Background: COVID-19 vaccine hesitancy had been defined by The World Health Organization (WHO) as one of the top ten global health threats since 2019. Vaccine hesitancy or refusal to accept is a growing concern throughout the world, especially as new and deadly variants emerge. Aim: To investigate the effect of educational sessions on COVID-19 vaccine hesitancy among pregnant women. Study design: A quasi-experimental research design was used. Subjects: A purposive sample of 159 pregnant women who attended the Antenatal Clinics of the Obstetric and Gynecological Department at Mansoura University Hospitals, Mansoura city, Dakhalia governorate, Egypt was studied. Three tools were used Structured interviews with a questionnaire assessed the women's general characteristics. The Oxford COVID-19 Vaccine Hesitancy Scale was used to assess the level of COVID-19 vaccine hesitancy and the Vaccine Conspiracy Beliefs Scale was used to assess the COVID-19 vaccine conspiracy beliefs. Results: The results revealed that the total level of vaccine hesitancy was significantly reduced from 25.8% (strongly hesitant) before the educational sessions to 7.5% after the educational sessions. Also, the willingness to receive the vaccine significantly increased from 11.9% before the educational sessions to 74.8% after the educational sessions. Furthermore, the vaccine conspiracy beliefs significantly decreased from 59.7% before the educational sessions to 5.0% after the educational sessions. Conclusion: COVID-19 educational sessions were an effective tool for decreasing the level of COVID-19 vaccine hesitancy among pregnant women. Recommendation: Further research on correcting conspiracy negative beliefs regarding COVID-19 vaccines, which correspond to a decrease in vaccine hesitancy among pregnant women, is warranted.

Background:It is dynamic and difficult to study midwifery, and is students accepted into the labor wards or not this affects the students learning. Therefore the study aimed to assess the challenges of nursing students regarding their expectations and satisfaction before and after entering delivery room. Method: An exploratory descriptive study design was used Sample: A purposive sample, all technical institute nursing students (91) who were attending the delivery unit during studying maternity and neonatal nursing course at study year 2018-2019, Setting: in General Damietta hospital. Tools: two tools, a selfadministered questionnaire of three parts was developed by the researchers, includes questions about the students' expectations, students' knowledge about labor and satisfaction, and a modified scale was also used. Results: Regarding students' expectations more than two third of students expected to be welcomed from mothers, and around half of students expected that nurses following the principle of infection control, nurses instructed women regarding bearing down and less than two-thirds of them were satisfied with the practical training and a sense of belonging and identity. Conclusion: Nursing students are faced with many challenges in the clinical learning, there were highly statically significant differences found between before and after entrance for many of their expectations, and some 'expectations were achieved. Students were satisfied with their clinical achievements after attending delivery room. Recommendations: Implement Students orientation programs pre attending delivery room include, prepare students, avoid causes of students fears and anxiety, and increase training through simulators, videos and integration of nursing ethics.

Background:The placental stage of labor occurs between the completion of the newborn's delivery and the completion of the placenta's delivery. Aim: To evaluate the effectiveness of placental stage of labor care protocol on performance of maternity nurses in Port Said city. Design: A quasi-experimental design was used. Setting: The current study was performed in the labor and delivery departments of two hospitals in Port Said: Obstetrics and Gynecological Specialized Hospital and Alhayaa Hospital. Subjects: A total of 48 nurses were selected convenience for the intervention part of this study. Tools: Structured Self -administered questionnaire and an observational checklist were used to collect data. Results: In the pre-test, more than two thirds of the studied nurses had an unsatisfactory level of knowledge and practices regarding caring of women during the placental stage of labor, but in the post-test and follow-up tests, the highest percentage of the nurses had a satisfactory level of knowledge and practices. Also, there was a highly statistically significant positive correlation between nurses' knowledge and practice about caring of women during placental stage of labor at pre-post and follow-up of developed nursing protocol implementation. Conclusion: The placental stage of labor care protocol had a highly statistically significant positive impact on the studied maternity nurses' performance regarding caring of women during the placental stage of labor. Recommendations: Availability of the developed care protocol and creating a standardized guideline for different services to follow in order to sustain and provide high-quality health care for women during the third stage of labor.

Objective: This study aimed to evaluate the effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic.Subjects and Methods: Design: A quasi-experimental deign was used. Setting: It was selected from two settings Port Said oncology outpatient clinic and Damietta oncology outpatient clinic. Sampling: A purposive sample of mastectomy diagnosed with diabetic. The total sample was 50 women. They were 20 women from Port Said and 30 mastectomy women from Damietta Tools: The study data were collected by using three tools: The first tool-A women Structure interviewing questionnaire Sheet-its consisted of three parts: part one, demographic characteristics; part two, past and present medical history, complications related to diabetes and cancer and obstetrics characteristics; part three, knowledge about diabetes and mastectomy. The second tool-self-reported practices. The third tool-quality of life scale.Results: The study sample age ranged between 35 to more than 60 years with a mean of (50.3 ±8.6 and 48.3 ± 9.4) respectively in Damietta and Port-Said. There was statistically significant positive but strong correlate on among the three variables the strongest being between total scores knowledge and practices (r = 0.466) and strongest between knowledge and quality of life (r = 0.367) especially psychological aspects.Conclusions: The present study concluded that there is a marked gap between knowledge, practice and quality of life among the mastectomy women with diabetic before implement the program. There was an improvement in mastectomy women of all groups' knowledge and practice after the program. Also there were positive changes in quality of life in psychological, spiritual, emotional and social aspects. Furthermore, there were improvement in knowledge practice and positive change in quality of life after the implementation of the program of Damietta group more than port Said group.

The pregnant nurses' exposure of the hazards daily during contact with sick patients, infectious agents, teratogenic chemicals, radiation and environmental risks. Aim of the study: To assess Occupational health hazards among pregnant nurses in Damietta and Khartoum of general hospitals: An overview. Design: A comparative descriptive research design was used to conduct this study. Setting: carried out in Damietta and Khartoum general hospitals (Egypt and Sudan). Sample: All pregnant nurses working in all departments of hospitals and outpatient clinics. It was 135 pregnant nurses in Damietta and 50 pregnant nurses in Khartoum. Tools : four tools were used for data collection, tool l: demographic characteristics for pregnant nurses, medical and obstetric history of nurses, nurses habits, nurses knowledge regarding occupational health hazed, tool II-physical assessment of studied nurses, tool III :-nurses practices regarding use of the personal protective equipment, tool IV: Assessment of work environment. Result: concerning nurses knowledge, shows that 40% of nurses had satisfactory knowledge regarding occupational health hazards in Damietta hospital, while, 70% of them had satisfactory knowledge in Khartoum hospital. Regarding nurses practices for use of personal protective equipment, shows that 70% of nurses had done practices regarding uses of personal protective equipment in Damietta hospital, while, 80% of them had done practices in Khartoum hospital. Concerning work environment it reveals a highly statistically significant differences regarding physical work environment, housekeeping, floors, stairs, mean of exit, employee facilities, fire protection, electrical, material handling, storage, machining guarding and clinic inside the factor. Conclusion: this study concluded that there were no statistically important correlation between total knowledge about occupational health hazards facing nurses in the workplace and total practices regarding use of PPE measures (P<0.05). Recommendation: Continuing nurse health education program to reduce occupational health risk in the workplace.