Introduction In low-resource settings (LRSs), pain relief during labor is often neglected. Women and health professionals (HPs) may lack awareness of analgesic options, may not accept these options, or may have concerns regarding their safety. Furthermore, even if women or HPs preferred labor analgesia, options may not be available at the hospital. This study was carried out to explore how HPs perceive and practice pain management during labor in Minia maternity units in Egypt. Methods A structured, self-administered questionnaire from 306 HPs in Minia maternity units from August 1, 2016, to August 30, 2017, after approval by the organizational Ethical Review Committee. Results The response rate was 76.5%. The majority, 78.2% of participants, believed in pain relief during labor. However, their practices are different. In the first stage of labor, almost 44.9% used nonpharmacological methods, whereas 36.8% used neither pharmacological nor nonpharmacological methods. Hospital-related factors were the major barriers against using pain-relief methods, as stated by HPs. Conclusion Although most HPs understand the role of analgesia in labor pain relief, there is a wide gap between the use of pain-relief methods and women's need in Minia, Egypt; HPs claim this is due to health care facilities. There is an urgent need to identify the barriers against and raise the awareness among the community and HPs of the need to use pain-relief methods as part of improving the quality of care during labor.

Background: Polycystic ovary syndrome is most common female endocrine disorder which cause distress in both physical and emotional well-being and leads to long life suffering of the affected female, so the aim of this study is to assess impact of lifestyle changes intervention on quality of life and self -esteem of adolescent female with polycystic ovary syndrome. Methods: Predictive correlation research design was used. A purposive sample of 50 females with PCOS were included. Pre/post intervention subject's assessment was done. The intervention was administered in five sessions. Quality of life, self f-esteem were measured pre and post intervention. Results: Subjects' knowledge regarding poly cystic ovary was improved significantly post the intervention, also incidence of obesity among subjects' decreased by 16% compared with 66% pre intervention. Regarding subjects' self-esteem 96% of the subjects had low self-esteem before the intervention, compared to 30 percent after 6 months and just 20% after 12 months. There were also significant variations in physical, psychological, and social domains of quality of life pre and post the intervention. Conclusion: The lifestyle modifications have a positive effect on the quality of life and self-esteem of the study participants. Recommendation: Lifestyle changes are the starting point for PCOS adolescent females to enhance their awareness, quality of life, and self-esteem, as well as sustain their therapeutic plan compliance, and they need long-term follow-up, as well as their ability to cope with PCOS and overall life satisfaction.

Background: Women who are pregnant experience warning signs and symptoms known as danger clinical features. Aim: To assess knowledge and attitude of pregnant women regarding danger clinical features of pregnancy. Design of the research: the research was conducted using descriptive research design. Setting: The research was carried out at Minia maternity and children university hospital, Minia governorate, Egypt. Subjects: A representative sample from the total number of pregnant women who visit Antenatal care clinics in maternity and children university hospital monthly which constituted (306) case. Tool: Tool I: A structured interview questionnaire (Socio Demographic Data), Tool II: Structured questionnaire on women's knowledge regarding danger clinical features of pregnancy, Tool III: Structured questionnaire on women's attitude toward danger clinical features during pregnancy (Likert scale). Results: pregnant women had low level of knowledge regarding danger clinical features with (56.5%). The highest percentage regarding pregnant women knowledge about danger clinical features was for items "sudden gush of fluid before labor, loss of fetal movement, vaginal bleeding, oliguria/anuria, premature onset of contraction & severe headache" with ( 62.7%, 42.5%, 40.5%, 38.6%, 34.6%, &32.7% consequently). Pregnant women had positive attitude toward danger clinical features with (89.5%). Conclusion: There was highly statistical significant relationship between pregnant women's knowledge level and their attitude toward danger clinical features of pregnancy. Recommendations: Establishing antenatal programs to educate all expectant mothers about the clinical dangers of pregnancy and when it is best to see a doctor.

Background: In-Vitro Fertilization (IVF) can be affected by both physical and psychological stressors that affect endocrine axis and the reproductive system through immunosuppression. In any society, attention to physical and mental health status is considered as the guarantee for community health in the coming years. One of the issues that trouble the mental health of some people is infertility.The aim of the study is to determine the physical and psychological factors affecting outcomes of women undergoing IVF. Setting, this study conducted at IVF unit, woman"s health hospital, Assiut University. Methods: Sample size included 100 women under IVF treatment, a predictive correlational research design was used, Tools: Three tools, included interview questionnaire, Hamilton Anxiety Rating Scale and Hamilton depression Rating Scale. Results: There are statistical significant differences between IVF outcomes and women"s age, physical health problems and psychological stress. Conclusion: physical factors such as women"s age, weight, female factors and psychological stressors such as anxiety and depression play a vital role in success of IVF outcomes. Recommendations: Educating women at the beginning, in infertility centers on the impact of physical and psychological factors that can affect management is effective part of nurses and physicians active role and larger studies are still required.

The study aimed to examine the effect of peer audio player educational guidelines on menstrual hygiene and problem management among blind adolescent girl students. Design: Quasiexperimental design (pre and post-test) was used to accomplish the present study. Setting: Al Noor School for the blind, preparatory and secondary in Beni -Suef Governorate, Egypt. Subjects: A purposive sample of 100 blind adolescent girl students from the previously mentioned setting. Four tools were used for data collection (pre/posttests): I: Structured interviewing questionnaire which consists of two parts; first part: Socio-demographic data; second part: Menstrual data. II: An interviewing questionnaire on knowledge about menstruation, menstrual hygiene, and knowledge about management of menstrual problems. III: Non -observational checklist on the practice of menstrual hygiene and management of menstrual problems. IV: An interviewing questionnaire on satisfaction level. Results: There was a lack of knowledge and practices regarding menstruation before implementing the peer audio player educational guidelines sessions. Also, there were an improvement and highly statistically significant differences in the total scores of knowledge and practices of blind adolescent girl students regarding menstruation after the provision of the peer audio player educational guidelines (P<0.001). Conclusion: The peer audio player educational guidelines were effective in the improvement of the blind adolescent girls' knowledge and practices regarding menstrual hygiene and menstrual problems management. Recommendation: Continued health education programs should be applied to elevate the awareness of blind adolescent girl students regarding menstruation in a different setting.Integrating the topic of menstruation, menstrual hygiene and menstrual problems management into the course contents of the blind schools objectives.