Background: Virtual reality is a new and modern technology; Virtual reality is significantly safe and beneficial in reducing pain and anxiety during labor. Aim was to explore the efficacy of virtual reality application as a distraction for primiparity women at 1st stage of labor on pain and anxiety control. Design: A quasi-experimental design was utilized to fulfill the aim of this study. Setting: the labor unit in (obstetrics & gynecology department) at Benha University. Sample: A purposive sample that fulfill the inclusion criteria [Total 220 primipara were equally divided into two groups (control group: 110 primipara and study group: 110 primipara)]. Tools: There are four main tools; interviewing questionnaire sheet (sociodemographic data and obstetrics history), labour observational sheet through partograph, pain and anxiety assessment scales (Visual Analog Scale and Anxiety Rating Scale) and modified maternal satisfaction questionnaire. Results: There was a highly statistical significant difference related to labor pain and anxiety during the first stage of labor. Moreover, there was highly statistical significance difference related duration of the different stages of labor. The majority of women were satisfied with virtual reality application. Conclusion: Virtual reality had a positive effect on pain and anxiety levels during the first stage of labor. Recomendations: Virtual reality is recommended as an alternative non-pharmacological therapy, which can be applied in maternity hospitals for effective effect in labor pain and anxiety management.

Background: Benson's relaxation technique is one of the systematic techniques that could be utilized to relive postoperative pain and improve sleep quality. It is an important component of nursing care for hysterectomized women. Aim: the study aimed to evaluate effect of Benson's relaxation technique on postoperative pain and quality of sleeping among women undergoing hysterectomy. Design: Quasi-experimental study design (two groups study & control) was utilized. Setting: The study was conducted at Obstetrics and Gynecological department in Benha University hospital. Sample: A purposive sample for women undergoing hysterectomy at a period of 6 months. Tools: Three tools were used. I: An interviewing questionnaire sheet (personal characteristics, current surgical data) II: visual analog scale and III: The Groningen Sleep Quality Scale. Results: There was a significant improvement in pain severity and sleep quality among women in study group compared with those in the control group, after application of Benson's relaxation technique. Moreover, there was highly negative statistical correlation between total pain severity and total sleep quality scores of studied group at pre and post-intervention phase. Conclusion: The application of Benson's relaxation technique was effective in reducing severity of post-operative pain and enhancing quality of sleeping among women undergoing hysterectomy. Recommendation: It was recommended that Benson's relaxation intervention should be offered as a part of standard nursing care for women undergoing hysterectomy in hospitals.

Context: Simulation-based nursing education is an increasingly and wide-spread preferred educational approach. It offers opportunities to acquire clinical skills and decision-making through various situational experiences. Aim: The research aimed to investigate the effect of simulation-based educational program on maternity nurses' performance regarding obstetrical emergencies during pregnancy. Methods: A quasi-experimental research (one group pre/post-test) design was adopted to fulfill the research aim. This research was conducted at the Clinical Obstetrics' Skill lab of the Faculty of Nursing, Benha University. Forty nurses were recruited (all nurses working at obstetrics and gynecology emergency department of Benha University Hospital at the time of collecting data). Three tools were used for data collection; a structured self-administered questionnaire, maternity nurses' attitude assessment scale, and maternity nurses' practices observational checklist. Results: showed a highly statistically significant improvement concerning maternity nurses' knowledge, attitude, and practices regarding obstetrical emergencies during pregnancy, immediate post-intervention, and at follow up phase compared to the pre-intervention phase (P ≤ 0.001). There was a positive, highly statistically significant correlation between total knowledge and total attitude and total practice scores at pre-intervention, immediate post-intervention, and at follow up phases (P ≤ 0.001).    Conclusion: The simulation-based educational program positively affected maternity nurses' performance regarding obstetrical emergencies during pregnancy. Simulation-based education regarding obstetrical emergencies during pregnancy is recommended for all nurses working at obstetrics and gynecology units.

Background: Sexual activity is a mutual relationship and any change in women's sexual function may result in an increase in sexual disorders among the couples. Many previous studies have suggested that sexual education during pregnancy can improve the sexual function of the pregnant women. Aim: of this study was to evaluate effect of the sexual educational package on knowledge and female sexual function for pregnant women. Design: Quasi-experimental design was utilized. Sample: A purposive sample of (a total of 100 primigravida, control group (n=50) and study group (n=50) who attended antenatal clinic during six months. Setting: The study was carried out in the antenatal clinic at Benha University Hospital. Tools: Data were collected through two main tools: A structured self-administered questionnaire to assess demographic data, personal characteristics and knowledge of the studied sample regarding sexuality and sexual function during pregnancy, and Modified Female Sexual Function Index to assess sexual function in primigravida. Results: showed that the mean age of study and control groups were 23.80 ± 3.43years and 24.18 ± 1.63years respectively. A highly statistical significant difference was observed in knowledge between the two groups after implementing sexual education package (p < 0.001). There was a highly significant difference between study and control groups regarding mean FSFI six domains and total scores during the different study phases after implementing sexual educational package (p < 0.001). Conclusion: The sexual educational package had a significant effect on improvement of primigravida pregnant women sexual function and knowledge after implementing sexual educational package. Recommendation: Educational sexual package intervention must be integrated into prenatal consultations and care; establishing strategies to facilitate the women's understanding to discuss sexual disorders freely through applying this study on a large sample in the obstetrics and gynecological outpatient clinics.