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Enhanced recovery after surgery is a standardized, multidisciplinary approach for caring patients with a goal of decreasing length of hospital stay and care without negatively affecting patient outcomes. Aim: to investigate the impact of enhanced recovery pathway application outcomes on nurses and women undergoing cesarean section. Design: A quasi experimental (pre-posttest for maternity nurses and study/control groups for women undergoing cesarean section) design was utilized in this study. Settings: This study was conducted at the obstetrics departments affiliated to University Hospital and Shebin El-Kom teaching hospital, Menoufia Governorate, Egypt. Sample: A convenient sample of 50 maternity nurses worked in the previous settings and a purposive sample of 250 cesarean delivery women were recruited in this study. Instruments: for collecting data; a structured interviewing questionnaire, knowledge assessment & an observational checklist for the nurses, knowledge assessment instrument, an observational checklist and numeric pain intensity scale for the mothers were used. Results: There was an increase in total knowledge and practice scores of the maternity nurses regarding the enhanced recovery pathway application. Also, its application following CS had an effect on relieving the women's postoperative problems especially pain than those who received the routine hospitals nursing care only.Conclusion: application of enhanced recovery pathway significantly reduces the postoperative complications especially pain, length of hospital stay, and improves the maternity nurses' knowledge and practice scores post caesarean . Recommendation: Enhanced recovery pathway should be applied during cesarean section operations to improve the patients' outcomes and reduce the postoperative complications.

HCV infection is a global health problem that has an impact on women's quality of life, including sexual function. Since 2014, Direct-Acting Antiviral Drugs (DAAS) have been introduced and approved as novel HCV therapies. Nurses had an important role in sexual health promotion. This requires the use of the proper communication style, diplomacy, and patience at times. The study aimed to evaluate the effectiveness of the nursing intervention on the sexual health of women undergoing Direct-Acting Antiviral Drugs for Hepatitis C virus. Method: A quasi-experimental design (study/control) was implemented to conduct the study. Setting: This study was conducted in the Outpatient Clinic at National Liver Institute, Menoufia University, Egypt. Sample: A purposive sample of 300 women with chronic HCV. Women were divided into two identical groups; a study group of 150 women who received Acting Antiviral Drugs for treatment of Hepatitis C virus and routine Outpatient Clinic care in addition to routine nursing intervention (safe sex instructions, measures that improve psychological status, and measures that improve sexuality) and the control group of 150 women who received only Acting Antiviral Drugs for treatment of Hepatitis C virus and routine outpatient clinic care. Two instruments were used for Data Collection: Instrument1 included part1 related to Socio-demographic characteristics of studied women and part2 related to women's knowledge of sexual health. Instrument II related to Female Sexual Function Index (FSFI) Results: The study revealed that the study group had statistically significantly lower FSFI scores than the control group before DAAS and nursing intervention. While there was an improvement in all FSFI Scores in the study group after treatment and nursing intervention than before treatment and that was statistically significant. Conclusion: Chronic HCV infection occurring before the development of cirrhosis had negatively affected all the domains of FSFI Scores. After DAAS and nursing intervention there was an improvement in all FSFI Scores Recommendations: Assessment of sexual health should be a part of the evaluation protocol for all women with HCV before and after using DAAS. Also, a nursing intervention program should be applied to all HCV women for sexual health promotion. Replication of the study on husbands with HCV who are undergoing DAAS.

Background: Endometriosis is a severe condition that affects roughly 190 million women of reproductive age globally. In order to alleviate their symptoms, women afflicted with this condition often use alternative therapy such as lifestyle modification. This research aims to examine the effectiveness of lifestyle modification on endometriosis symptoms among reproductive age women. Method: A quasi-experimental design approach was adopted. A convenience sample of 50 endometriosis-diagnosed women was recruited. The research was performed at Obstetrics and Gynecology outpatient Clinics associated with Menoufia University Hospital and Shebin El-Kom Teaching Hospital. A structured interviewing questionnaire, visual analogue scale, and women's practice questionnaire were used. Results: The mean knowledge scores of the study group were statistically significant higher at one month and three months after the intervention (20.90 ± 1.51 vs.19.7±1.31, respectively) than before the intervention (14.02± 2.04) where, (p<.001). Also, there was a significant reduction in the endometriosis-related pain symptoms intensity (dysmenorrhea:40%, 8%, and 4%; chronic pelvic pain; 30%, 4%, and 2%, dyspareunia 20%, 4%, and 2%, painful urination 6%, 0%, and 0%; dyschezia 4%, 0%, and 0%, respectively) at one month and at two months after the intervention compared to before the intervention. Conclusion: Lifestyle modification intervention including healthy dietary habits, and physical activity for women with endometriosis was an effective intervention in increasing their knowledge and decreasing the severity of endometriosis-related pain symptoms after the intervention than before. Recommendations: Lifestyle modification is needed for all women with endometriosis as well as more study on their consumption and efficacy. It is advised that all women with endometriosis have access to a simple and thorough handbook on lifestyle modifications to alleviate their endometriosis-related pain.

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