Background and Objectives: Delivery is considered as one of the most painful experiences of women's life. There fore continuous labor support offers multiple benefits for mothers and infants. The present study aimed to compare the effects of maternal supportive care and acupressure (at LI4 a cupoint) during labor on labor pain intensity, and infant's Apgar score. Methods: Parturient women (n=150) with low-risk pregnancy (with singleton pregnancies in the active phase of spontaneous labor, without any medical or obstetric problems, were enrolled in this single-blinded, randomized, clinical trial)were randomly divided into supportive care(Doulas)group, LI4 acupressure group, and control group each containing 50 subjects in which no pharmacological or non-pharmacological methods of pain relief were used. Pain intensity was measured by visual analog scale before and after the intervention in the first stage of labor. Pressure or touch was applied for 30 minutes during uterine contractions. The data were collected using a questionnaire including demographic and pregnancy characteristics. Then, the data were analyzed using Chi-square test and one-way ANOVA. Results: The difference in the pain scores between Doulas, the acupressure and control group was statistically significant (p<0.001). Moreover, the frequency of Apgar score>8 in the first and 5 th minutes was higher in the supportive care and acupressure groups compared to the control group, and the difference was statistically significant (P<0.001). Conclusion and recommendation: Continuous support and acupressure are an effective, non-invasive, and easily applicable technique to reduce labor pain and could reduce the length of labor stages and. Therefore, these methods, as effective nonpharmacological strategies, can be introduced to the medical staff to improve the delivery outcomes.

Background: Hysterectomy is a commonly performed gynecological surgical procedure.It refers to the removal of the uterus, hysterectomy may involve a removal of the fallopian tubes and ovaries, it depends on all the reasons of the surgery and type of the procedure. Aim: The study intended to evaluate nurses' performance regarding the care of women undergoing hysterectomy and women satisfaction in Port Said hospitals. Design: A descriptive research was utilized. Sitting: Gynecological specialty hospital and El-Hayah Port Fouad. Subjects: The study subjects consisted of 50 nurses and 71 women undergoing hysterectomy. Tools: Data were collected by the use of three tools namely; Structured interview which included two parts; part 1: Personal characteristics of nurses or patients and part 2: questionnaire of nurses' knowledge regarding care of women undergoing hysterectomy, Observational checklist about nurses' practice regarding care of women undergoing hysterectomy ,and satisfaction scale regarding the care of women undergoing hysterectomy. Results: The vast majority of nurses had correct knowledge regarding care of pre-operative and post-operative care. Also, the majority of the women undergoing hysterectomy are satisfied regarding nursing care. Additionally, the satisfied practice was higher among studied nurses. Conclusion and recommendations: The nurses had an effective role towards care of women who undergoing surgical hysterectomy and able to provide practical advice on different issues regarding to health education advice and promotion. An educational program aimed at training nurses how to improve physical and psychological recovery of post-operative patients as rapidly as feasible.

Background: Breast cancer, is the most common cancer both in developed and developing regions and it present the second most common malignancy amongst women. Aim: The aim of the present study is to evaluate the effect of a health education program about breast cancer and breast self examination on knowledge and practices of female employees in Port Said University. Subject and Methods: The quasi experimental research design was conducted on all female employees (no=160)from four faculties of the Port Said university selected randomly, an educational health program about early detection of breast cancer and breast self examination was developed by researchers, the selected female is tested before and after giving the health program using a self administered questionnaire and observational checklist. Results: The findings revealed that most of the studied sample had unsatisfactory knowledge about breast cancer(80.0%) and all of them unsatisfactory practices (100.0%) regarding early detection of breast cancer and breast self examination in pre program, A statistically significant improvement was detected in the knowledge and practices post program (P <0.001*). Conclusion: The study concluded to the fact that the studied females employees' knowledge and practices regarding early detection of breast cancer and breast self examination are deficient, health educational programs improved their knowledge and practices, so the researchers recommend that great efforts should be done to increase the employees females' awareness of prevention and early detection of breast cancer, this can be effectively done through continues health educational programs.

Background: Gestational hypertension is common all over the world, although it is more common in developing nations and it's an unexpected, multi-organ illness that linked to a lot of maternal and fetal illness and mortality. Aim: Assess the effect of Benson relaxation technique on physiological parameters, anxiety and sleep quality among gestational hypertensive women. Design: Quasi experimental study was used. Setting: All obstetrics hospitals in Port Said city. Subjects: Purposive sample of 160 pregnant women with gestational hypertension were randomly divided into two equal groups. Tools of the study: Four tools were used: Structured interviewing questionnaire, a sheet of physiological measures, hospital anxiety scale (HAS) and the Groningen sleep quality scale (GSQS). Results:The difference between before and after the intervention regarding vital signs in the study group was statistically significant (p=0.001), but not statistically significant in comparison to control group. Also, mean score of Benson relaxation technique for anxiety level in study group was 8.475±4.353 compared to 36.500±7.865 in control group, with a statistically significant between them (P =0.000*). Furthermore, mean score of Benson relaxation technique for sleep quality in study group was 4.53 ± 0.46 compared to 8.32 ± 0.38 in control group, with a statistically significant between them (P =0.001*). Conclusion: Benson relaxation can be utilized as an useful strategy to improve in physiological parameters, sleep quality, and decrease anxiety levels in gestational hypertensive women. Recommendation: The Benson relaxation therapy is an effective therapeutic approach for gestational hypertensive women and should included in their nursing care plan.

Background: Any woman who wants to breastfeed her child may benefit from Hand Expression and breastmilk storage, until recently, hand expressions with breastfeeding assistance were only indicated for women, who were at high risk for breastfeeding issues. Aim: to evaluate the effect of hand expression and lactation support on self-efficacy of primiparous mothers and quality of breastfeeding. Design: A quasi-experimental one-group (pre-posttest) research design was utilized. Setting: The study was conducted at the General Health Insurance-affiliated to specialist Hospital for Obstetrics and Gynecology in Port Said governorate. Sample: A total of 100 women who underwent immediate vaginal or cesarean deliveries at the specialized obstetrics and gynecology facility during the study period were included in the study population. Tools: Three tools were used for data collection namely, A structured interviewing questionnaire, Breastfeeding Self-Efficacy Scale-Short Form, and LATCH (latching, audible swallowing sounds, nipple type, comfort, and holding) score instrument. Results: Before and during the testing period, the study sample's overall self-efficacy lactation scale significantly increased. Conclusion. The intervention had successfully achieved its goal of improving overall self-efficacy and overall lactation scales among the examined sample. Recommendations: To enhance or sustain self-efficacy and subsequently enhance breastfeeding, healthcare providers and lactation consultants should offer lactation support to the new mothers.