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.

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Menopause known as change of life, Perimenopause comprise a half or a third of a women's life, particularly in developing countries, which troublesome symptoms. Empowerment during the menopause can improve women's adaptation to menopausal symptoms. This study Aims to compare adaptational methods among medical and nonmedical personnel regarding transitional menopausal symptoms. Setting of this study was outpatient clinics of Sedfa central hospital & maternal &child health care center (MCH) at Sedfa district in Assiut governorate, Egypt. A descriptive, comparative Design was used in this study. A Purposive sample of 140 participants (70 women from medical personnel and 70 women from non-medical personnel) A tool used was interviewing questionnaire. Results of this study revealed that the most common transitional symptoms both medical and non-medical personnel complained of were sleeping disturbance followed by hot flushes. Adaptational method to sleep disturbances was similar but with large percentage among medical than non-medical personnel in a form of being physically active. Adaptational methods to hot flushes was similar but with large percentage among medical than non-medical participants in a form of trying to avoid things that may trigger the symptoms. This study concluded that medical participants were practiced adaptational methods more than non-medical participants in some transitional menopausal symptoms, while these adaptational methods were nearly similar in others This study Recommended to increase women's awareness of transitional menopausal symptoms and methods of adaptation.

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