Congenital clubfoot is a complex deformity and affect on the infant mobility. The current study aimed to evaluate the effect of nursing instructions for mothers on selected cast outcomes among their infants having congenital clubfoot. Quasi-experimental research design was utilized. The study was conducted in the orthopedic out-patient clinic in the Cairo University Specialized Pediatric Hospital. 60 mothers of infants with clubfoot were participated in the study. Data were collected by using structured interview questionnaire, mother's knowledge and practices assessment questionnaire, recording cast complications sheet and selected cast outcomes assessment sheet. The study resulted that, statistically significant differences between total mean score of mother's knowledge and practices in the study group rather than the control group and infants in the study group exposed to less cast complications. The study concluded that, statistically significant positive correlation between the total mean score of mothers and their age and level of education.

Congenital clubfoot is a complex deformity that is readily apparent at birth and affects the muscles, ligaments, bones and joints of the developing foot and ankle. Aim of the current study was to evaluate the effect of nursing instructions for mothers on selected cast outcomes among their infants having congenital clubfoot. In order to represent the current research, the design of quasi-experimental was implemented. The study was conducted in the orthopedic out-patient clinic in the Cairo University Specialized Pediatric Hospital (CUSPH). Purposive sample of 60 mothers of infants with clubfoot was participated in the current study; mothers and their children were split into two equal groups: 30 as a control group and 30 as a study group. The data was collected using the following tools : structured interview questionnaire, mother's knowledge and practices assessment questionnaire (pre/posttest), recording cast complications sheet and selected cast outcomes assessment sheet. The results revealed that, there were statistically significant differences between total mean score of mother's knowledge and practices in the study group after receiving the nursing instructions than mothers in the control group. Infants in the study group exposed to less cast complications and better outcomes than infants in the control group. The result concluded that, the mothers in the study group who received nursing instructions had a higher overall mean score of clubfoot knowledge and practices rather than a control group. As well as the infants of the mothers who received the nursing instructions there were fewer complications of casting and better outcomes.

Empowerment program help mothers to increase readiness of weight gain and attachment for premature infants after discharge which in turn are a critical issue to decrease potential adverse consequences. Aim of the current study was to evaluate the effect of mothers' empowerment program on premature infants' attachment and weight gain. In order to represent the current research, the design of quasi-experimental was implemented. The study was conducted at Center for Social and Preventive Medicine in premature outpatient clinic in the Cairo University Specialized Pediatric Hospital (CUSPH). A convenience sample of 60 premature infants and their mothers was participated in the current study; mothers and their preterm infants were split into two equal groups: 30 as a control group and 30 as a study group. The data was collected using the following tools: a structured interview questionnaire sheet, mother's knowledge assessment questionnaire (pre/posttest), practices observational checklists, maternal postnatal attachment scale and standardized weight growth chart. The results revealed that, the mothers in the study group who received empowerment program had a higher overall mean score of knowledge and practices rather than mothers in the control group. There were statistically significant differences were detected for infant's weight in the study group before and after empowerment program rather than infants in the control group. As well as, there were statistically significant differences were detected for attachment scale in the study group before and after empowerment program rather than a control group. As well as the mothers who received the empowerment program there were increased weight and attachment for their premature infants.

Mothers of children with congenital anomalies (CA) have many unique challenges during the process of treatment and concern to meet the needs of their hospitalized children. Aim: the aim of the current study was to assess the needs and challenges as perceived by mothers and their hospitalized children having congenital anomalies. Design: a descriptive exploratory research design was utilized to fit the aim of the current study. Setting: the study was conducted in the pediatric surgical ward in Cairo University Specialized Pediatric Hospital (CUSPH). Sample: A purposive sample of 100 mothers and their children with congenital anomalies participated in the current study. Data collection tools: data was collected using the following tools: A structured interview questionnaire, parent needs scale, children needs questionnaire and children challenges questionnaire. Results: the results revealed that, higher mean score of needs for mothers and their children such as emotional support; communication with medical team, participation in child care, mothers closeness, nutrition, learning and guidance. Higher mean score of challenges for mothers and their children such as health team communication, family acceptance, social stigma, poor mothers bonding, parent stress and financial responsibility. There were statistically significant correlations between mothers' challenges and their ages, place of residence and educational level, such as knowledge about surgical management, poor mothers bonding, parent stress, stigma, financial challenges and family acceptance. There were statistical significant correlations between children needs such as learning, child and mother closeness, support and guidance with their ages. Conclusion: the study findings of the current study presented higher levels of mother's needs and challenges with their children having congenital anomalies. Recommendation: Empowerment programs and supportive care for mothers and their children with congenital anomalies are mandatory.