Improving the quality of obstetric care is an urgent priority in developing countries where maternal mortality remains high. Optimal obstetric care is the key requirement in reducing maternal mortality.The Aim of this study is to identifying the gap between the current and ideal Immediate normal postpartum nursing care at Woman's Health University Hospital, Assiut. Descreptive observational Design was used. Convenient Sample of 500 women were included. Data collected from June 2013 to January 2014, an interview questionnaire and clinical audit chart were used. The Results revealed that mean age of subjects was 27.83±4.85 years, multiparae constitutes more than half of subjects. Hygienic & nutritional advices were not done by nurses. Breast beefing advices were provided to around one quarter of subjects. Check for uterine contractions was provided by the nurse for nearly half of subjects. Immediate newborn care was provided by nurses in different high percentages, while monitor baby breathing not done by nurses. It is Concluded that, a gaps were identified between current and ideal immediate normal postpartum nursing care. Hygienic & nutritional advices not provided by nurses. All items of immediate post-partum care except check for uterine contractions not provided by the nurses. Immediate newborn care was the most item of care provided by the nurse.Reaudit is Recommended to improve quality care.

Parasitic infestation represents a major cause of morbidity and mortality in school children all over the world. Health habits make children especially vulnerable to parasitic infections. Aim: To evaluate effect of health habits' modification program on health status for school children with parasitic infestation in rural areas Study Design: A quasi-experimental design was used to conduct this study. Setting: This study was conducted at Toukh Comprehensive Clinic affiliated to Health Insurance in Qalubia Governorate Subjects: A purposeful sample of 105 school children was included in this study. Tools: Three tools I. An interviewing questionnaire, for school children was divided into five parts; to assess demographic characteristics for school children and their modified risk factors, knowledge, attitude, and health habits II. Observational checklist to assess school children practices. III. Medical records of school children's health status. Results: Revealed that 59% of school children had poor total health habits pre program implementation, while it was modified to become 61% and 84.8% had good total health habits through post program implementation and follow up respectively compared to 41% in pre program implementation with a highly statistically significant difference (P< .0001). Conclusion: The study concluded that there was statistically significant efficacy of the modification program on improving the health habits for school children and their knowledge, attitude, and practices related to parasitic infestation. As well, the program had evident effect on restoring school children's health status and preventing parasitic complications in addition to enhancing scholastic achievement through program implementation phases (P< .0001). Recommendations: The study recommended that periodical health education about prevention of parasites is necessary to raise school children's awareness about health habits and improve personal and environmental hygienic measures at school time.

Background:The major cause of death in both industrialized and developing nations is congenital abnormalities, which pose a public health risk. Aim: To investigate the effect of video-assisted counseling program on pregnant women's knowledge and practice towards congenital anomalies. Design: Quasi-experimental design (pre-post) was used to achieve the aim of this study. Setting: This study was applied in the antenatal clinic at Zagazig University Hospital. Sample: A purposive sample of 70 pregnant women (one group pretest and posttest) who attending the antenatal clinic and detected fetal anomalies. Four tools were used for data collection: (1) A structured interviewing questionnaire, (2) Pregnant women knowledge assessment sheet, (3) Pregnant women attitude assessment sheet and (4) Pregnant women practice assessment sheet. Results: This study found a highly significant difference between study participants' knowledge, attitudes, and practices about congenital anomalies before and after a video-assisted counseling program. Conclusion: Their knowledge, attitude, and practice have all improved as a result of the implementation of a video-assisted counselling program for pregnant women with congenital anomalies. Recommendation: ongoing counseling programs regarding congenital anomalies during pregnancy to all pregnant women, and replication of the study with a large sample size to further settings.

Background: cesarean section rises the danger of psychological and physical status for mothers and their babies. It is necessary to exhaustive estimate the mothers' discharge readiness from hospital and prevent adverse outcomes post cesarean section. The aim: To evaluate the effect of discharge teaching quality on women's discharge readiness and post cesarean section outcomes. Setting: the study was carried out at post-partum unit in women health at Assiut University Hospital. Design: quasi experimental research design was used in this study. Sample: a convenience sample of 100 women underwent cesarean delivery, was divided into two groups, study group (50 women), control group (50 women). Tools: Four tools were utilized for data collection in this study, Tool (1) structured interviewing questionnaire, Tool (2) discharge readiness assessment tool, Tool (3) discharge teaching quality assessment tool, Tool (4) post cesarean section outcomes assessment tool. Results: There was highly statistical significance difference between the study and control group regarding the discharge readiness, and post cesarean section outcomes, with p-value 0.001. Conclusion: discharge teaching skills had positive effect on mother-reported discharge readiness and their post cesarean section outcomes. Recommendations: the nurses must practice discharge teaching to enhance the discharge readiness and post-surgical outcomes for women undergoing cesarean section.

Leukemia is the most common childhood malignancy that starts in early blood forming cells found in the bone marrow. Aim: The aim of this study was to evaluate the effect of health education program on care provided by mothers to their children with leukemia. Study Design: A quasi-experimental design was used to conduct this study. Setting: This study was conducted at the Outpatient Clinic of 57357 Hospital. Subjects: A purposeful sample of 60 children and their mothers were selected. Tools: Three tools: 1) An Interviewing questionnaire to assess demographic characteristics for children with leukemia and their mothers, children health needs and problems, mothers' knowledge about leukemia. 2) An Observational checklist to assess mothers' practices. 3) Medical records for children's health status. Results: 73.3% of mothers had unsatisfactory knowledge about leukemia and its treatment, and 65% of them, their total practice about the care provided for their children with leukemia not done pre program while post program, it showed highly statistically significant improvement (X2 = 14.7368 at P < 0.0001). Also, for around half of children with leukemia their physical, psychological, personal, and social health needs were not achieved and they had severe health problems related to side effects of chemotherapy pre program. Conclusion: The study concluded that there were statistically significant efficacy of the educational program on improving the mothers' knowledge and practices about the care provided to their children with leukemia. As well, a highly statistically significant achievement of total children's health needs post educational program but insignificantly related to reducing their health problems. Recommendations: The study recommended that periodic health education and training program for all mothers of children with leukemia to improve their knowledge and practices about the care provided to their children at outpatient clinic or after chemotherapeutic session.