Background: Early initiation of breast-feeding produce hormones that improve the mood of the mothers and reducing the risk of depression among them. It is one of the steps introduced by WHO\UNICEF's Baby Friendly Hospital Initiative (BFHI). Aim of the study: to evaluate the effect of early initiation of breast-feeding on the prevention of postpartum depression among puerperal women through an interventional program. Design: A Quasi-experimental design was utilized. Setting: This study conducted at university hospitals in one governorate of Delta region in Egypt. Sample: Simple random sample was used in this study. Three Instruments were used for data collection, an interviewing questionnaire, Edinburgh Postnatal Depression Scale (EPDS), and Checklist of early initiation of breast-feeding for the Puerperal women. Results: There was high (SSD) related to the scores of Edin-burg scale after applying the intervention program about early initiation of breast-feeding. In addition, there was an improvement in the scores of the women during breast feeding steps. Conclusion: intervention program about early initiation of breastfeeding succeeded in raising Edinburgh (EPDS) scores of puerperal women and in doing breastfeeding early during early post-partum period. Recommendations: Encourage all women to breast feed early as possible after labor, screening all women for postnatal depression and anxiety during post-partum. Future studiesare recommended on a large sample of puerperal women to be able to generalize the study results.

Background: Endometriosis is a severe condition that affects roughly 190 million women of reproductive age globally. In order to alleviate their symptoms, women afflicted with this condition often use alternative therapy such as lifestyle modification. This research aims to examine the effectiveness of lifestyle modification on endometriosis symptoms among reproductive age women. Method: A quasi-experimental design approach was adopted. A convenience sample of 50 endometriosis-diagnosed women was recruited. The research was performed at Obstetrics and Gynecology outpatient Clinics associated with Menoufia University Hospital and Shebin El-Kom Teaching Hospital. A structured interviewing questionnaire, visual analogue scale, and women's practice questionnaire were used. Results: The mean knowledge scores of the study group were statistically significant higher at one month and three months after the intervention (20.90 ± 1.51 vs.19.7±1.31, respectively) than before the intervention (14.02± 2.04) where, (p<.001). Also, there was a significant reduction in the endometriosis-related pain symptoms intensity (dysmenorrhea:40%, 8%, and 4%; chronic pelvic pain; 30%, 4%, and 2%, dyspareunia 20%, 4%, and 2%, painful urination 6%, 0%, and 0%; dyschezia 4%, 0%, and 0%, respectively) at one month and at two months after the intervention compared to before the intervention. Conclusion: Lifestyle modification intervention including healthy dietary habits, and physical activity for women with endometriosis was an effective intervention in increasing their knowledge and decreasing the severity of endometriosis-related pain symptoms after the intervention than before. Recommendations: Lifestyle modification is needed for all women with endometriosis as well as more study on their consumption and efficacy. It is advised that all women with endometriosis have access to a simple and thorough handbook on lifestyle modifications to alleviate their endometriosis-related pain.

Decreased sleep quality is a common complaint during pregnancy especially among primigravida. Regarding the high incidence of sleep disorders during pregnancy and their adverse effects on maternal and fetal health, it is hazardous to apply pharmaceutical approaches during pregnancy. Relaxation and guided imagery are forms of the non-pharmacological treatments for managing sleep disorders. Aim of the study: was to study the effect of non-pharmacological interventions on sleep quality during pregnancy among primigravida. Methods & Research Design: a quasi experimental design was used in this study with comparing three groups two study and one control. Subjects: A purposive sample of one hundred and twenty women was recruited. Tools: three tools were used for data collection which named; interviewing questionnaire, Pittsburgh Sleep Quality Index and an evaluation checklist. Results: there was a statistically significant difference between groups regarding daily sleep time, PSQI score and sleep quality after intervention. Conclusion: the first research hypothesis was accepted as it was found that progressive muscle relaxation 'as one of the non-pharmacological interventions' was effective in improving participants sleep quality. Recommendations: Instruct pregnant women about appropriate non-pharmacological interventions which have no side-effects to improve sleep quality.

Sham feeding has been demonstrated to be one of the methods to increase bowel motility. Gum chewing, as an alternative to sham feeding, provides the benefits of gastrointestinal stimulation without the complications associated with feeding. Aim: to evaluate the effect of sham feeding on postoperative clinical outcomes among patients undergoing elective abdominal and gynecological surgeries. Subjects: A purposive sample including 150 patients who were admitted to the general surgical and gynecological unit for undergoing elective open abdominal surgeries such as cholecystectomy, appendectomy, hysterectomy, myomectomy. Were divided randomly into two equal groups 75 patients in each Study group (I): practice post-operative sham feeding in addition to the usual routine hospital care such as early mobilization and Control group (II): Follow the usual routine hospital care such as early mobilization only. Setting: The study was conducted at the general surgical and gynecological unit of Menoufia University Hospital. Instruments: Three instruments were utilized, I: A structured Interviewing Questionnaire, II: Postoperative Patient's Outcomes Questionnaire and III: Visual Analogue Scale (VAS). Results: Significant statistical differences existed between both groups regarding the time of resumption of gastrointestinal functions, postoperative ileus symptoms, and incidence of nausea, vomiting, pain and length of hospital stay. Conclusion: Patients who practiced chewing gum as alternative for sham feeding experience earlier return of bowel motility in terms of bowel sounds, first flatus and feeling of hunger than those patients who did not practice chewing gum. Furthermore, there was a significant reduction in pain and length of hospital stay among patients who were practice chewing gum than those who were not. Recommendations: the study recommended that: Sham feeding in a form of gum chewing should be added in the protocol of postoperative nursing care and conducting further studies for evaluating the effect of sham feeding on postoperative ileus among patients undergoing abdominal and gynecological surgeries using a larger sample and different geographical areas.