Enhanced recovery after surgery (ERAS) protocols are combination of multimodal evidence-based strategies applied to the conventional perioperative techniques to reduce postoperative complications and achieve early recovery. Aim: This study aimed to implement the ERAS protocol versus routine hospital care on women undergoing hysterectomy & assess the effect of this protocol on women recovery. Subjects and Methods: Randomized controlled study design was used to achieve the objectives of this study. Setting: The study was conducted at the gynecological unit at Women's Health Hospital, Assiut University Sample: A simple random sample was used to collect data of this study .The study sample included 140 women undergoing hysterectomy divided into two groups (70 women in each group) the ERAS group received ERAS protocol and control group received routine hospital care .Results: The results show a highly statistically significant difference between ERAS group and routine care in terms of length of hospital stay, return to general activity, return to sexual activity, time of changed dressing at home, whereas complications, patient re-admission and patient re-exploration showed no statistical significant difference between the groups. Conclusion: The implementation of ERAS protocol for abdominal hysterectomy reduced length of stay without increasing complications or readmissions. Recommendation: The study recommended that the ERAS protocol should become the standard practice for all women undergoing elective gynecologic surgeries.

In recent times, the modifiable lifestyle factors have been shown to affect the chance of conception in both infertile and general population. There is strong evidence that weight, smoking, alcohol consumption, caffeine intake, nutritional habits, physical activity, Stress, exposure to animals, pollution and Recreational drugs had an adverse impact on reproductive health. Aim: assess the perception of infertile couples regarding the effect of lifestyle factors on fertility; compare the lifestyle factors between fertile and infertile couples. Methods: A descriptive cross-sectional design was used to conduct this study. It was conducted at infertility outpatient clinic women's health Hospitals, Assiut University, Egypt. Sample: included 117 infertile couples. Structured interview questionnaire was used and included two parts: Socio-demographic data and questions to assess perception of infertile couples regarding lifestyle. Simple Lifestyle Indicator Questionnaire. Results: A highly statistically difference was found between infertile husbands and wives regarding perceived the smoking habits. No significant difference was found among infertile couples regarding drinking alcohol, over or underweight, stress, exposure to animals and environmental pollution, dietary habits, and influence of caffeine, exercises and taking recreational drugs. Conclusion: perceptions of the impact of lifestyle factors on fertility vary by sex, socioeconomic factors and treatment. Lifestyle factors significantly affected couples fertility, as BMI, exercises, nutritional status and stress with a statistical difference between groups. Recommendation: In-services educational program for infertile couples for maintaining lifestyle habits to improve their chance of spontaneous conception.

Introduction: Patients frequently make their first contact with the birth unit through the nurse in the obstetric triage unit. Also, in order to prevent denial and delay in providing the necessary care, the triage unit nurse plays a crucial role in recognizing patients who present with urgent or emergent conditions. Thus, an important part of the triage unit for nurses' orientation is the Obstetric Triage Education course, which is the first course to cover obstetric triage unit nursing care. Aim: evaluate nurses' knowledge and practice regarding obstetric triage. Research Design:The current research used a quasi-experimental pre/post-test design.

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