Polycystic ovarian syndrome (PCOS) is the most common endocrine disease of women

Background:The aim of the present study is to investigate the effect of clinical pathways of postoperative nursing care for patients undergoing gynecologic operations on the postoperative outcome.Subjects and Methods: the study was conducted at Obstetric and Gynecologic Department. A total of 112 women undergoing gynecological operation (56 study group who received pre and postoperative care of clinical pathway, and 56 control group who received pre and postoperative routine care of the hospital).Results: The current study shows that patients underwent gynecological operation in the study group were significantly more likely to have no vomiting compared to those in the control group. Thus less than one fifth of them were in need to antiemetic compared to almost half in the control group. Concerning the level of pain experienced by patients during the postoperative period, the present result reveals that women in the study group experience less mean score compared to those in the control group, thus they showed lesser need for analgesia. Significant differences in the early oral intake, postoperative bowel mobility, hours to remove catheters and drains and length of stay were observed between present study and the control groups. Women's satisfaction related to the care provided was assessed in the present study group. The score given was mostly very good and excellent. Conclusion:Clinical pathway was effective in improving postoperative outcomes related to early ambulation, early oral intake, bowel mobility, hours to remove catheters and drains, short length of stay and patient satisfaction. Recommendations: The concept of clinical pathways should be applied in gynecologic operations to improve patient outcome and reduce postoperative complications.

Background:Childbirth satisfaction provides a feedback for the evaluation of nursing care and determination of the quality of nursing services. The aim of the current study was to assess factors affecting women's satisfaction during labor experience. A descriptive design was adopted in the current study. Setting: the study was conducted at labor ward in Mansoura city hospitals during the period from June, 2014 to December, 2014. Sample of 214 laboring women were recruited to participate in this study. Two tools were used for data collection; demographic data assessment tool, and women's satisfaction assessment tool. The results of the current study revealed that, the higher percentage of studied women were satisfied with general environment, cleanliness, communication and physical care while most of them were dissatisfied with psychological care and involving in decision making. Conclusion:There are several factors that affecting women's satisfaction with services during labor. The main factors are general environment, cleanliness, communication, physical care, continuity of care, psychological care and involving in decision making. Recommendations: Continuity of nursing care, emotional support and involvement in decision making for laboring women should be enhanced by healthcare providers to improve their satisfaction.

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