Long acting reversible contraception methods (LARCs) are ideal pregnancy prevention options for many women compared with shorter-term methods. Aim: to assess the current barriers and management strategy to increase the use of LARCs. Subjects and methods: A cross-sectional design was used. Setting: Conducted at 5 family planning units at Sharkia governorate, Egypt. Subjects: A representative sample of 225 woman who were attended the selected family planning units between the period from January to December 2020. Tools: Two tools were used to collect the study data; socio-demographic characteristics questionnaire and barriers of LARCs questionnaire. Results: The women mean age was 30±7 years. The main barriers against the use of LARCs were cognitive barriers followed by requiring woman to return for check-ups and socio cultural barriers (50.7%, 15.6%, 14.6%) respectively. Conclusion:The utilization of short acting contraceptive methods is higher than long acting methods and cognitive barriers were the main barriers for LARC utilization. Recommendations: Increase women's awareness about the importance of using family planning methods especially LARCs.

Aim: The aim of the study was to evaluate the effect of nursing guidelines on improving sexual function and quality of life among women undergoing hemodialysis. Design: An intervention design was used. Methods: A purposive sample of 50 women (25 women from the dialysis unit at Elahrar hospital, and 25 women from the dialysis unit at Zagazig university hospitals). To collect data we used the structured interviewing questionnaire, the Index of Female Sexual Function (IFSF), to assess sexual function, the 36-item Short Form Health Survey Questionnaire to measure the impact of hemodialysis on women's quality of life, and Arabic instructional guidelines on pelvic floor exercises to improve sexual relations and quality of life. Results: The mean score of the sexual function index was less than 25, indicating negative female sexual dysfunction among these patients. Moreover, the mean score of Quality of Life (QoL) was less than 50, indicating negative health effects related to quality of life. There were positive relationships between total FSFI score and total SF-36 score after implementation of the nursing guidelines. Conclusion: There was an improvement in sexual function and quality of life among women with hemodialysis.

Background Hypertensive disorders of pregnancy (PIH) are an important cause of severe morbidity, long-term disability, and death among both mothers and their babies. Aim The aim of the study was to evaluate the safety bundle application on nurses’ knowledge and performance regarding management of hypertension during pregnancy and postpartum period. Patiehypertension, postpartum period, pregnancy, safety bundlents and methods A quasi-experimental design (pretest and posttest) was used. A purposive sample of all nurses (50 nurses) working in the obstetric hospital at Zagazig University hospitals was used in the period from January 2021 till May 2021. Two tools were used in this study: structured interviewing questionnaire that included sociodemographic data and data regarding nurses’ knowledge about management of hypertension during pregnancy and postpartum period and observational checklist to evaluate nurses’ performance about management of hypertension during pregnancy and postpartum period. Results There were highly statistical significant differences preintervention and postintervention regarding nurses’ knowledge and performance about management of hypertension during pregnancy and postpartum period. Conclusion The application of safety bundle program has a positive effect on nurses’ knowledge and practice regarding management of hypertension during pregnancy and postpartum period with a highly statistically significant difference. Recommendation Continuous educational program to improve nurses’ knowledge and performance regarding application of safety bundle in management of hypertension during pregnancy and postpartum period.

Background: Postpartum hemorrhage (PPH) prevention is the main stay and corner stone to achieve the millennium developmental goal 5 (MDG5). Maternity nurses play a crucial role in maternal morbidity reduction resulting from PPH and competency of maternity nurses directly affects quality of treatment and health outcomes. Aim: was to develop competences for maternity nurses during labor regarding prevention of primary postpartum hemorrhage. Design: A quasiexperimental design was used. Setting: The research was carried out in maternity hospital at Zagazig university hospitals, Sharkia Governorate, Egypt. Subjects: purposive sample included fifty nurses provided direct nursing care for women during labor and postpartum period. Tools: Three tools were used; a structured interviewing questionnaire, competency performance checklist for maternity nurses' practice regarding prevention of primary postpartum hemorrhage, maternity nurses attitude scale regarding prevention of primary postpartum hemorrhage. Results: The results of this study showed that there was an improvement in nurse's knowledge, practice and attitudes toward prevention of primary postpartum hemorrhage after implementation of competency nursing intervention. Also, there were positive correlation between nurses' knowledge score and their attitude scores, practice scores and age. Conclusion: there was highly statistically significant improvement in nurses' knowledge and practice level during labor to prevent primary PPH after implementation of competency nursing intervention compared to pre intervention. Recommendations: Offer training programs or workshops for developing the nurses' competency regarding primary postpartum hemorrhage prevention to develop their best practice.