Background: Gestational Diabetes Mellitus is a global disorder and one of the most common complications during pregnancy. Tele-Nursing provides a solution for maintaining continuity of care while practicing physical distancing due to COVID-19. Aim of the study: was to evaluate the effect of Tele-nursing guidelines on knowledge among gestational diabetic women during COVID-19 pandemic Subjects and Method: Research design: Quazi experimental design (pre & posttest) was adopted to carry out this study Setting: The study was conducted at family planning and antenatal care unit in outpatient clinic, at Zagazig University Hospital Subjects: Purposive sample composed of 55 pregnant women with gestational diabetes. Tools of data collection: three tools were used for data collection. Tool I: A structured interviewing questionnaire, Tool II: Knowledge regarding Gestational Diabetes Mellitus questionnaire. Tool III: An educational nursing guidelines booklet for pregnant women with gestational diabetes. Results: The study result showed that 96% of studied women had unsatisfactory level of knowledge about the gestational diabetes at pre intervention and this percentage was changed to 4.0% at post intervention with statistically highly significant (p<0.001). Additionally, the mean± SD of total women knowledge was 10.32±3.15 at the pre intervention and changed to 29.18±2.29 at the post intervention. Conclusion: It was concluded that Tele-nursing guidelines significantly improve the women knowledge regarding Gestational Diabetes Mellitus as well as women self-care management. Recommendations: Simple clarified Tele nursing guidelines should be implemented to increase women's knowledge about gestational diabetes mellitus through the application of the Tele-nursing guidelines with the routine care in antenatal care units.

Background: Postpartum period is highly critical, as mothers are vulnerable to hazards and most of sudden emergency and life threatening complications occurs during this period. If the mothers received an effective care, their mortality and complications will be reduced. So, mother's knowledge and education before childbirth regarding postpartum complications and ways of its preventions are important. Aim of the study: Focused to evaluate the effect of antenatal educational package on primiparous women's knowledge and practices for prevention of selected aspects postpartum complications. Research design: A quasi experimental design was used. Setting: On antenatal and postnatal departments at Zagazig University hospitals. Subjects: A purposive sample composed of 100 primiparous women divided into two groups (intervention and control). Tools of data collections: Three tools were used as: Tool I: Interviewing questionnaire. Tool II: Self-structured knowledge questionnaire and Tool III: An observational checklist regarding selected practices to prevent some of postpartum complications. Results: It was observed that after applying the educational package there was a highly statistically significant difference between the means of total score of knowledge and practice in intervention group than those in control one throughout the study phases. Moreover, the control group had a high percentage of postpartum complications than the intervention group with no statistical difference. Conclusion: It was evident that the educational package was effective in enhancing knowledge and practice where, the intervention group had higher score than the control, also had a significant reduction in the occurrences of postpartum complications than those in the control. Recommendations: It is mandatory to establish a comprehensive training intervention for primiparous pregnant women at MCH centers to enhance their knowledge and practices on postpartum complications and methods of preventions which can reduce the maternal morbidity and complications.

Background: Non-invasive fetal wellbeing is crucial to prevent fetal and maternal distress, especially in highrisk pregnancies. To promote the initiatives aimed at reducing fetal death, the maternity nurses must be skilled in performing different fetal wellbeing assessment methods. Aim of the study: Evaluate the effect of educational program on maternity nurses' knowledge and practices regarding Non-invasive fetal wellbeing assessment methods. Subjects and method: Research Design: -A quasi-experimental research design with pre/posttest and follow up was used. Setting: The present study was conducted at the fetal wellbeing assessment unit at antenatal outpatient clinic affiliated in Zagazig University hospitals. Subject: A convenient sample of all available 35 nurses who were working in the previous mentioned settings. Tools of data collection: Two tools were used: Tool I: A structured interviewing sheet containing two parts: Part I: Demographic characteristics of nurses and part II: Nurse's knowledge questionnaire concerning non-invasive fetal well beings' assessment methods and Tool II: Fetal wellbeing procedures practice checklist. Results: it was indicated that, there were highly statistically significant variations in nurses' knowledge & practices pre, post and throughout the follow-up phase. In addition, there was a statistically significant correlation between total level of knowledge and total level of practice during post & follow up phase. Conclusion: There was a significant improvement of maternity nurses' knowledge and practices. The educational program positively significantly affected on maternity nurses' knowledge and practices towards non-invasive fetal wellbeing assessment methods. Recommendations: A regular planned in-service training programs for both new and current maternity nurses should be applied to improve their performance regarding non-invasive fetal wellbeing, assessment methods.

Background: Urinary tract infections are the most typical bacterial infection that can occur during pregnancy, and they are the cause of a number of issues that can harm the mother as well as the fetus. Good management based on accurate information and more satisfying self-care practices is key to prevent these issues. Aim of the study: To evaluate the effect of instructional guidelines on knowledge and self-care practices of pregnant women with urinary tract infections. Subjects and method: Research design: Quasi experimental design (pre/post-test). Setting: The study was carried out at antenatal care unit in outpatient clinic, at Zagazig University Hospital. Subjects: A purposive sampling of 120 pregnant women with urinary tract infections were enrolled and equally divided into intervention and control groups. Tools of data collection: Three tools were used. Tool I: A structured interviewing schedule which composed of 3 Sections, Tool II: Severity of urinary tract infections symptoms assessment scale and Tool III: Self-assessment interviewing schedule: To assess pregnant women's self-care health practices for urinary tract infections. Results: There was a highly statistically significant improvement in total score of all areas of knowledge and total score of self-care practices post intervention in the intervention group than those in control one. Also, there was a highly statistically significant difference in the improvement of urinary tract infection symptoms as reported by pregnant women in intervention group as compared to control group after applying the nursing guidelines. Conclusion: The instructional guidelines have been an effective intervention to improve the knowledge of pregnant women and give suitable self-care practices of urinary tract infections that lessen the severity of symptoms. Recommendations: All pregnant women should take part in a continuing health education program to better understand urinary tract infections and prevent them from occurring again throughout pregnancy.