Abortion is the termination of a pregnancy by the removal or expulsion of an embryo or fetus from the uterus, resulting in or caused by its death. The aim of this study: Assess the impact of Immediate Versus Delayed Post Abortion Family Planning Counseling on Increasing Contraceptive Rate Subjects and method: All the included Post abortion women were randomly assigned into two main groups, Intervention Group women was counseled immediately after abortion about the family planning methods. The Control Group women who were receive the same counseling information but after one week of abortion at the Out Patient Family Planning Clinics. Results: The majority of both groups had no pregnancy with using family planning methods "79.0%&79.5%" respectively, with sig, differences between both groups P.V (0.040). Conclusion: There is Sig. differences with P.V (0.001) between Intervention and Control group as regards to the rate of contraceptive use. So Delayed is better than Immediate post abortion Family Planning Counseling on Increasing Contraceptive Rate. Recommendations: Public health promotion programs approved by the Ministry of Health should promote child-spacing, modern methods of contraception.

Background: The rapid upswing in obesity prevalence across nations, ages, and ethnic groups has reached pandemic proportions. There is a significant increase in the incidence of obesity with a prevalence of 2%–55% in adult females. Aims of the study to assess the hospital based rate of obesity among high risk pregnant women at Qena University Hospital, assess the antenatal obstetric and medical complications associated with obesity among these women, and provide health education about the dietary requirements. Subjects and methods Cross Sectional research design was carried out in this study. A simple random sample of high risk pregnant women (350) seeking care at Qena University Hospital were recruited. A Screening sheet used for detecting the rate of obesity by anthropometric measurements, then for obese women: a structured interviewing questionnaire was used to complete socio-demographic data, obstetric history, maternal medical history, family history, current antenatal risk factors associated with Obesity. The main results: more than half (57.4%) of high risk pregnant women were classified as obesity class one. Obese women were at increased risk of pregnancy complications such as previous caesarean section (38.3%), premature rupture of membrane were (13.4%), pregnancy induced hypertension (11.7 %). Conclusion hospital based rate of obesity was one third of the total flow of pregnant women at this hospital was obese with high risk pregnancy and the most common obstetrics' complications associated with obesity were previous caesarean section and premature rupture of membrane respectively.

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.

Pregnancy and the transition to parenthood involve major psychological and social changes in future parents. These changes have been linked to an increase in anxiety rates and depression symptoms. The aim of the study: was to investigate the prevalence, degrees and risk factors of antenatal depression and anxiety among pregnant women attending El-Eman Specialized Hospital, for antenatal care.

Pregnancy and the transition to parenthood involve major psychological and social changes in future parents. These changes have been linked to an increase in anxiety rates and depression symptoms. The aim of the study: was to investigate the prevalence, degrees and risk factors of antenatal depression and anxiety among pregnant women attending El-Eman Specialized Hospital, for antenatal care.

Premarital care is considered a public health measure as it is the essential part of primary and preventive care. Premarital care (PMC) is a worldwide activity aiming to diagnose, treat unrecognized disorders, and reduce transmission of diseases to couples. Aim of this study: This study aimed at assessing Knowledge, Attitudes and Practices among Prospective Couples about Premarital Health Care, In El-Minia City. Methods and Materials: A Descriptive research design was adopted to conduct this study. A systematic random sample was conducted among 500 prospective couples. The present study was conducted in Premarital Health Care Clinics (PMHCs) of main Maternal and Child Health Center (MCHc) related to Directorate of Health Affairs of El-Minia city. Data collected by using: structured interviewing sheet to assess the Knowledge and practice of the prospective couples about premarital health care & personal inventory to assess attitude toward premarital health care. Results: The study revealed that the majority of both prospective couples agreed to do premarital investigations. There was highly significance difference between both groups as regards the importance of premarital screening. Also, there was good knowledge and positive attitudes about premarital healthcare between both prospective couples. Regards to practice, this study revealed that female study participants take more care and practice than male participants do. Recommendations: More researches on young age group's knowledge, attitudes and beliefs about new life, responsibility and couples roles need to be done. More attention should be given to people at risk related to consanguineous marriage.

Physically or mentally disabled persons are specified as handicapped. Although handicapped is widely used in both law and every day speech to refer to people having physical or mental disabilities. The aim of the study: The aim of the present study is to assess the level of self concept among physically handicapped adolescents. Methods: descriptive case control study design was utilized. Sample includes 100 adolescents (50 boys and 50 girls. Three tools were used for data collection the first was a structured interview questionnaire to collect personal information, the second was the socioeconomic scale to assess the family socioeconomic status, and the third was the self image questionnaire to assess the self concept. Home visit was done to meet the handicapped adolescents to collect the necessary information. Data collection took about three months. Results: the findings show that the majority of the studied subjects were single in both groups. 44% of cases had low socioeconomic level, while it represents 24% in boys. The highest percentage of boys had middle self- concept than in girls. Conclusion and recommendation: The study recommended that Enhancement of self- concept and self- esteem of adolescents in the rehabilitation center emphasize on socialization and the need for adolescents to participate in activities with friends and attention must be given to the psychological aspects of the girls to give them support

Myocardial infarction (MI) is a world wide life threatening condition. Psycho- social factors contribute significantly to the pathogenesis and expression of myocardial infarction, which includes: Depression, anxiety, personality factors, social isolation and chronic life stress. The aim of the study: Psychological assessment of patients with myocardial infarction. Patients and methods: The study included 119 patients (78 (65.6%) males and 41(34.4%) females). The study was recruited at cardiac outpatient clinic of Assiut University Hospital during one year duration from 1st December 2009 until 30th November 2010. Methods: Each patient was assessed through Symptoms Check list-90-Revised (SCL- 90- R), Beck depression inventory (BDI) and Norbeck social supportive scale. Results: The highest percentage of subjects were males (65.6%), above 50 years old, resided in urban areas, illiterate, with low socio economic state, not working, had acute onset of ischemia, ( had hypertension, diabetes, smoking, obesity, not practice exercise and with family history of MI) as risk factors, also 25.2% had complication of MI, 59.7% with bad social supportive network, according to SCL- 90 –revised symptoms, revealed that high percentage of patients had psychiatric symptoms, 88.2% had symptoms of depression, 90.8% anxiety, 67.2% stress, 65.5% Somatization, 37.8% sensitivity, 37.8% hostility, 42.9% paranoia, 44.5% phobia, 54.6%obsession, 36.1% psychosis. Conclusion and Recommendation: Psychiatric symptoms are very frequent findings in patients with myocardial infarction and have to be detected and managed accordingly.

Myocardial infarction (MI) is a world wide life threatening condition. Psycho- social factors contribute significantly to the pathogenesis and expression of myocardial infarction, which includes: Depression, anxiety, personality factors, social isolation and chronic life stress. The aim of the study: Psychological assessment of patients with myocardial infarction. Patients and methods: The study included 119 patients (78 (65.6%) males and 41(34.4%) females). The study was recruited at cardiac outpatient clinic of Assiut University Hospital during one year duration from 1st December 2009 until 30th November 2010. Methods: Each patient was assessed through Symptoms Check list-90-Revised (SCL- 90- R), Beck depression inventory (BDI) and Norbeck social supportive scale. Results: The highest percentage of subjects were males (65.6%), above 50 years old, resided in urban areas, illiterate, with low socio economic state, not working, had acute onset of ischemia, ( had hypertension, diabetes, smoking, obesity, not practice exercise and with family history of MI) as risk factors, also 25.2% had complication of MI, 59.7% with bad social supportive network, according to SCL- 90 –revised symptoms, revealed that high percentage of patients had psychiatric symptoms, 88.2% had symptoms of depression, 90.8% anxiety, 67.2% stress, 65.5% Somatization, 37.8% sensitivity, 37.8% hostility, 42.9% paranoia, 44.5% phobia, 54.6%obsession, 36.1% psychosis. Conclusion and Recommendation: Psychiatric symptoms are very frequent findings in patients with myocardial infarction and have to be detected and managed accordingly.