Effect of healthy life style practice for reliving lower limp edema during pregnancy and pregnancy outcome

Dependent edema is a common discomfort that occurs as a result of physiological changes during pregnancy. The nurse plays an important role in caring for woman with lower limb edema during pregnancy. Of the study was to explore the effect of healthy life style practice [HISP] for relieving lower limb edema during pregnancy and pregnancy outcome Quasi-experimental study use 150 pregnant women recruited from both the outpatient clinic at Ain Shams Maternity University Hospital and from two MCH centers at abassia zoon by purposeful random sample. Subjects were classified into two groups: study group [100 subjects] followed HISP program and control group [50 subjects] took routine hospital care. Data were collected through interviewing sheet, general examination life style and lower limb edema and follow up sheets. Assessment of edema was done by evaluating the extent and degree of edema also by measurement of lower limb circumference and subjective feeling. In the third visit, there was a significant difference was observed in study group than in control group regarding extent of edema [P<0.005], but no significant difference was detected regarding degree of edema [P>0.05]. Also, there was a significant difference in study group than in control group regarding the subjective feeling about the edema problem [P<0.05]. HISP in management of lower limb edema has an important value in relieving symptoms of lower limb edema during pregnancy and also it has a positive effect on pregnancy outcome. Of this study show that HISP program can relieve or control minor discomfort which annoys and worries the pregnant women also it can decrease adverse pregnancy outcome

Indoor pollution and its effect on the pregnancy outcome in cluster and non cluster areas

Indoor pollution is one of the causes of death and disease in the world's poorest countries. Indoor pollution remains a silent and unreported killer, women and children are the most at risk. Smoke rising from stoves and fires inside homes is associated with million deaths per year in developing countries. Indoor air pollution is caused by poor water/ sanitation/ hygiene/ ventilation/ housing conditions. This study was aiming to evaluate the effect of indoor pollution on the pregnancy outcome in cluster and non cluster areas. The study aim was achieved through assessing the pregnant women socio-demographic characteristics, Assessing indoor environment and assessing the pregnant women [pre and postnatal] as well as the newborn. The study was conducted at Ain shames maternity university hospital the MCH Center at EL Dowika Maternal and Child Health Center, Manshiat Naser Maternal and Child Health Center [cluster areas] and El Daher Maternal and Child health Center [non cluster area] and at homes through home visits, started in November 2006 and was completed by Feb. 2008 study design: a descriptive comparative study, Sample type: a purposeful sampling. The selected sample included 200 pregnant women in the 3rd trimester, 100 in each group,. The study revealed an increased level of exposure to indoor pollution, increased level of CO and blood lead of the pregnant women in the cluster area more than the non cluster area. Increased complications during pregnancy, labor and increased adverse newborn outcomes as prematurity, stillbirth, SIDS, congenital malformation were more frequent in cluster areas than non- cluster areas. There were correlations between exposure to indoor pollution and adverse effect on women and newborn outcomes in both cluster and non cluster areas. The study recommended educational programs for the pregnancy women in MCH centers about indoor pollution and its effect on health

Comparison between stressors and coping behaviors among wives and husbands undergoing assisted reproductive technologies [ART]

Infertility is one of the most stressful conditions for anyone to deal with in life. The present study was aiming to Compare Between Stressors and Coping Behaviors among Wives and Husbands Undergoing Assisted Reproductive Technologies [ART]. This aim was achieved through identifying physiological, psychological and socio-economical Stressors and assessing coping behaviors used by infertile couples to relieve these Stressors. The study was conducted at the Assisting Reproductive Technology Unit of Ain-Shams University Maternity Hospital. It started in May, 2004 and completed by June 2005 using descriptive design. A convenient technique of sampling was used to include 100 infertile couples undergoing Assisted Reproductive Technologies based on primary infertility criterion. Three tool were used for Data collection. A structured interviewing questionnaire sheet, Stressors sheet and coping behaviors sheet. The study revealed that wives perceived Stressors more than the husbands among different types of Stressors [physiological, psychological, and socioeconomic]. The couples are similar in using the positive coping behaviors, while concerning negative manners, they are used more by wives than husbands, however comparing the use of positive behaviors which include pray, and surrender to fate and negative behaviors by the couples, results revealed that positive manners are more used than negative once. The study recommended an educational program for infertile couple about ART and its steps before starting treatment

Nursing staff turnover: Rate and causes

This study was done to estimate nurses' turnover rate and the causes of turnover. Two hospitals belonging to 4 different health care organizations were selected for estimating turnover rate. A sample of 250 nurses, terminated their work within 2 years were used for identifying causes of turnover. The results indicated discrepancy in nurses turnover between different health care organizations with the lowest rate among university hospitals [0.07] and the highest rate among the private sector's hospitals [50.8]. Nurses at time of resignation were young and having few years of experience. Nurses turnover was found to be the product of both work related attributes and personal attributes. Management and leadership factors were having the highest influence on nurses turnover. Improving work conditions could help in reducing turnover