Background: Uterine fibroids place a large economic burden both on the women who suffer from them, and on the health systems and societies in which they live. Symptoms may lead to significant loss of working time, and other consequences such as spontaneous abortions, pre-term delivery and Caesarean sections. Aim: The present study aimed to assess the effect of uterine fibroid on their women's life and to evaluate the effect of nursing program for women's undergoing hysterectomy. Design: Descriptive and a quasi-experimental design were utilized to conduct this study. Setting: the study was conducted at Gynecological outpatient clinic and department at Zagazig University Hospital. Sample: purposive sample 285 females with UF were recruited for estimating average health related quality of life (HRQOL) and 50 females undergoing hysterectomy was choose for the program. Tools: four tools were used in the present study; Tool I: a structured interview questionnaire, Tool II: scale of HRQOL, Tool III: patient record and nursing management checklist and Tool IV: follows up scale of HRQOL after 3 month of the program. Results: the majority of the sample was ≥ 40 years, (81.8%) of studied woman had severity of symptoms, woman had negative impact on HRQOL concern, control , energy, activities, self-conscious and sexual function (90.2%,86.7%,84.2%,83.2%, 81.1% and 63.5%)(severe score ≥ 75%) Conclusion: Severity of symptoms had very great deal in almost subjects in the present study. Fibroids impact negatively on women's health and quality of life. After the program intervention, women's health related quality of life had been improved in the study group except impaired in sexual function. Recommendation: Preoperative assessment and counseling of patients undergoing hysterectomy concerning alleviation of fear and clearing up misconception are essential to reduce postoperative pain, prevent complication and improve patient's quality of life.

Long acting reversible contraception methods (LARCs) are ideal pregnancy prevention options for many women compared with shorter-term methods. Aim: to assess the current barriers and management strategy to increase the use of LARCs. Subjects and methods: A cross-sectional design was used. Setting: Conducted at 5 family planning units at Sharkia governorate, Egypt. Subjects: A representative sample of 225 woman who were attended the selected family planning units between the period from January to December 2020. Tools: Two tools were used to collect the study data; socio-demographic characteristics questionnaire and barriers of LARCs questionnaire. Results: The women mean age was 30±7 years. The main barriers against the use of LARCs were cognitive barriers followed by requiring woman to return for check-ups and socio cultural barriers (50.7%, 15.6%, 14.6%) respectively. Conclusion:The utilization of short acting contraceptive methods is higher than long acting methods and cognitive barriers were the main barriers for LARC utilization. Recommendations: Increase women's awareness about the importance of using family planning methods especially LARCs.

Aim: The present study aimed to assess the effect of uterine fibroid on their women's life. Sample: 285 females with UF were recruited for estimating average health related quality of life (HRQOL). Setting: the study was conducted at Gynecological outpatient clinic at Zagazig University Hospital. Design: the study applied adescriptive design was utilized to conduct this study in which two tools were used for data collection. Special structured questionnaire was designed to entail data related to socio demographic and the second tool included scale of health related quality of life (HRQOL). Results: the majority of the sample (87.4%) was ≥ 40 years, with mean score of 47.32±5.939, the majority (81.8%) of studied woman had severity of symptoms and studied woman had negative impact on HRQOL concern, control, energy, activities, self-conscious and sexual function. Conclusion: We can conclude that fibroids impact negatively on women's health and quality of life. Recommendation: Based on the findings of the present study it was recommended that, women should be provided with simple information (through brochures and booklets) that can consist of health education about uterine fibroid. Replication of the study on nurses to improve their awareness, health practices and beliefs regarding the prevention and early detection of uterine fibroid, which will be reflected in improving women's awareness, health practices and beliefs.

Background: Screening for cervical cancer using visual inspection with acetic acid (VIA) has been advocated by WHO as a suitable, low cost and feasible alternative modality for control of cervical cancer in low resource setting. The aim of the study was to assess cervical cancer screening for high risk women using acetic acid and implement the plan of nursing action. A cross-sectional design was carried out in the Gynecological OPD at Zagazig University Hospitals. A purposive sample of 100 females was required to estimate sensitivity and specificity of acetic acid in identifying pre malignant epithelial cell changes of the cervix. The tools used for data collection were; a structured interview sheet, clinical assessment sheet and the plan for nursing action. The results revealed that, women at risk for cervical cancer were more likely to be >30 years and more, their age of marriage was <20 years, had positive family history of cancer. They were also multipara, had repeated cervical laceration, exposed to STIs especially chlamydia and menorrhagia was present in 29.0% of them. Meanwhile post-coital bleeding was reported by 19.0% of the participants. Positive result for premalignant cervical lesion was 26.0% for VIA. Sensitivity and specificity of VIA were found to be 100% and 89.16% respectively. The accuracy of VIA was 91.0% which means that VIA test was more accurate. It can be concluded that VIA can effectively identify more cases of cervical intraepithelial neoplasia. It has been proven to achieve high sensitivity with an acceptable specificity. VIA test offers hope for universal screening as an alternate method for low resource setting. It is recommended that; VIA should be actively advocated to improve detection rate of cervical lesions so that it should be performed in all the women attending outpatient gynecological clinics.

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