Background. Women experiencing cesarean section delivery tends to have several problems, so assisting mothers in coping with and solving these problems as well as improving their practice may contribute to decreasing length of stay, reduce post operative complications and achieve early recovery.Aim: to investigate the effect of ERAS pathway protocol on postoperative outcomes for women undergoing cesarean delivery. Study design: A quasi-experimental design was used. Setting:The study was conducted at

Context: Delivering high-quality care that improves patients' health outcomes necessitates using evidence-based nursing practice (EBNP). Aim: This study aimed to evaluate the effect of implementing evidence-based nursing practice guidelines related to postpartum care on maternity nurses' performance. Methods: One group (pre/post-test) is studied in a quasi-experimental study. The study was carried out at the postnatal unit of the Obstetrics and Gynecology department of Benha University Hospital. A convenient sample included all maternity nurses working in the previously mentioned setting. Three tools are used for data collection: A self-administered questionnaire includes an assessment of socio-demographic characteristics of the studied maternity nurses, an assessment of maternity nurses' knowledge regarding evidence-based practices about postpartum care, an observational checklist regarding evidence-based nursing practice during the postpartum period, and barriers scale of nurses in implementing evidence-based practices. Results: The study revealed a mean nurses' age of 33.6±9.867, and 55.4% had baccalaureate degrees in nursing sciences. 60% of them depend on the internet as a source of information. The present study findings a highly statistically significant difference between pre-intervention, immediate post-intervention, and follow-up (p<0.0001) regarding nurses' knowledge and practice concerning postpartum evidence-based nursing practice. The barriers assessment revealed that 84.5% of the nurses agreed they did not have time to read the research. Conclusion: Maternity nurses' performance in postpartum care significantly improved after implementing evidence-based practice guidelines. The study recommended encouraging continuous educational training programs and workshops for nurses regarding evidence-based nursing in obstetrics and gynecological unit.

Context: Menopause is a significant event in women's lives. It marks the end of a woman's natural reproductive life; it is usually accompanied by symptoms that affect the women's ability to perform their normal daily activities. Massage is one of the non-pharmacological methods that can help women cope with menopausal symptoms. Aim: The study aimed to evaluate the effect of aromatic massage on somatic problems among a cohort of menopausal women. Methods: A comparative quasi-experimental time serial (pre-posttest, study/control) design was used. The study was conducted at outpatient clinics of Ain shams University Maternity Hospital. A purposive sample of 74 menopausal women with menopausal symptoms was recruited in this study and divided randomly into an intervention group (Aromatic massage) and a control group (Massage only). Data were collected through three tools. A structured interviewing questionnaire is divided into three parts: general data, obstetrics, and menstrual history, the Kupperman index (menopausal assessment symptoms tool) to assess somatic menopausal symptoms, and the Visual Analogue Scale to assess the history of menstrual pain degree among menopausal women. Results: It revealed two matched groups of women with a mean age of 47.83±5.23 vs. 49.05±3.98 in the aromatic and massage-only groups, respectively. The pre/post-intervention results revealed a significant improvement in most somatic menopausal symptoms, decreasing the frequency of hot flushes attacks, paresthesia, vertigo, fatigue, myalgia, headache, heart palpitation, and formication in the aromatherapy massage group post-intervention and in the follow up (p<0.05). The comparison between the aromatic and massage-only groups revealed a significant difference between the two groups with a significantly lower mean score in total menopausal somatic symptoms. Conclusion: Aromatic massage with lavender, clary sage, jasmine, and rose dissolved in almond oil was effective in easing somatic menopausal symptoms compared to their pre-intervention level and compared to the massage-only group. The study recommended developing counseling programs for women about aromatic massage therapy at gynecological clinics.

Background: Premarital counseling (PMC) is vital element in health sector strategies for helping couples to learn skills about better understanding of marriage, improving social relationship as well as health of both couples and their coming children, educating university students about premarital issues is a key event needed for reducing the high health hazards in the society. Aim: evaluate the effectiveness of counselling-based program on females' knowledge and attitude regarding reproductive health. Methods: a quasi-experimental (pre-posttest,) design was used. The study was conducted at technical institute of nursing of Ain shams University. A purposive sample of 245 female students were included in the study. Data were collected through two tools. A structured interviewing questionnaire is divided into two parts to include sociodemographic data, students' knowledge regarding premarital counselling and reproductive health, And Female students' attitude regarding PMC Likert scale Results: It revealed 60% of them age ranged from 16 to 17 years reveals that 73.5% of female student have positive attitude regarding their premarital care post program implementation. While 41.2% of female student have negative attitude regarding their premarital care pre-program implementation Conclusion: there was a highly statistically significant improvement in knowledge scores as well as positive attitude scores among female students regarding premarital counselling after implementing counselling-based program, also the current study revealed statistical significance difference between total score of knowledge and total score of attitudes with positive correlation between the post intervention. The study recommended Premarital counseling should be added into the nursing curriculum to prepare students for marriage