Background: Improving quality of care has been a necessary goal for family planning programmes worldwide. Services should be convenient, accessible and acceptable to clients. In addition, it is essential to provide follow-up care to ensure continuity of services and an adequate logistics system to ensure continuity of supplies. Patient satisfaction is reportedly a useful measure to provide a direct indicator of quality in health care. Thus, it is needed to be measured frequently. Aim: To assess the association between quality of family planning services and client's satisfaction level in maternal & child health centers in Port Said city. Subject and Methods: A cross sectional descriptive research design included two main convenient samples were recruited in the study through 5 months, the family planning nurses (20) and clients attending these centers (240). The study was carried out at ten family planning clinics in ten centers representing the five districts of Port Said. Results: Statistically significant difference correlation was found between quality of family planning counseling of nurses practice and their number of received training program, the mean percentage of the client's (95.4%) were satisfied with family planning services. Conclusions: The number of received training program affects quality of family planning counseling of nurse's practice, providers of the services and the provided services affect the client satisfaction.

Background: Approximately 10% of all pregnant women who experience an episode of threatened preterm labor requiring hospital admission and Tocolytic therapy may be considered for them. Nursing care is the main critical component of this therapy. Nurses' Knowledge deficit and poor practical skills regarding tocolytics and its administration, care, surely, will interfere with their ability to achieve consistent and positive patient care outcomes. Aim: The aim is to assess the impact of an instructional program on knowledge and practices of maternity nurses regarding pregnant women with tocolytics administration for inhibiting preterm labor. Methods: A quasi-experimental design was used with all nurses (n = 30) working in the inpatient of obstetrics and gynecology department in all general hospitals in Port Said city. Tools: Three tools were used; structured interview questionnaire, pre/post-test knowledge assessment sheet and an observation checklist. Results: The mean age of the participant nurses is 30.6 ± 10.3. The majority (86.6%) of them had nursing secondary school. All nurses archived better scoring in both knowledge and skills after implementing the program than before it. A significant difference between pre and post-test was observed (p < .01). Conclusions: There is a progression of satisfactory score and regression of unsatisfactory one. The knowledge and practical scoring in the post-test are better than pre-test. This is mirrored the effect of the program. Recommendations: Continuing educational programs should be developed to teach and train nurses about the care of preterm, a complete assessment of maternal history, accurate examination of preterm labor and knowledge of tocolytics drugs.

Background:The aim of the present study is to investigate the effect of clinical pathways of postoperative nursing care for patients undergoing gynecologic operations on the postoperative outcome.Subjects and Methods: the study was conducted at Obstetric and Gynecologic Department. A total of 112 women undergoing gynecological operation (56 study group who received pre and postoperative care of clinical pathway, and 56 control group who received pre and postoperative routine care of the hospital).Results: The current study shows that patients underwent gynecological operation in the study group were significantly more likely to have no vomiting compared to those in the control group. Thus less than one fifth of them were in need to antiemetic compared to almost half in the control group. Concerning the level of pain experienced by patients during the postoperative period, the present result reveals that women in the study group experience less mean score compared to those in the control group, thus they showed lesser need for analgesia. Significant differences in the early oral intake, postoperative bowel mobility, hours to remove catheters and drains and length of stay were observed between present study and the control groups. Women's satisfaction related to the care provided was assessed in the present study group. The score given was mostly very good and excellent. Conclusion:Clinical pathway was effective in improving postoperative outcomes related to early ambulation, early oral intake, bowel mobility, hours to remove catheters and drains, short length of stay and patient satisfaction. Recommendations: The concept of clinical pathways should be applied in gynecologic operations to improve patient outcome and reduce postoperative complications.

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Background: A pregnant woman's understanding and practice of healthy behaviors improves her health, achieves appropriate pregnancy outcomes, and enhances the mother and infant's quality of life. Aim: To evaluate the effectiveness of childbirth preparation classes on primigravida women`s health behavior. Subjects and method: Design: A quasi-experimental design was used. Setting: This study was conducted at DAR SAHET ELMAR`AA hospital in Port Said city. Subjects: Purposive sample of 66 primigravida women was included in this study. Tools of data collection: Two tools were used, A Health Behavior Inventory, and An observation checklist addressing intrapartum health behavior for women with normal labor. Results: The studied women demonstrated a significantly higher level of health behaviors during childbirth preparation (P < 0.001), with a reportedly high level (87.9%) of health behaviors regarding childbirth preparation in post-intervention than in the pre-intervention (13.6%). Conclusion: The childbirth educational class positively affects a primigravida woman's health behaviors regarding childbirth preparation. Recommendations: Designing and implementing childbirth preparation classes in various antenatal care settings during the third trimester of pregnancy, particularly for primigravidas.