor in multiple centers. Methods: Cross-sectional descriptive observational study was adopted in this study. The study population included all nurses working in labor rooms of four hospitals (100 nurses), namely Suez Canal University Hospital, Zagazig University Hospital, Ismailia General Hospital, And Zagazig General Hospital. Data collection tool encompassed a structured interviewing questionnaire to assess nurses' general characteristics, physical and organizational barriers that prevent nurses from complying with infection control measures, infection control practice checklist to assess nurses` compliance with infection control measures during the second stage of labor. Results: The highest percentage of the studied nurses' age was between 19-<29 (56.6%, 63.8%). Near half were technical nurses (43.4%, 44.7%). The majority of the studied nurses had not had periodic checks. Also, most of them were vaccinated against viral hepatitis B (86.8%, 91.5%). There was a statistically significant difference between Ismalia and Zagazig hospitals in physical barriers. The highest mean percent for infection control practice was for perineal care 100%, using the invasive device during labor 92%, preparing birthing room and its equipment 75.9%. A satisfactory infection control practice was revealed among 88% of the studied nurses. The satisfactory practice of nurses was 100%, 92.1%, 86.9%, 44.1% in Zagazig General Hospital, Ismalia University Hospital, Zagazig University Hospital, Ismalia General Hospital, respectively. Conclusion: The result of the study concluded that most nurses' practice regarding infection control in the delivery room was satisfactory. The study recommended upgrading and qualifying nurses in the labor room to improve their practical skills in Obstetric Nursing.