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

Health promotion for women with menorrhagia through intervention modification for their lifestyle behaviors

The health promotion programs should explore practical and realistic ways of assisting women, in order to integrate general behaviors into their daily life, resulting in a healthy life style with a low risk of many health problems as menorrhagia. The aim of the study was to explore the effect of life style modification on the health promotion of women with menorrhagia. An intervention design was used to conduct the study. A purposive sample was chosen. It consisted of 118 women complaining of menorrhagia, attending MCH center at Abbassia Zone and the Outpatient Clinic of Ain Shams Maternity Hospital. They were used for assessing women condition [physical and psychological]: 1] An interviewing questionnaire for assessing the socio-demographic characteristics, medical history, and women's complaints related to menorrhagia, 2] Pictorial Chart for assessment of menstrual blood loss, 3] Life Style Assessment Scale, 4] Illustrated handout including instruction related to health behaviors. Revealed that most of women had unhealthy behavior before intervention, but through gradual and regular emphasizing of healthy behavior, their improvement was statistically highly significant. The study concluded that the life style modification has a positive impact on the health of women with menorrhagia. The study recommended the need for developing awareness programs and handouts regarding women's health issues as menorrhagia emphasizing on self-care aspects and healthy life style