Background: It is beyond argument that women who are about to give natural birth to their babiesneed some physical exercise such as standing, walking around, sitting, or kneeling in order to provide for the “gravity effect” that would help in speeding up the dilation of the cervix. The birth ball used to be utilized in various settings of birth and is highly considered as a powerful, secureand easy method of promoting the progress of labor and relieving pain. The current study aim sat studying the using of the birthing ball during the first stage of labor and its effect on the progress of labor and outcome among nulliparous women. The design: The quasi-experimental design was utilized. A group of 120 laboring women was included by purposive sampling technique; the study subjects randomly assigned into two equal group. Setting: The study was implemented in the maternity Unit located in El-Nabawy El Mohandes Hospital (economical part), Fayoum. Five tools have been employed ingathering the needed data; 1) structure interview schedule questionnaire, 2) Partograph, 3) Visual analog pain intensity scale, 4) State Trait Anxiety Inventory and 5) Satisfaction visual analogue scale. The Findings of the present results revealsa high significant statistical difference between the two groups concerning the improvement of the dilatation of the cervix and fetus head descent that end in decreases duration of the first and second labor stages in the study sample. Also the sample of the study expressed less pain and anxiety score. Conclusion: the using of birthing ball throughout the first stage of labor is associated with positive effect on labor progress and outcome. Recommendation: Encourage women to use birth ball during the first stage of labor as one of the significant modalities to improve labor progress, manage pain, anxiety and attain more satisfactory birthing experience.
Insomnia is a prevalent complaint among pregnant woman especially during last trimester of pregnancy with significant morbidity but, it often remains neglected. Aim:The present study aimed to investigate the effect of practicing walking with deep breathing exercises on insomnia severity among women in third trimester of pregnancy. Research design: A quasi experimental research design was utilized to conduct the present study in Antenatal Clinics at Obstetrics and Gynecology Center in Mansura city. Sampling: A purposive sampling technique was used to select sixty healthy pregnant women complaining from insomnia, at a gestational age from 28 to 32 weeks, have a single tone pregnancy and perform regular antenatal visits. Data Collection Tools: Two tools were used for data collection; the first tool was a Structured Interview Schedule designed by the researchers, it consisted of two parts to record personal data and reproductive history; the second tool was Insomnia Sleep Index (ISI) it composes of 7 components, it was adopted to measures the pregnant women's insomnia severity pre and post intervention. Results: The present study revealed that, the total score of insomnia decreased for the majority of the women after practicing walking with deep breathing exercises at their third trimester of pregnancy. Conclusion: Practicing walking with deep breathing exercises has a positive effect on severity of insomnia during the last trimester of pregnancy. Recommendation: Raising awareness of the pregnant women about the importance of practicing walking with deep breathing exercises to decrease insomnia severity during last trimester of pregnancy.
Internet addiction prevails among students who uncontrollably immerse themselves in it as a way of escaping from their challenges and stressors which may negatively affect their quality of life. Aim of this study: to investigate the prevalence of internet addiction and its influence on quality of life among students of the technical institute of nursing, Mansoura University. Methods a descriptive cross- sectional research design was used to achieve the aim of this study. The present study was conducted at the Technical Institute of Nursing, Mansoura University, Egypt, a total of 341 students were recruited after considering ethical requirements. Three tools were used to collect the needed data; the socio-demographic characteristics, Young's internet addiction test (IAS) and Quality of life questionnaire (QOL). Results: 16.1% of the sample was considered addicted to the internet and 64.0% of participants had high quality of life. A highly statistically significant strong negative correlation between internet addiction and quality of life was reported (r=0.43, P<0.001). Conclusion: improper internet use negatively affects quality of life. Recommendation: a large scale further research should be conducted on large sample to investigate internet addiction among university students.
Background: Preterm birth is considered to be the largest direct cause of neonatal mortality. Of all early neonatal deaths that have occurred within the first 7 days of life, 28% are due to preterm birth. The Kangaroo Mother Care (KMC) decreases risk of mortality, infection severity, increases infant growth, breastfeeding, and mother-infant attachment. The aim of this study is to evaluate the effectiveness of Kangaroo Mother Care on premature health progression in the neonatal care unit in the Maternity and Children’s Hospital, Jeddah.
Method: Study Design: A quasi-experimental design was chosen, using data collected via the Kangaroo Mother Care Assessment Flow Sheet.
Setting: Maternity and Children’s Hospital (MCH) Al-Mousaa'dya branch, a Ministry of Health (MOH) Governmental hospital, Jeddah, KSA
Sample: A convenient Sample of thirty premature neonates who fulfilled the inclusion criteria who were admitted on the neonatal intensive care unit at the mentioned setting during data collection period. Permission had been obtained from all mothers of participating infants. A control group was used for comparison.
Tools and instruments: The data were collected using the Kangaroo Mother Care Assessment Flow Sheet.
Result: the survival rate of study group is very high as no death was noted, no statistical differences before and after KMC but the data showed that the health status of neonate was stabilized, also findings showed that weight gain increased from 1.36 kg in the first attempt to 1.48 Kg in the fifth attempt. Regarding length of stay, study group neonate had higher length of hospitalization (48±19.87) comparing to other studies
Conclusion: Kangaroo Mother Care maintains all premature neonatal physiological parameters and weight gain while the neonatal length of stay in current study was high compared to other global studies.
Recommendation:There is a necessity to implement KMC at all NICU in Ministry of Health Hospitals, to develop a protocol and guidelines for KMC implementation. To organize continuing nurse training and education program for neonatal intensive care units nurses. Further studies should be conducted on a larger scale in Kingdom of Saudi Arabia for generalizability and to study the factors of prolonged neonatal length of stay on NICU.