eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
1
14
10.21608/znj.2012.38858
38858
Original Article
Maternal and Neonatal Outcomes in Women with Pre-eclampsia in Zagazig University Hospitals
Hanan Salim
1
Sanaa Nour Eldin
2
Mohammad Mahdy
3
Amina Gonead
4
Clinical demonstrator, Obstetrics and Gynecological Dep., Faculty of nursing, Zagazig University,
Prof. of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University,(
Professor of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University
Assistant Prof. of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University
Background: Pre-eclampsia (PE) is a disease with worldwide significance to mothers andinfants; it may have health hazards that increase maternal, fetal and infant morbidity andmortality. Aim of the present study was to evaluate the maternal and neonatal outcomes ofpregnancy associated with pre-eclampsia. Sample& setting: A case-control prospectivestudy was selected in carrying out this study and a representative sample of two groups, onefrom women diagnosed with pre-eclampsia (100) and the other from normotensive women(100), were admitted to Zagazig University maternity hospital. Tools used for data collectionwere; an interview questionnaire sheet, a Clinical assessment form, Ultrasonography, Cardio-Tocography, Partograph, a Summary of labor sheet, a Problems-encountered sheet and aNeonatal assessment sheet. Results of present study revealed that, the incidence of preeclampsiawere higher among younger women (<25) and older (35+) than normotensivewomen. Cesarean section rates were significantly higher in the group with pre-eclampsia thanin the control group (p < 0.05). Low Apgar score, low birth weight, more admission to theNICU as well as newborn deaths were significantly higher among the pre-eclamptic group (p= 0.000). It can be concluded that, lower gestational age, less parity, higher cesarean sectionrate, low Apgar score and low birth weight neonates were more frequent in pre-eclampticwomen than in healthy pregnant women. The study recommended that: written clinicalguideline or nursing protocol for the management of patient with pre-eclampsia should bedeveloped and used by the nursing staff. Improving quality of ante-natal care for women withpreeclampsia is highly recommended at Zagazig university hospitals.
https://znj.journals.ekb.eg/article_38858_19e8a874dadf35bc2d08ecb6a70f2fb0.pdf
Pre-eclampsia
maternal outcomes
Neonatal outcomes
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
15
30
10.21608/znj.2012.38859
38859
Original Article
Maternal and Neonatal Outcomes in Elective versus Emergency Cesarean Section in Zagazig University Hospitals
Mervat Abdel Monem
1
Sanaa Nour
2
Mohammad Mahdy
3
Amina Genaid
4
Clinical demonstrator, Obstetrics and Gynecological Nursing Dep., Faculty of Nursing, Zagazig University,
Prof. of Obstetrics and Gynecological nursing, Faculty of Nursing, Zagazig University,
Professor of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University,
Assist Professor of Obstetrics and Gynecological nursing, Faculty of Nursing, Zagazig University
The evolution of cesarean section during this century is a relatively safe procedure. It isgenerally accepted that a planned operation often does better in terms of morbidity than oneperformed as an emergency. The aim of the present study were to find out indications forelective and emergency CS and to compare elective and emergency CS regarding intraoperativeand postoperative complications in both mother and her newborn. A prospectivedesign was selected in carrying out this study and a representative sample of 400 parturientwomen (200 with elective CS and 200 with emergency CS) were recruited for this study inthe Maternity hospital at Zagazig University. The tools used for data collection were; aninterview questionnaire sheet, a clinical assessment form, the partograph, a summary of laborsheet and a neonatal assessment sheet. The results of the present study revealed that therewere no statistical significant differences in intra-operative and postoperative complicationsbetween two groups. Additionally, women who had elective cesarean section had a highermean apgar score at the first and fifth minutes (7.7 ± 1.2 and 9.2 ± 1.3) than those who hademergency cesarean section (6.9 ± 1.0 and 8.3 ± 1.5). It can be concluded that, the womenwho had emergency CS were younger than 25 years, had less mean number of gravida andpara and had lack of antenatal care attendance than those who had elective CS. The studyrecommended that: higher incidence of emergency cesarean section is associated with intraoperativeand postoperative complications, so cesarean should be done at earliest possibletime to reduce drastic outcome.
https://znj.journals.ekb.eg/article_38859_3c849e8791d91eea9216f0229f49d7a7.pdf
Elective cesarean section
Emergency cesarean section
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
31
43
10.21608/znj.2012.38860
38860
Original Article
Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City
Hala Mohamed
1
Sanaa Nour
2
Manar Heeba
3
B.Sc. Nursing, (2) Obstetrics & Gynecological Nursing Dept., Faculty of Nursing, Zagazig University
prof of Obstetrics & Gynecological Nursing Dept., Faculty of Nursing, Zagazig University
Lecturer, Maternity of Obstetrical and Gynecological Nursing Dept, Faculty of Nursing, Port Said University
Background: Intrauterine contraceptive device (IUD) is the most common, widely usedreversible method of contraception, currently used by nearly 160 million women. Aim: Thisstudy embarked on to explore the factors associated with intrauterine device discontinuationand failure in Maternal and Child Health Centers at Zagazig City. A descriptive design wasselected in carrying out this study and a purposive sample of 400 women who had used anIUD and requested its removal was recruited for this study. Setting: The study was conductedat 4 Maternal Child Health clinics of 4 Rural Health Units affiliated to the Ministry of Healthand population in Zagazig city .Tools: An interview questionnaire sheet was designed andimplemented. The results of the present study revealed that the mean duration of the currentIUD was 4.5±3.6 with a range of 0.1-22 years, almost three fourths (74.4%) of women lost tofollow up. The desire for conception was the most common reason, with the highestpercentage (25.5%) followed by heavy bleeding and spotting and PID (21.5% and 12.3%respectively). In addition, other reasons for IUD withdrawal was social problems, expireddate of the IUD and missed IUD (14.5%, 10.3% and 8.2% respectively). Statistical significantrelation was found between reasons of discontinuation and women’s age, education, numberof living children, the previous use of IUD and the duration of the current IUD. Conclusion:From present results it could be suggested that medical and social problems constitute themain reasons for discontinuation of IUDs. A great proportion lost the follow up and asignificant relation was found between women characteristics and reasons for discontinuationof the IUD. Recommendations: Counseling during the initial and return visits as well as afterthe removal of the IUD is mandatory.
https://znj.journals.ekb.eg/article_38860_71fb82be22870f20465d4c17fce68930.pdf
Intrauterine contraceptive device
Follow up
Discontinuation
counseling
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
44
59
10.21608/znj.2012.38861
38861
Original Article
An Educational Intervention Concerning Violence Related Attitudes, Behaviors and Influences among Adolescents
Saida Hassan
1
Zeinab Loutfi
2
Nagwa El-Shafei
3
Nevein Mohammed
4
Assistant Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing - Beni Sueif University
Prof. of Psychiatric/ Mental Health Nursing Faculty of Nursing - Ain Shams University
Prof. of Pediatric Medicine- Faculty of Medicine - Zagazig University
Assistant Prof. of Psychiatric/ Mental Health Nursing- Faculty of Nursing - Ain Shams University
Background: Violence against adolescents is understood as being any sort ofmistreatment of adolescents within or outside of the family environment. Theaggressor inflicts light or severe damage, the causes of which can be related toindividual, family, socioeconomic, environmental or cultural factors. Aim: The aimof this study was to investigate the effect of implementing an educational interventionconcerning violence among adolescents. Sample& setting: Assessment was done for(500) students from seven prep-schools (one school from each educational sector) inBeni Sueif Governorate to assess violence-related attitudes and behaviors amongadolescents and assess factors that lead to violence related attitudes and behaviorsamong adolescents. One school was selected randomly from the seven schools ofseven educational sectors’ to implement the program. The sample was consisted of138 students. Tools: Four main tools were used for data collection; IndividualAdolescent Characteristics as: Sociodemographic questionnaire, Attitude towardViolence Scale, Aggression Scale and Leisure Activity Teen Conflict Survey, FamilyCharacteristics (Family Relationship Characteristics Scale), School Characteristics(Classroom Climate Scale) and Community Characteristics (Children’s Exposure toCommunity Violence Scale). Results: The main findings of the study revealed that:Violence attitude among the studied sample was positive (>25) in 36.2%, aggressivebehavior was in 24.2% among of the studied children, adolescents' views concerningschool characteristic was negative (<20) in 80% of the studied adolescents, in relationto reporting of violent behavior, and prevalence of exposure to violent acts andcrimes was positive (>30) among 48.2% of the studied adolescents. Conclusion: Theprogram has succeeded in inducing statistically significant improvement in the studysamples' attitude toward violence, aggressive behavior, and prevalence of cohesionwas detected among 20% of the studied children had positive awareness towardreporting of violent behavior to school personnel after implementation of theprogram. Recommendations: The study recommended that nurses must work toincrease awareness and develop the skills of both teachers and parents, to usealternatives other than the corporal punishment.
https://znj.journals.ekb.eg/article_38861_51104fb702b8a983fb2375bc8261d401.pdf
violence
Adolescents
aggression
individual adolescent characteristics
family characteristics
school characteristics
community characteristics
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
60
75
10.21608/znj.2012.38862
38862
Original Article
Early Neonatal Assessment with Detection of Cases of Hypocalcemia and Nursing Implication
Saida Hassan
1
Zeinab Loutfi Loutfi
2
Nagwa El-Shafei
3
Nevein Mohammed
4
Thoraya Keashiea
5
Sanaa Nour Eldin
6
Ali Abo-Zaid
7
Assistant Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing - Beni Sueif University
Prof. of Psychiatric/ Mental Health Nursing Faculty of Nursing - Ain Shams University
Prof. of Pediatric Medicine- Faculty of Medicine - Zagazig University,
Assistant Prof. of Psychiatric/ Mental Health Nursing- Faculty of Nursing - Ain Shams University
Assistant lecturer, Obstetrics and Gynaecology Nursing Dep., Faculty of Nursing, Zagazig University
Professor of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Zagazig University
Professor of Pediatric, Faculty of Medicine, Zagazig University
Background: In Egypt the neonatal mortality is 25 per 1000 live births. Half the deathsoccurred in the first two days of life. Immediate assessment of the newborn helps todetermine the initial condition, establishes a baseline for subsequent care, and identifiespotential and existing problems and ensures the newborn adaptation to extrautrine life isprogressing normally. An important component of assessment is the investigation done forhypocalcemia. . The nurse must be able to know how to perform essential basic interventionsand to take care of the hypocalcemic infant. Skilled care and early identification of problemscould reduce the incidence of death and disability. Aim: To assess the neonatal condition anddetect cases of hypocalcaemia. Setting: This study was carried out in the obstetric hospitaland NICU (Newborn Intensive Care Unit), at Zagazig University Hospital, on 100 newborninfants. Sample: Twenty nurses were selected for the training program which was designed toupgrade nurse’s knowledge and skills pertaining to neonatal assessment and detection ofhypocalcemia. Results: The majority of neonates were normal. Meanwhile, prematurity, stillbirth and twins accounted for 26.5%, 3.9% and 3.9%, respectively. The incidence ofhypoglycemia and hypocalcemia accounted for 29.6% and 27.6%, respectively. At the pretest,and before the educational program implementation, the percent knowledge scores werelow for most nurses. However, significant improvement in nurses' knowledge an practice,regarding assessment of neonates with detection of hypocalcemia, was noted at the post-testand it recommended that the education training program is effective in increasing theknowledge and practice of nurses pertaining to the assessment of the newborn infants and thedetection and management of neonatal hypocalcemia and neonatal assessment. InConclusion: The education – training program is effective in increasing the knowledge andpractice of nurses pertaining to the assessment of the newborn infants and the detection andmanagement of neonatal hypocalcemia. Recommendation: It was recommended thatmaternity nurse should be alert for early detection and identification of risk factors of thenewborn. Proper care is needed during prenatal, natal and postnatal periods to prevent mostneonatal complications. Implementation of the developed training program for all nurses inlabor departments is suggested.
https://znj.journals.ekb.eg/article_38862_2a9faaae61127f20d73d40c758fae990.pdf
early neonatal assessment
early neonatal hypocalcemia
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2012-01-01
8
1
76
90
10.21608/znj.2012.38863
38863
Original Article
The Effectiveness of Counseling Program on the outcome of In-Vetro Fertilization Treatment
Fatma Abdel Azeem
1
Inas Abdallah
2
Sanaa Nour
3
Khaled Ahmed
4
Assistant Lecturer of Maternal and newborn health Nursing, Faculty of Nursing
Lecturer of Maternal and Gynecologic Nursing, Faculty of Nursing, Suez Canal University
Professor of Obstetrics & Gynaecology Nursing, Faculty of Nursing, Zagazig University,
Professor of Obstetrics and Gynecology, Faculty of Medicine, Al– Azhar University
Background: In vitro fertilization (IVF) is a human assisted reproduction technique. Manyfactors affect its outcomes and success rate. Aim of study was to find out the impact ofcounseling program on the outcome of in vitro fertilization treatment. Study design: A quasiexperimental design was used. Study sample: 60 women less than 40 years and undergoingIVF treatment for first trail at the International Adam Hospital- Cairo were divided equally tostudy and control group. Data collection tools included interviewing questionnaire schedule;self administrating questionnaire, observational checklist, and follow up sheet were used toassess women’s knowledge and practice regarding IVF treatment (pre and post counseling)and to follow up the outcomes of IVF treatment. Results: Improved in knowledge andpractices regarding almost all the parameters of the IVF treatment and alleviation of problemsencountered were observed after the counseling program (p<0.05). On the other hand, in spiteof no statistical significance difference showed between studied and control group regardingthe success indicators of the IVF, counseling program could influence this outcome. In thiscontext, the rate of positive pregnancy test was higher, while cycle cancelations were lower instudy group compared to control group. Conclusion and recommendations: Counseling washelpful in improving IVF outcomes especially problems encountered during the treatment.Offering counseling services for all couples undergo IVF treatment by nurses' staff isrecommended and must include instruction regarding each step of the IVF treatment.
https://znj.journals.ekb.eg/article_38863_ab551d13e08e70571b48df60158150e5.pdf
Infertility
in vitro fertilization
Assisted reproduction
counseling