Background: A COVID-19 pandemic is emerging infections and a horrible disease has been shown to have a fatal impact on pregnant women and their fetuses. Telehealth nursing program via SMS messages has become vital to ensure safe and effective health for maternal and fetal conditions Aim: The study aimed to evaluate the effect of telehealth nursing program regarding Covid-19 among Pregnant Women. Design: A quasi-experimental study design was used. Setting: the study was conducted at Beni-Suef Governorate. Data collected for 6 months from the first of April 2020 till the end of September 2020. Sample: An online snowball sample approach of sixty pregnant women included in the study. Tools: Three tools were used for data collection; demographic and clinical data structured interviewing sheet, knowledge, attitude of pregnant women towards Covid-19 questionnaire, and Covid-19 Practice questionnaire. Results: nearly half of the studied women with a mean age of (28.80±5.24), three-quarters of them had a university education. A statistically significant improvement of COVID-19 knowledge, attitude, and practices of the studied women after implementation of COVID-19 educational program via telehealth nursing and SMS messages, and the improvement still apparent across all the studied sample regardless of their demographic characteristics and clinical data. The studied women's COVID-19 knowledge was positively associated with their attitude and practice. A positive relation was found between studied women's COVID-19 attitude and practices Conclusion: Implementation of telehealth nursing program during Covid 19 pandemic showed a positive impact and effective improvement in pregnant knowledge, attitudes, and practices. Recommendation: Application of educational program via telehealth nursing for pregnant women in various antenatal clinics should be conducted, and designing a longterm plan by healthcare providers to improve Obstetric conditions and access to education via telehealth nursing after COVID-19.

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Background: Since the COVID-19 outbreak the researches have been focused only on the infection spread prevention and treatment. Right now, there is no biomarker available that can expect people who are at high risk of susceptibility and symptoms severity of COVID-19 infection. Recent studies indicate that a persons' vulnerability and severity of COVID-19 infection may be significantly influenced by their ABO blood group. Aim: To explore the association between ABO blood grouping and both risk and severity of symptoms among post COVID-19 infection patients. Methods: A retrospective observational research design was used. A convenient 500 post COVID-19 infection individuals from Beni-Suef University hospital were participated in the study. Tool I patient characteristics and tool II COVID-19 related data were used for data collection. Results: The findings illustrated that 16.2% exposed to severe COVID-19 symptoms, blood group A represents the highest frequency 34.8% among other blood groups while blood group O depicts the lowest frequency 17.2%. Moreover, severity risk for blood group B individuals was significantly higher than blood group A individuals (OR= 1.795, 95% C.I = 1.027-3.137). In addition, a statistically significant correlation was found between increased age and severity of symptoms "moderate and severe" ( 2 = 41.626, p < 0.001). Conclusion and recommendations: As blood group A showed the highest frequency, following safety precautions is critical for those people, and in the event of a COVID-19 infection, strict treatment, thorough observation, and monitoring are required. Further researches about adding further doses of vaccination for blood group A individuals.

Back ground: Chemotherapy is associated with several adverse effects not only for patients, but also for nurses who handle, prepare and administer it like hair loss, skin rash and abortion. So, nurses are in urgent need of learning how to safely handle chemotherapy drugs to protect themselves from serious complications. Aim: to enhance nurses' performance in safe handling of antineoplastic drugs. Methods: A quasi-experimental study was conducted involving a convenience sample of 40 nurses working at the Fayoum Oncology Center. Data were collected using five tools: nurses' knowledge questionnaire, nurses' practice tool, checklist of nurses' attitudes toward antineoplastic drugs, checklist of adverse effects caused by exposure to antineoplastic drugs, and checklist of nurses' opinion on the causes of noncompliance to safe handling guidelines of antineoplastic drugs. Results: A statistically significant difference in the overall knowledge, practices, and attitude of the nurses was observed between the pre-and post-program periods (p< 0.001 * ). Furthermore, a positive correlation was found between nurses' knowledge and practices during both the pre-and post-program periods (r = 0.582, p< 0.001 * and r = 0.297, p = 0.063, respectively). Conclusion and Recommendations: Based on the results presented in this study, the nurses' performance enhanced, which forced us to continue training and monitoring. Furthermore, medical surveillance for nurses should be implemented to assess the prevalence of complications of antineoplastic drugs.

Hormonal changes during pregnancy lead to minor discomforts in all the women's body as nausea, vomiting, constipation, excessive urination, and fatigue cause anxiety for them. Most of their discomforts can be managed by self-care measures or healthful practices ones can do. Aim: This study aimed to evaluate the effect of instructional guidelines regarding minor discomforts on reducing depression, anxiety, and stress level among primigravida. Subjects and method: Study design: A quasi-experimental research design was used on a convenient sample of 150 pregnant women from a population of through 386 women in six-months, from June 2019, until December 2019, who attended at the antenatal clinic at Sohag University Hospital, Egypt. Tools of data collection: Two tools were utilized to collect the data in this study: (1) A self-administered questionnaire, (2) Depression, Anxiety, and Stress Scale (DASS). Results: The present study revealed that there were statistically significant differences between primigravida pregnant women's knowledge about minor discomforts and their anxiety levels before and after the implementation of the instructional guideline. Also, pregnant women's anxiety was severe before the implementation of the guideline while these levels become low after guideline implementation. Conclusion: The instructional guidelines were effective in minimizing primigravida pregnant women's anxiety regarding minor discomforts and rising their knowledge about minor discomforts after implementation of the instructional guideline. Recommendations: health educational programs about minor discomforts and their self-care practices should be taught to all pregnant women and psychological support to help them to cope and become more resilient during their pregnancy about minor discomforts.