Background: Sleeping disorder is prevalent in pregnancy compared with non-pregnant population. Currently, strategies that intervene during gestation primarily focus on improving sleeping practices to optimize health. The study aimed to determine the frequency and risk factors of snoring and breathing disorders during pregnancy and to counsel these women about sleep hygiene behaviors for improving their sleep quality. Setting, The study was conducted at antenatal outpatient clinic, woman’s Health Hospital, Assiut University, Egypt. Methods: Quasi experimental research design and simple random sample were used in collecting and applying the data. A total of 205 pregnant women. Three tools were used for this study included, structure interview questionnaire, Pittsburgh sleep quality index (PSQI) questionnaire and Counseling assessment checklist. Results: Nearly half of women have developed snoring related to pregnancy and more than half of them develop sleeping disorder. There is a significant relation between age, body mass index and maternal diseases as, anemia, RHD, rhinitis and respiratory disease act as risk factors to develop snoring and breathing disorder during pregnancy. Conclusion: Snoring and sleeping disorder can develop and worth related pregnancy, many maternal factors play as a predictor to develop snoring and nursing counseling is important role to improve women behaviors. Recommendations: Continuation nursing counseling on sleep hygiene and lifestyle changes because it safe and effective treatment options.

Background Psychological status plays an important role in adolescent mothers. It may cause alterations in their self-concept and self-esteem. Aim The aim of this study was to assess the degrees of self-concept and self-esteem among adolescent pregnant women at General Assiut Hospital, Assiut Governorate (Elshamla Hospital). Patients and methods A cross-sectional research design was applied in this study. The setting was antenatal outpatient clinic of General Assiut Hospital (Elshamla Hospital). A convenient sample of 320 adolescent pregnant women was recruited in this study. Three tools were used in this study for collecting the data: a structured interview questionnaire, self-image questionnaire, and self-esteem scale. The study started at April 2016 and ended at February 2017. Results The main findings revealed that the age range of teenage pregnant women was 14–17 years old, and most of them lived in urban areas. There is a high hospitalbased rate of teenage pregnancy (34%) at General Assiut Hospital, Assiut City, Egypt. Moderate self-concept and self-esteem are seen among the most teenage pregnant women (93 and 96%, respectively). Finally, there is a strong relationship between sociodemographic characteristics, especially age and fluctuations of selfconcept and self-esteem, among these women. Conclusion There is a strong relationship between sociodemographic characteristics, especially age and fluctuations of self-concept and self-esteem, among these women. Recommendations Implementing prenatal training courses for nurses about the role of psychological support in raising self-concept and self-esteem in teenage pregnancy is recommended.

Background Psychological status plays an important role in adolescent mothers. It may cause alterations in their self-concept and self-esteem. Aim The aim of this study was to assess the degrees of self-concept and self-esteem among adolescent pregnant women at General Assiut Hospital, Assiut Governorate (Elshamla Hospital). Patients and methods A cross-sectional research design was applied in this study. The setting was antenatal outpatient clinic of General Assiut Hospital (Elshamla Hospital). A convenient sample of 320 adolescent pregnant women was recruited in this study. Three tools were used in this study for collecting the data: a structured interview questionnaire, self-image questionnaire, and self-esteem scale. The study started at April 2016 and ended at February 2017. Results The main findings revealed that the age range of teenage pregnant women was 14–17 years old, and most of them lived in urban areas. There is a high hospitalbased rate of teenage pregnancy (34%) at General Assiut Hospital, Assiut City, Egypt. Moderate self-concept and self-esteem are seen among the most teenage pregnant women (93 and 96%, respectively). Finally, there is a strong relationship between sociodemographic characteristics, especially age and fluctuations of selfconcept and self-esteem, among these women. Conclusion There is a strong relationship between sociodemographic characteristics, especially age and fluctuations of self-concept and self-esteem, among these women. Recommendations Implementing prenatal training courses for nurses about the role of psychological support in raising self-concept and self-esteem in teenage pregnancy is recommended.

The aim of the study was to assess the prevalence of pregnancy among adolescent women at El Zawya Village, Assiut City, Egypt and to assess the perinatal knowledge of these adolescent pregnant women at the same village. A Cross Sectional study was used in carrying out this study. A Structured Interviewing questionnaire is designed by the investigator to be filled from each adolescent pregnant woman who visited Family Health Hospital, El Zawya Village, Assiut City. The results indicated that nearly two thirds of women (64%) were in the second trimester of pregnancy with the mean gestational age was 20.6+4.6 weeks. The vast majority of women didn’t know any information about nutritional needs and warning signs during pregnancy and they had no information about postpartum family planning methods and postpartum complications (94% & 96.5%) respectively. more than half of adolescent pregnant women (58.5%) didn’t know the cause of their early marriage. It is concluded that there is a lack of perinatal knowledge about adolescent pregnant women in rural village, Egypt

Background Awareness among women about maternal mortality is a very important step as a preventive measure to reduce its rate and to understand misconception of women’s knowledge about its issues. Aim This study aimed to assess the awareness and perceptions of women about maternal mortality issues in rural areas in both Assiut and Fayoum Governorates. Patients and methods A descriptive comparative research was conducted in this study. A total of 600 rural women were included and divided into two equal groups in Assiut and Fayoum Governorates (300 and 300, respectively). A structured interviewing questionnaire was designed by the researcher to assess the awareness and perceptions of these women who lived in rural communities about maternal mortality issues. Results There are no statistical significance differences between both groups regarding the levels of awareness about maternal mortality (P>0.05). More than two-thirds of rural women in both groups considered post-partum period as the commonest time for maternal deaths (71 and 67%, respectively). The rural women in both groups perceived lack of maternal health awareness as the main cause of maternal deaths (60 and 64% in Assiut and Fayoum Governorates, respectively). Age of women and their family size were considered as risk factors affecting the levels of awareness among these women. Conclusion There are no statistical significance differences between both groups in rural communities regarding the levels of awareness about maternal mortality. Recommendations Educational programs should be conducted about maternal health issues through Ministry of Health to raise the awareness of women about these issues especially in rural communities of Egypt.

Background and objective: Practical skills in Maternity Nursing are complex actions containing movement abilities, caring intentions, theoretical and practical skills, ethical and moral deliberation. This study aimed to assess the effect of Maternity Nursing logbook on cognitive and practical skills of internship students. Methods: Quasi-experimental research was carried out in this study. 112 internship students of Faculty of Nursing, Assiut University who were enrolled for Maternity training course around one year by using logbook. Setting: The study was done at the Woman’s Health Hospital, Assiut University from beginning of September 2015 to the end August 2016 (internship Training year). Results: The total score of internship nursing student’s cognitive and practical skills revealed that the vast majority of them (98%) had satisfactory knowledge and practical skills in post training with significant difference between pre and post training of the internship nursing students. Conclusions: The using of logbook was associated with increased clinical, cognitive with highly significant difference between pre and post training of the internship nursing students. Recommendations: Implementation of logbook in undergraduate and postgraduate clinical education for all clinical courses.

Antenatal care ANC plays an important role in ensuring a healthy mother & baby during pregnancy and after delivery. Aims of the study to assess the prevalence of low and high risk pregnant women at Kolta’s Maternal and Child Health Center (MCHC), Medical and Obstetrical (Maternal& fetal) risk factors among pregnant women at the same center. Subjects and methods descriptive research design was utilized in the present study, convenient sample was used among all prospective pregnant women who attended the Kolta's MCHC, sample size was 346 women, statistical record was from data base records of Kolta′ s MCHC to gain the actual prevalence of low & high risk pregnant women, structured interviewing questionnaire which developed by the investigator and included: Sociodemographic data, Obstetrical history, initial assessment, data related to high risk pregnancy, scoring system of high risk pregnancy. The study results revealed that 67.9 % were in the of age group 20- 29 years old, 52% were living in rural areas, 71% were multigravidae, 23.6% had complications during last pregnancy, 86.2% had no medical history, 41.9% had anemia during pregnancy, 69.7% were high risk pregnancy, there are significant difference between weeks of gestation and anthropometric measurement P value =0.021 and significant difference between sociodemographic data and current antenatal care P value= 0.001 Conclusion study concluded more than one third of the sample had anemia, the rate of high risk in the study was more than two thirds of the sample . Therefore, it is recommended to increasing pregnant women's awareness about ANC and risk factors during pregnancy, continuing Educational Nursing Programmes to access the high quality of care, new studies should be established.

Antenatal care ANC plays an important role in ensuring a healthy mother & baby during pregnancy and after delivery. Aims of the study to assess the prevalence of low and high risk pregnant women at Kolta’s Maternal and Child Health Center (MCHC), Medical and Obstetrical (Maternal& fetal) risk factors among pregnant women at the same center. Subjects and methods descriptive research design was utilized in the present study, convenient sample was used among all prospective pregnant women who attended the Kolta's MCHC, sample size was 346 women, statistical record was from data base records of Kolta′ s MCHC to gain the actual prevalence of low & high risk pregnant women, structured interviewing questionnaire which developed by the investigator and included: Sociodemographic data, Obstetrical history, initial assessment, data related to high risk pregnancy, scoring system of high risk pregnancy. The study results revealed that 67.9 % were in the of age group 20- 29 years old, 52% were living in rural areas, 71% were multigravidae, 23.6% had complications during last pregnancy, 86.2% had no medical history, 41.9% had anemia during pregnancy, 69.7% were high risk pregnancy, there are significant difference between weeks of gestation and anthropometric measurement P value =0.021 and significant difference between sociodemographic data and current antenatal care P value= 0.001 Conclusion study concluded more than one third of the sample had anemia, the rate of high risk in the study was more than two thirds of the sample . Therefore, it is recommended to increasing pregnant women's awareness about ANC and risk factors during pregnancy, continuing Educational Nursing Programmes to access the high quality of care, new studies should be established.

Services of Family planning have an essential role for improving the quality of family's lives and also their economic welfare. Family planning methods may lead to menstrual changes such as menorrhagia, oligomenorrhea or inter-menstrual spotting. Aim of the study: to assess the effect of contraceptive use on menstrual cycle patterns among clients attending family planning clinics in Assiut City and to assess the effect of menstrual cycle side effects on contraceptive discontinuation among these clients. Subject and Methods: This prospective study was conducted on1570 clients in F.P. clinics serve the west sector of Assiut city by using a structured interviewing and follow up questionnaires. Results: There are statistical significant differences between case &control group as regards Monthly Injectable, the combined pills and Progestin-Only Injectable used and menstrual disorders respectively. There is statistical significant difference between different method of family planning methods and discontinuation rate (P.V=0.008) and between contraceptive methods and its side effects at the first and second follow up (P.V= 0.001 and 0.001) respectively. Conclusions: Contraceptive use significantly affects the menstrual cycle and discontinuation rate of its users. Recommendations: Contraceptive counseling must be included knowledge about menstrual pattern changes. More researches should be done to assess the impact of family planning counseling on reducing the rate of unwanted pregnancy.

Services of Family planning have an essential role for improving the quality of family's lives and also their economic welfare. Family planning methods may lead to menstrual changes such as menorrhagia, oligomenorrhea or inter-menstrual spotting. Aim of the study: to assess the effect of contraceptive use on menstrual cycle patterns among clients attending family planning clinics in Assiut City and to assess the effect of menstrual cycle side effects on contraceptive discontinuation among these clients. Subject and Methods: This prospective study was conducted on1570 clients in F.P. clinics serve the west sector of Assiut city by using a structured interviewing and follow up questionnaires. Results: There are statistical significant differences between case &control group as regards Monthly Injectable, the combined pills and Progestin-Only Injectable used and menstrual disorders respectively. There is statistical significant difference between different method of family planning methods and discontinuation rate (P.V=0.008) and between contraceptive methods and its side effects at the first and second follow up (P.V= 0.001 and 0.001) respectively. Conclusions: Contraceptive use significantly affects the menstrual cycle and discontinuation rate of its users. Recommendations: Contraceptive counseling must be included knowledge about menstrual pattern changes. More researches should be done to assess the impact of family planning counseling on reducing the rate of unwanted pregnancy.