Hormonal changes during pregnancy lead to minor discomforts in all the women's body as nausea, vomiting, constipation, excessive urination, and fatigue cause anxiety for them. Most of their discomforts can be managed by self-care measures or healthful practices ones can do. Aim: This study aimed to evaluate the effect of instructional guidelines regarding minor discomforts on reducing depression, anxiety, and stress level among primigravida. Subjects and method: Study design: A quasi-experimental research design was used on a convenient sample of 150 pregnant women from a population of through 386 women in six-months, from June 2019, until December 2019, who attended at the antenatal clinic at Sohag University Hospital, Egypt. Tools of data collection: Two tools were utilized to collect the data in this study: (1) A self-administered questionnaire, (2) Depression, Anxiety, and Stress Scale (DASS). Results: The present study revealed that there were statistically significant differences between primigravida pregnant women's knowledge about minor discomforts and their anxiety levels before and after the implementation of the instructional guideline. Also, pregnant women's anxiety was severe before the implementation of the guideline while these levels become low after guideline implementation. Conclusion: The instructional guidelines were effective in minimizing primigravida pregnant women's anxiety regarding minor discomforts and rising their knowledge about minor discomforts after implementation of the instructional guideline. Recommendations: health educational programs about minor discomforts and their self-care practices should be taught to all pregnant women and psychological support to help them to cope and become more resilient during their pregnancy about minor discomforts.

Infertility harms women's relationship with family and friends, it is affected the relationship between the couple's sexual relationship and cause stress. Progressive muscle relaxation is considered one of the common methods used to minimize stress. So the study was aimed to determine the effectiveness of progressive muscle relaxation on minimizing stress among women with infertility. Subjects and method: A quasi-experimental research design with a pretest-posttest was utilized on a purposive sample of 70 women who randomly was divided into two groups, from a population of 386 women in six-months, from the beginning of September 2019 to the end of

Iron deficiency anemia, underweight, gestational diabetes, overweight, and obesity are one of the main nutritional problems among pregnant women which can associate with significant pregnancy complications. Aim: To evaluate the effect of health promotional program on pregnant women' knowledge and practices regarding pregnancy nutritional problems. Design: Quasi-experimental research design pre-post-test was used in this study. Settings: The study was applied in the antenatal clinics at Sohag and Tanta University Hospitals and maternal and child health centers at Sohag City (Dar E Salam Abdallah health center). Sample: purposive sample of 410 pregnant women was recruited from the previously selected settings. Tools: A structured interviewing questionnaire and pregnant women's reported practices. Results: The results showed that the most reported source of information among pregnant women on nutrition during pregnancy was health team personal. a highly statistically significant difference found between pregnant women's knowledge regarding nutritional problems including Iron deficiency anemia, underweight, gestational diabetes, overweight, and obesity at pre and post health promotional programs. pre the health promotional program implementation, more than three-quarters of pregnant women had unsatisfactory total practice scores pre the implementation of the program regarding nutritional problems which improved and become most of them had satisfactory total practice scores post-implementation of the program. Conclusion: The implemented health promotional program had positive effect on improving pregnant women's knowledge and practices regarding the nutritional problems during pregnancy. Recommendation: A health promotional program regarding the nutritional problems should be educated for pregnant women during the antenatal period to prevent complications associated with these problems.

Anemia is present among 90% of women during pregnancy that is of the iron deficiency type. Aim: To investigate the effect of mobile application assisted nursing intervention on pregnant women regarding iron deficiency anemia. Subjects and method: Design: A quasi-experimental research design was used. Setting: The study was conducted at antenatal outpatient clinics at Mansoura and Tanta University Hospitals. Subjects: A purposive sample of 210 pregnant women was involved in the study from the previously selected settings. Three Tools were used for data collection 1) a structured interviewing questionnaire, 2) pregnant women's reported practices tool, and 3) an investigation tool used to measure hemoglobin level. Results: There was a statistically significant difference regarding pregnant women's level of knowledge and practice about iron deficiency anemia management and Hemoglobin (Hb) value after mobile application assisted nursing intervention. In addition, there was a statistically significant association between pregnant women's knowledge, practice regarding the management of iron deficiency anemia during pregnancy and their demographic characteristics. Conclusion: Mobile application-assisted nursing intervention has a positive effect on improving pregnant women's knowledge and practice regarding management of iron deficiency anemia. Recommendations: Mobile application-assisted nursing intervention should be used in various Maternity health care settings.

Despite use of prophylactic antibiotics, wound infections remain common. Post operative wound infections develop in 4% of patients following inpatient gynecologic surgery and in 5% to 7% of patients undergoing primary cesarean section. The use of honey as a wound dressing material is an ancient remedy that has been rediscovered. The aim of the study is to evaluate the effects of topical honey dressing on infected wounds after obstetrical and gynecological abdominal surgery as compared to the routine hospital wound care. This study was conducted on 60 women were recruited from Tanta University hospitals at Obstetrical and Gynecological Department. Where 30 of them were dressed according routine wound care of the hospitals, which includes local antiseptics, daily dressing, and antibiotic. And the others were dressed by honey (Api-care) dressing plus the routine hospital wound care.