Background: Cesarean Delivery is the most common method of delivery in Egypt. It is applied in more than 60% of all deliveries. Women for whom it is indicated must accept the procedure and be satisfied with it. Satisfied mothers are found to be more positive about their condition and more likely to actively participate in their treatment regimens and hence, better maternal and neonatal outcomes. Objective: The study aimed to improve the quality of perinatal care by assessing the level of satisfaction after cesarean delivery and determining the reasons for maternal satisfaction and dissatisfaction. Methods: This was a cross-sectional study conducted from June to December 2021 at Zagazig University Hospital, Egypt. A total of 221 women who delivered by Cesarean were enrolled and interviewed using a simple structured researcher-administered questionnaire for data collection. Results: The mean age was 27.83 ± 5.24 years, and the median parity was 1. The overall satisfaction with hospital delivery services was high (93.7%). Women's satisfaction was associated with birth outcomes, nurses' concern and attitude, time spent with the doctor during the examination, care providers' measures taken to assure privacy during examination and availability of medicines. Facility cleanliness gained the least satisfaction. Conclusion:The study found that most women were satisfied with the care received during Cesarean delivery. In-depth studies are needed to assess satisfaction with many aspects of the Cesarean birth experience.

Background: For further testing to rule out venous thromboembolism (VTE), pregnant women with high D-dimer levels are mandated to undergo further screening. Objective: Early detection of complicated pregnancy through evaluation of D-dimer level. Patients and methods: A total of 175 women were included in this case-control study and divided into 2 main groups: Group A "normal pregnancy": included 75 women who were subdivided into 3 equal groups (25 in each trimester) and group B "complicated pregnancy" that included 100 women all of them were in 3rd trimester of pregnancy who were subdivided into 4 equal groups (mild preeclampsia, severe preeclampsia, gestational diabetes mellitus and preterm rupture of membrane). D-dimer was assessed among all participants. Results: D-dimer (DD) and fibrinogen levels were significantly increased with increasing of gestational age. Fibrinogen and white blood cells levels were statistically significantly higher among diabetic, preterm rupture of membrane (PROM) and patients with mild preeclampsia, while D-dimer, platelet and hemoglobin levels were not significantly different when compared to normal pregnancy cases. D-dimer, fibrinogen and white blood cells in our study were significantly increased in cases of severe preeclampsia when compared to normal ones. So, D-dimer was considered a highly sensitive and specific biomarker in diagnosis of sever preeclampsia as D-dimer >100 ng/ml had 88% accuracy in prediction of sever preeclampsia. Conclusion: D-dimer was a highly sensitive and specific biomarker in diagnosis of severe preeclampsia only. D-dimer >100 ng/ml had 88% accuracy in prediction of sever preeclampsia.