Effect of vulvar self examination among nursing students for prediction of external genital disorder

To evaluate the effect of practicing vulvar self examination by nursing students for early detection of external genital disorder. Nursing students awareness will be increased through information given about vulvar self examination. Practicing vulvar self examination by nursing students will help for early detection of external genital infection and disorders. A prospective interventional study design the study was based on Orems self care theory; with pretest and post test control group design. A convenience sample, included 100 nursing students, chosen from two setting, Zagazig University and El Ahrar; Health technical Institute. Nursing students at first year, age ranged from 15-19 years, as well as free from medical or gynecological disorders. Program about vulvar self examination was implemented. A self administered questionnaire sheet, vulvar self examination booklet, vulvar self examination check list and vulvar swab. As well as flowup card. The findings ensure that students had positive attitude and competency in practicing VES four months post intervention, where as re-instruction was considered for few students with negative attitude. Student nurses awareness and practice of correct sequences regarding vulvo-perineal hygiene was increased significantly at one and four months post intervention. Abnormal secretion and itching were the main observation self reported by the student which correlated with lab investigation. VSE is safe and simple and in expensive procedure that increase student's awarness for self - screening of genital infection and encourages them to seek early medical care. Address this issue to sensitize the student girls to perform regular VSE. Further researches with a large sample suggested

Effect of exercise practicing on pregnancy outcome among women with gestational hypertension

The study aims to test the effect of exercise practicing for gestational hypertension women on their blood pressure and pregnancy outcome. The study was conducted at Ain Shams and Zagazig Maternity University Hospitals [out patient clinics]. The study consisted of 90 women at 24 - 28 weeks gestation participated in this study. A prospective intervention study of 90 women that were allotted to three groups relaxation exercise [Abdominal breathing exercise], group [1], walking exercise group [2], and control group provided routine hospital care. 1 - A structured interviewing questionnaire sheet, 2 - physical assessment sheet developed to record blood pressure measurements, edema level, urine analysis for protein and height weight assessment. 3- Partograme to assess labour progress. The outcome measures included: systolic and diastolic blood pressure, proteinuria before intervention and every 4 weeks post intervention till the time of delivery for both groups. As well as assessment of pregnancy outcome [maternal and fetal outcome]. Significant improvement was observed in group 1 [abdominal relaxation exercise] followed by group 2 [walking exercise], concerning blood pressure measurements and level of edema and proteinuria. As well as short duration of labor and decrease perineal tear and reducing obstetric intervention wee significant higher in intervention groups [1, 2] as compared to thecontrol group. And regarding neonatal outcome, normal birth weight and normal Apgar scoring were significant higher in group [1, 2] as compared to groups 3 [control group]. Accordingly, it cold concluded that abdominal relaxation exercise and walking exercise were found to be effective in reducing blood pressure among women with gestional hypertension

Outcome of preterm premature rupture of membranes

Preterm premature rupture of membranes is commonly used to refer to rupture of the membranes when it occurs before term. The period between preterm rupture of membranes and the onset of labor is called latency period. Membrane rupture may occur for a variety of reasons: weakening of the membranes or intrauterine infection. The complications resulting from premature rupture of membranes include preterm labor and delivery, intra uterine infection, and umbilical cord compression secondary to umbilical cord prolapse or oligo hydramnios. This study was conducted to identify the optimal outcome preterm premature rupture of membranes. A sample of fifty women was selected from the maternity hospital at Zagazig university hospitals with the following criteria: women with gestational age range from 32-36 weeks and with the diagnosis of preterm premature rupture of membranes. Setting: the women where selected from delivery unit. The study tools included a questionnaire sheet, maternal observation sheet until delivery, mode of deliver, and neonatal assessment using Apgar scoring and weight. The data were collected over period of 6 months starting from May 1[st], 2003. the results revealed that in more than three quarter [80%] of the women the temperature was up to 37 °C and only 10% of them had high blood pressure [140/90]. Also, more than half of the women were delivered by caesarian section [CS], the most common cause for CS was fetal distress. Regarding neonatal outcome, the results illustrated that 24% of the neonates needed NICU care, and 20% of them had high temperature. So, it is recommended that women with premature rupture of membranes [PROM] should be counseled regarding the potential hazards and risks involved for both maternal and neonatal outcome and they must be observed and managed at hospital with adequate intensive care facilities