Background: COVID-19 pandemic constituted significant challenges in obstetric and pediatric health care services. Maternity and paediatrics staff are at high risk of occupational exposure to Covid-19, predominantly among pregnant women and children often asymptomatic for Covid-19 so that infections may go unrecognized. Staff development programs regarding infection prevention and control using nursing evidence-based practice regarding the covid -19 pandemic in the obstetrics -gynaecology and paediatrics wards were part of the needed response. Aim: Evaluate the effect of the staff development program on Nursing Evidence-Based performance regarding the Covid -19 pandemic in the obstetrics, gynaecology and paediatrics departements. Methodology: A quasi-experimental method and an interventional pre and post-test were used to study a sample of 112 nurses. A purposive sample technique was used to choose the sample from the obstetricsgynaecology and paediatrics departements using 4 tools to collect the data Results: The findings revealed a marked improvement in nurses' Knowledge of COVID-19 post-implementation of the program compared to pre-intervention. 79.5 % of the studied sample have good Knowledge regarding Covid-19 post implementation of the program, compared to 38.4 % pre-implementation. Also, 26.0% of them carried out the practice needed for Covid-19 most of the time post-program compared to 4.5% post program, and 28.0 % of the studied sample had a positive attitude regarding Covid-19 post implementation program, compared to 17.0 pre-implementation. Moreover, 91% of them were satisfied with the program compared to 9% dissatisfied. Conclusion: Translating evidence into practice during a Covid-19 pandemic to establishing a staff development program is the best possible provision of healthcare and guarantees preventive measures for the healthcare providers and is critical in facing Covid-19 and working in the complete chain of health care.Recommendations: A staff development program related to Covid-19 must be periodically held for maternity and pediatric health staff.
Background and aim: Preterm premature rupture of membranes is one of the most important causes of pregnancy complication and a significant role in the occurrence of perinatal morbidity and mortality. The present study aims to evaluate the maternal and neonatal outcomes in the case of preterm premature rupture of membranes and their relationship to prenatal maternal indicators. Subjects and methods: A cross-sectional descriptive design was used to evaluate 68 pregnant women with a gestational age of 32 to before 37 weeks, and singleton pregnancy complicated by preterm premature rupture of membranes who fulfilled the inclusion criteria. The data were collected by convenience sampling using standardized tools. Results: A linear correlation was used to show a correlation between maternal clinical indicators with the predictive maternal and neonatal outcome using a Spearman Rho correlation coefficient. The most significant neonatal outcomes are neonatal intensive care unit admission, neonatal respiratory distress syndrome, and early neonatal sepsis. More than two-thirds of the studied women had expectant management, and less than one-fourth of them have postnatal sepsis. Conclusion and recommendation: The prenatal maternal indicators are the significant values for maternal and neonatal outcome in case of preterm premature rupture of membranes, so A further larger prospective study is recommended to demonstrate the difference in incidence, management protocol of preterm premature rupture of the membranes in the delivery and maternity health care services.
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