Consequence of perineal trauma during labor on women's sexuality

To evaluate the consequence of perineal trauma during labor on women's sexuality. Descriptive study design. Gynecological out patient clinic at Benha University hospital, from December 2005 to December 2006. Simple random sample composed of 410 women was selected randomly every third women from those attending the gynecological out patient clinic at Benha University hospital a period of one year. a structured interview questionnaire sheet from was used to collect the data related to women's sexuality. Most of the women had sexual morbidity during 3 months after labor, such as dyspareunia compared to few during pre-pregnancy state. Difficulty in reaching orgasm constituted 30% among the sample post-perineal trauma, compared to 10% of women pre pregnancy State. Most of the sample had reported worsened sexual satisfaction and less ability to achieve orgasm compared with these parameters before giving birth. Sexual problems were very common among women with perineal trauma. A program about sexual health for all female during childbearing period is recommended for early detection and treatment of sexual problems

Assessment of knowledge and practice of women toward minor discomforts during the period of pregnancy

Aim of the study was to asses the knowledge and practice of women toward minor discomforts during the period of pregnancy. was descriptive study. Ante-natal out patient clinic at Benha University Hospital Research question What are knowledge and practices of women toward minor discomforts during the period of pregnancy? simple random sample, was collected randomly from I in a period of six months, three days per week and started from July 2006 until December 2006, the total number was 150 pregnant women for three trimesters, 50 pregnant women for each trimester. Tool for data collection was structured interviewing questionnaire sheet. The present study indicated that 64% of subjects were housewives, 52.6% had moderate education. The present study also indicated the highest level of minor discomforts during first trimesters were fatigue 92% and nausea and vomiting 88%, during second trimester were hemorrhoids 84%, backache 76%, and faintness and dizziness 70%, during 3rd trimester were backache 84%, hemorrhoids and heart burn 76%, leg cramp and dyspnea 74%, concerning knowledge as reported by women about minor discomforts 24%. The study indicated that 40% of sample had poor knowledge at 1st trimester while 42% of sample had good knowledge at 2nd trimester followed by 3rd trimester. This study also indicated that the highest level of practices 59% to relieve minor discomforts during 2nd trimester followed by 3rd trimester 56.9% and 1st trimester 55% practices that performed to relieve fatigue was assistance of husband in house working. The practice to relieve hemorrhoids was to increase vegetables rich with fiber and the practice to relieve backache was to use proper body mechanics. There are significant differences among three trimesters as regarding level of minor discomforts. The mean level of minor discomforts during first trimester [63.6 +/- 16.8] is higher than 2nd and 3rd trimester and the highest level during first trimester is fatigue [92%]. Teaching mothers about minor discomforts and self care measures to cope with it and differentiate between them. Future studies of common complain of pregnancy and its management

Enhancement of knowledge and attitude for secondary school adolescent girls regarding reproductive health

Reproductive health is a crucial part of the general health, not only as a key element of the health during adolescence and adulthood but also through sitting the stage for health beyond the reproductive years for both women and men.The aim of the study is to evaluate the effect of enhancement of knowledge and attitude of secondary school girls regarding reproductive health.The present study hypothized that most of girls had lack of knowledge and misconception about reproductive health issues which may negatively affect their attitude before providing them with guideline. The study conducted at Alshiamaa secondary school located in Benha City at Kaluobia Governorate .The sample included 160 girls in adolescent period, from third year. The tools of data collection were structured demographic sheet, knowledge questionnaire sheet and modified Likert Scale. The result showed that 58.8% of secondary school girls who are included in the study had poor knowledge about reproductive health issues and 67.5% of them had negative attitude about it. The study recommended that, developing reproductive health awareness programs targeted to adolescents on large sample size, in different schools to high light this issue

Effect of manual ironing out of perineum in the second stage of labour on perineal condition

The Aim of this study was to evaluate the effect manual perineal ironing out in the second stage of labour on perineal outcome. A Quasi-Experimental study was done at the labor word of Zagazizg and Benha university hospitals. Tow hundred women were: included, selected systematic randomly and divided into 2 equal groups, one received perineal ironing out [massage] during second stage of labor and the other receive routine hospital care Tools used for data collection were a structured interviewing sheet, labor progress, maternal and neonatal records to assess their condition during labour. The Results showed that intact perineum increased among the study group [39.4%] compared to [19%] in control group as well as the duration of second stage of labour was shorter in study group than control group. Also the second and third degrees tears were less among the study group [5% and 3%] respectively compared to [12%, and 5%] in the control group. The episiotomy rate was lower [40%] in the study group compared to [47%] in the control group. The study concluded that perineal massage was effective in reducing perineal trauma. According to the findings the researcher suggested demonstrating of perineal ironing out [massage] during 2nd stage of labor, in order to improve outcome during labor. Also further research in larger population to have generalizable results