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Evaluation of maternal and neonatal outcomes in the case of preterm premature rupture of membranes and their relationship to prenatal maternal indicators: Across-sectional descriptive study ميرفت محمد الكاشف
Background and aim: Preterm premature rupture of membranes is one of the most important causes of pregnancy complication and a significant role in the occurrence of perinatal morbidity and mortality. The present study aims to evaluate the maternal and neonatal outcomes in the case of preterm premature rupture of membranes and their relationship to prenatal maternal indicators. Subjects and methods: A cross-sectional descriptive design was used to evaluate 68 pregnant women with a gestational age of 32 to before 37 weeks, and singleton pregnancy complicated by preterm premature rupture of membranes who fulfilled the inclusion criteria. The data were collected by convenience sampling using standardized tools. Results: A linear correlation was used to show a correlation between maternal clinical indicators with the predictive maternal and neonatal outcome using a Spearman Rho correlation coefficient. The most significant neonatal outcomes are neonatal intensive care unit admission, neonatal respiratory distress syndrome, and early neonatal sepsis. More than two-thirds of the studied women had expectant management, and less than one-fourth of them have postnatal sepsis. Conclusion and recommendation: The prenatal maternal indicators are the significant values for maternal and neonatal outcome in case of preterm premature rupture of membranes, so A further larger prospective study is recommended to demonstrate the difference in incidence, management protocol of preterm premature rupture of the membranes in the delivery and maternity health care services. ...
A study of Maternal and Neonatal Outcome after Threatened Miscarriage: A prospective follow-up-controlled design ميرفت محمد الكاشف

ABSTRACT— Threatened miscarriage is the most common complication of pregnancy; it associated with an increased incidence of adverse pregnancy outcome. This study was carried out to evaluate the effect of threatened miscarriage in the first trimester on the maternal and neonatal outcome. A prospective follow-up-controlled design performed on 100 pregnant women who attend the antenatal clinic at Wadi Addwaser General Hospital, with the inclusion criteria fulfilled. A purposive sample used, and the interviewing questionnaire was designed by the researcher to collect the data. The risk pregnancy outcomes were significantly higher in the studied group compared to the control one. A woman with threatened miscarriage had a significantly higher rate of unexplained antepartum hemorrhage, Placenta Previae, pregnancy-induced hypertension, premature rupture of membrane and pre-term delivery < 37>...

Urinary Tract Infection among Pregnant Women and its Associated Risk Factors: A Cross-Sectional Study ميرفت محمد الكاشف
Urinary tract infection is widespread among pregnant women and is accompanying adverse maternal, fetal, and neonatal outcomes. Even so, no data exist regarding this problem in Wadi Addawser to guide specific management and thus to avert the adverse consequences. The study aimed to assess the urinary tract infection among pregnant women and its associated risk factors and to investigate the most common antibacterial agent used by infected pregnant women. A total of 303 pregnant women who attend the obstetrics and gynecology clinic with the inclusion criteria were included. The sample was collected using a structured interview. The study results showed, 53.5 % of the studied women had positive pathogens in the urine culture. E. coli (37%) followed by Klebsiella pneumonia (27%) had the highest percentage of the isolated pathogens. Amoxicillin and cefoxitin (40.1% &21.6%, respectively) are the most antibiotics used by infected women, while the lowest used antibiotics are fusidic acid (5.6%). The clinical symptoms such as frequency of micturition, dysuria, lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were e most common among infected women. Since the symptoms are a good predictor for urinary tract infection during pregnancy, so early screening for pathogens and proper treatment for infected cases should be applied. Keywords: An antibacterial agent; Pregnant women; Urinary tract infection. ...
The correlation between interpersonal conflict and job satisfaction among intensive care nurses ميرفت محمد الكاشف

Abstract: Background: Nursing is the profession that based on collaborative relations that concentrate on high-quality care. Interpersonal conflict in the nursing profession is inevitable and can lead to nurses' job dissatisfaction with low-quality patient care. Aim: the study objective was conducted to assess the level of job satisfaction, interpersonal conflict and to ascertain the relationship between nurses' job satisfaction and interpersonal conflict among nurses in intensive care units at Benha University hospital.Methodology: research design used for the study was a cross-sectional correlational design with three months of monitoring. The study conducted in all available nurses working in critical care units at Benha University hospital in Benha city, Egypt which affiliated to the Ministry of health. After seeing the inclusion and exclusion criteria, the study sample was 150 professional nurses (150 out of 216) with a minimum of one year of experience; and willing to participate in the study. The study made use of a three-part researcher-made questionnaire, developed from the literature review. A convenient type of sample was used to collect the data. The researchers designed an interviewing assessment sheet, and the interpersonal conflict questionnaire and Bar- job satisfaction questionnaire are used to collect the data. Results: The findings showed that; the large percentages of the studied sample (78%) have interpersonal conflict. Majority of subjects were dissatisfied with their work (82.7%), and there was a significant negative correlation between interpersonal conflict and job satisfaction among studied nurses. Conclusions: interpersonal conflict negatively correlates with job satisfaction, and there were significant...

The Effect of Evidence-Based Guidelines on Nurses, Performance in Respect to Nosocomial Infection at Medical-Surgical and Obstetrician Departments Mageda A. S. Arafat1, Abeer Yahia Mahdy2, Mirfat M. L. El-Kashif3,* ميرفت محمد الكاشف

Abstract Background: Nurses are healthcare workers that play an essential role in the control of hospital infection, protect patients from hospital required infection and leads to better control of diseases. As long as, nurses, midwives, and healthcare support workers. Healthcare staff should have an adequate level of performance regarding hospital infection. Aim: Assess the effect of evidence-based guidelines on Nurse's performance in respect to nosocomial infection at medical-surgical and obstetrician department. Subjects and Methods: A pretest-posttest questionnaire design was used in this study to assess the effect of evidence-based guidelines on performance among nurses for infection control at Benha University Hospital. Sample: the total 110 nurses enrolled in this study (60) nurses in the internal medicine department, (30) nurses in the surgical department and (20) nurses in the obstetric department, nurses who their experience at least one year. With different, Age 20- 50 years old had been selected .Results: The present study showed that there were statistically significant differences in the level of knowledge, the practice of infection control methods, nurses attitude regarding nosocomial infection control before and immediately after induction of the guidelines,( MH7.220, P0.05), knowledge and attitude were (0.012, p>0.05), practice and attitude were (r=0.324, p ...

An Assessment of the Factors Influencing the Use of over-the-Counter Medication during the Second Trimester of Pregnancy, Egypt Mirfat Mohamed Labib El-Kashif1,*, Sheren Ebrahim El-Tahry2 ميرفت محمد الكاشف

Abstract Background: the use of self-medication in pregnancy is considered a public health problem and very complex.
The accuracy of this data is exceptionally remarkable as more clinical nurses announce self- medication used by pregnant
women has ever created a challenge in antenatal care due to the potential fetal teratogenicity associated it is using. The uses of
self -medications during pregnancy and the factors influencing it have not yet been fully investigated. Aim: The aim of this
study was to assess the magnitude of the use of over-the-counter medication during the second trimester of pregnancy and its
factors. Design: - A cross-sectional descriptive design from Jun to August 2018. Findings: - Out of 1050 respondents, 73.3%
of pregnant women used self- medications during their current pregnancy. Analgesics were the most common medication
used (44.8%), followed by vitamins (39.0%). The pharmacist was the most common source of knowledge (22.7%) and
regarded as easy access. No access to medication in governmental health care facilities (87.7%), and the health provider did
not listen carefully to complain (87.7%), were the main reasons mentioned for using self- medication. More than half of users
had a high level of education, and 57.8% of them had an insufficient monthly income. Chronic diseases were a significant
variable with use of self-medication during pregnancy. Conclusion & Recommendation: The use of self-medication is
prevalent among pregnant women. The deficiency of appropriate recommendations related to pregnancy- medications are
challenging for healthcare staff and clinical nurse who need sturdy evidence for...

A study of sexual dysfunction and its associated factors among women in childbearing age, Egypt Mirfat Mohamed Labib El-Kashif1, Sheren Ebrahim El-tahry2 1Maternity, Obstetric and Gynecological Nursing Department, Faculty of Nursing, Port Said University, ميرفت محمد الكاشف

ABSTRACT
Background and objective: Sexual dysfunction is a significant public health problem that is more common among women than
in men. The women sexual dysfunction and the factors influencing it have not yet been fully investigated. Aim: The present study
aimed to evaluate sexual dysfunction and its associated factors among women in childbearing age, Egypt.
Methods: A population-based cross-sectional survey involving 780 non-pregnant sexual active females aged 15-51 years old
who were recruited into the study by random sampling. The study population was selected from health facilities which affiliated
to the ministry of health in Damietta Governorate. Interview tools used to collect data related to female and male partner.
Results: A total of 780 women in childbearing age were enrolled. More than half of the studied women have sexual dysfunction
versus 46.9% without sexual function. 22.3% of sexual dysfunction women have mild dysfunction, 18.5% of them have moderate
dysfunction, and 12.3% have severe dysfunction. Desire disorder was the most common sexual disorder among participants
(67.3%), followed by arousal disorder (55.8%). There was a statistically significant correlation between female sexual dysfunction
and husband’s age, educational level and husbands suffer from depression, heavy smokers and hypnotic drugs used. Female
sexual dysfunction was found among older age, low educated and non-workers females, as well as women, suffer chronic disease,
genital inflammation, and stress.
Conclusions: Sexual dysfunction is prevalent among women, so further study based on a comprehensive survey is necessarily
needed.
KeyWords: Female, Reproductive age, Sexual dysfunction

...
Shift Work Pattern and Menstrual Characteristics among Nurses in Egypt Mirfat, M. L. El-Kashif1 and Mageda, A. S. Arafat2 1Lecturer of Maternity, Obstetric and Gynecological Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt. 2Lecturer, N ميرفت محمد الكاشف

Abstract: Background: Rotating shift work may interrupt the normal function of the biological clock, so
considered to be one of the factors leading to alter endocrine regulation and increased risk of menstrual cycle
abnormality. Aim: to assess the impact of shift work pattern on menstrual characteristics among nurses.
Methodology: Research design used for the present study was a cross-sectional comparative design with three
months of monitoring. The survey conducted in three hospitals in Benha city, Egypt which affiliated to the Ministry
of health. After recognizing the inclusion and exclusion criteria, the study sample was 100 (100 out of 678) active
female nurse staff who were in reproductive age below 40 years and had at least one year of work experience. A
convenient type of sample was used to collect the data. The researchers designed an interviewing assessment sheet,
and semi-structured menstrual self-assessment tool was adopted by the researcher to collect the data. Results: The
present study showed that there were statistically significant differences in educational attainment, work duration
and drinking tea habit among nurses in rotating shifts compared to day shift one. Heavy menstrual bleeding and
severe dysmenorrhea were significantly higher among rotating shifts group nurses (MCP=0.034* and P=0.021*,
respectively). Also, inter-menstrual bleeding and short cycle length were higher among nurses in rotating shifts
group but not a significant difference. Also, Irregular menstrual cycle and very severe dysmenorrhea were
significantly higher among nurses with more than 12-night shifts rotation at the last twelve months of work
(P=0.001* and MCP=0.005*,...

Maternal Markers for Detecting Urinary Tract Infection among Pregnant Women in Port Said City, Egypt Mirfat Mohamed Labib El-Kashif1,*, Samia Eaid Elgazzar2 1Obstetric and Gynecological Nursing- Faculty of Nursing- Port Said University, Egypt 2Medical-Sur ميرفت محمد الكاشف

Abstract Background: Urinary tract infection (UTI) is one of the highest frequently problem caused by bacterial
factors in a pregnant woman, which can lead to significant complications for both fetus and mother that hasten early
detection for problems and prevention. The study aimed to identify the maternal markers for detecting urinary tract
infection among pregnant women in port said City, Egypt. Subjects and Methods: A cross-sectional descriptive
design was performed on 101 pregnant women who attend the obstetrics and gynecology clinic at Port Said general
hospital with the inclusion criteria from first September 2017 to end of February 2018. The structured interviewing
questionnaire and Laboratory test record were used to collect the data using a purposive sample. Result: In this study,
53.5 % of the studied women had positive bacteria in the urine culture. E. coli (39%) had the highest percentage of
the isolated bacteria followed by Staphylococcus aureus (26%). The frequency of micturition, followed by dysuria,
lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were the most
common maternal markers, predisposing factors associated with UTI during pregnancy were age, occupation, family
income, previous treatment for UTI during current pregnancy, regular urination, diabetes mellitus, and previous
urinary tract infection. Recommendations: A guidelines about preventive measures of UTI for pregnant women
should be providing. Since the symptoms are considered reliable markers for detecting UTI during pregnancy, so
suitable screening for early detection and provide proper treatment for infected cases should be implemented.
Keywords: Urinary tract infection...

Factors Influencing Utilization of contraception among Women in Port Said City Dr. Elsayda Hamdy Nasr*1, Dr. Mirfat Mohamed Labib El-Kashif 2 & Dr. Esraa Mostafa Abd El-aty3 1, 2, 3 Lecturer of Maternity, Gynecological and Obstetrics Nursing, Faculty of N ميرفت محمد الكاشف

Abstract Background: Family planning permits individuals and couples to attain their desired number of children, the spacing and timing of their births. Widespread evidence shows that family planning is a good investment for governments, fewer babies mean improved health status for families, lower costs of maternal/child health care and education and higher worker productivity. The study aimed to assess factors influencing utilization of contraception among women in Port said City. Methodology: A community-based cross-sectional descriptive design was utilized in the family planning clinics at 12 health centers representing the six regions of Port-said city. A600 contraceptive user's women in the twelve centers were recruited randomly for the study. A self-administered questionnaire was used. Results: The women in the study sample mean age was 38.9 ±7.3 years, regarding uses of family planning methods the most common methods used were a hormonal method (56.5%). The intrauterine device was used by 28.3%. The majority of the studied women choose the method according to their desire and with their husband accord. More than one-third of them received contraceptive information from associates or friends and family member or relatives 34.7% of women suffered from side-effects and complications associated with the use of the contraceptive method. Method failure, cognitive barriers as well as the desire for conception were the most common reasons for discontinuation of contraceptives. Conclusion& Recommendation: Most of the ladies choose the method according to their cognitive, desire for conception, and method failure. A significant relation was found between financial variables, biological, menstrual...

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