Mother & Childhood Nurs. تمريض صحة الأم والطفل
Permanent URI for this collection
Browse
Recent Submissions
Now showing 1 - 5 of 60
- ItemThe Quality of Immediate Postnatal Care in the Northern Area of West Bank: Mothers’ Perspectives(Al-Quds University, 2025-05-17) Saja Asri mohammad fayyad; سجى عصري محمد فياضThe first 24 hours after childbirth are critical, with complications like hemorrhage and sepsis responsible for up to 45% of maternal deaths. Immediate postnatal care, provided within the first 24 to 48 hours, is essential for stabilizing the mother, supporting the newborn’s transition, initiating breastfeeding, and reducing maternal and neonatal morbidity and mortality. Aim: The purpose of study is to assess the perceived quality of the immediate postpartum care components offered to mothers and their newborns at childbirth facilities in the Northen area of West Bank from the mother prospective. Methods: This research utilized a descriptive - cross-sectional design to assess the perceived quality of immediate postpartum care in the northern area of West Bank from mothers’ perspectives.The main maternal and child health clinics associated with MOH in the northern region of the West Bank, Palestine, namely in Nablus, Jenin, Tubas, Qalqilya, Tulkarm, and Salfit, were the sites of this study.Data was gathered using a paper questionnaire between October 2024 and December 2024.Convenient sampling method was used among women who fulfilled the inclusion criteria to achieve the purpose of the study. Sample size was 338. The analysis was conducted using both descriptive and inferential statistical methods. Descriptive statistics summarized with frequency, percentage, means and standard deviations. For inferential analysis, an independent t test and one-way ANOVA were performed with post-hoc Bonferroni test applied for significant findings. Pearson’s correlation analysis was used to examine relationships between continuous variables. Results:Most participants were aged 24–29 years, held university degrees, and were unemployed, with most residing in urban areas. The average number of pregnancies was three, with 84.6% reporting no complications during pregnancy. More than half of the mothers experienced a normal delivery with episiotomy, and nearly half practiced exclusive breastfeeding. The perceived quality of postpartum care during the first hour after delivery was rated positively (mean = 3.8), particularly in vital signs monitoring and bleeding checks. Care after the first hour received a slightly lower score (mean = 3.5), with strengths in pain management but weaknesses in emotional and family support. Newborn care during hospitalization also scored positively (mean = 3.8), while health education provided before discharge was rated neutral (mean = 3.2), reflecting gaps in family planning, postpartum exercise, and warning signs education. Overall maternal satisfaction was positive (mean = 3.9), with higher ratings for clinical care than for educational components. Statistical analysis showed significant associations between higher income, number of children, hospital type, and length of hospital stay with perceived care quality. No significant correlation was found between care quality and breastfeeding continuation. Conclusion: the clinical aspects of postpartum care are generally well-perceived, educational and supportive components remain insufficient. The study recommends enhancing staff training, improving educational interventions, and considering socioeconomic factors to improve maternal and newborn care outcomes in the region. Key Words: Immediate Postpartum Care;Perceived qualityof Care;West Bank; Mothers’ Perspectives
- ItemQuality of Immediate Postpartum Care Provided by Midwives at Selected Hospitals in the Gaza Strip, Palestine(Al-Quds University, 2025-04-06) Sohier Nael Abdelrahman Marouf; سهير نائل عبد الرحمن معروفThe quality of immediate postpartum care (QoPPC) provided by midwives is a life-threatening factor influencing maternal and newborn health outcomes. This study evaluated QoPPC at governmental Gaza Strip (GS) hospitals. The study focused on midwives’ perceptions regarding maternal and newborn care within the first six hours after birth. The study explored key domains, newborn care, and midwifery practices. Additionally, the satisfaction of mothers with postpartum services was also studied. A cross-sectional study design included 72 midwives (census) and 335 postpartum mothers (random) from Helou International Hospital, Patient Friends Hospital, andAssahaba Medical Complex, Gaza, Palestine. Data was collected using structured questionnaires targeting midwives and mothers. A pilot study was conducted to examine the validity and reliability of the questionnaires, and the alpha coefficient was 0.948 for the midwives' questionnaire and 0.920 for the mothers' questionnaire. Statistical analysis was conducted using the SPSS program (version 25). Ethical approval was obtained from the Helsinki Committee and administrative approval from. Findings indicated high overall perceptions of QoPPC among midwives across all studied domains (88.6%). The highest-rated domain was midwives' maternal care practices (89.0%), followed by newborn care (88.2%). The study found significant differences in care quality across hospitals (P < 0.05). Still, no statistically significant differences were observed based on academic qualifications, marital status, years of experience, income, place of residence, or training received (P > 0.05). Additionally, a strong positive correlation was observed between total postpartum care and newborn care (r = 0.881, P < 0.001) and between total care. Mothers’ satisfaction with postpartum care services was 81.25%. Statistical analysis revealed no statistically significant differences in satisfaction levels based on socio-demographic characteristics (P > 0.05). The study revealed high quality of postpartum care provided by midwives and high satisfaction of mothers with the services they received at maternity hospitals in the GS. The study recommended the need to enhance midwifery training to ensure continuous professional development.
- ItemPreconception Care Knowledge, Attitudes, and Practices among Reproductive Age Women in West Bank(Al-Quds University, 2025-01-16) Nour Jamal Mohammad Farsakh; نور جمال محمد فرسخBackground: Preconception care (PCC) is crucial for optimizing maternal and neonatal health by addressing modifiable risk factors and promoting healthy pregnancies. Objective: This study aimed to assess the knowledge, attitudes, and practices (KAP) of Palestinian women of reproductive age regarding PCC in the northern West Bank. Methods: A cross-sectional study was conducted from June to September 2024 in the Ministry of Health primary care clinics across six northern West Bank districts. A structured questionnaire was administered to 400 women aged 18-45, covering sociodemographic characteristics, gynecological factors, and KAP regarding PCC. Results: Among the 400 surveyed women, the largest age group was 23 to 27 years (25.5%). The majority of participants were married (82.3%), Regarding marital relationships, 77.5% of married women reported they have no relationship with their husbands (kinship). Most respondents (59%) had a university education. In terms of family income, 34.3% had a moderate income between 2000-3000 NIS per month. The majority of women were housewives (63%), followed by employees (29.5%), with only a small percentage being students (2.3%) or other occupations (2.3%). Most participants (77.25%) reported having previous information about preconception care , primarily sourced from gynecologists (40.45%), followed by the internet (17.75%) and friends and family (16.85%). In the term of Knowledge regarding PCC the majority of respondents (61.75%) had moderate level of knowledge with a mean score of 0.602, while 25.75% had poor knowledge and 12.5% exhibited good knowledge regarding PCC. The findings also revealed that the majority of women 83.79% had a positive attitudes about PCC. According to practice toward PCC the study finding found that most of respondents 74.5%. had a good practices with a mean practice score of 1.83 (SD = 0.673). Education level was moderately correlated with knowledge (r = 0.146, p = 0.003), while other demographic and gynecological variables showed weak or insignificant correlations. Conclusion: Palestinian women in the northern West Bank demonstrate fair knowledge, positive attitudes, and good practices regarding PCC. Increased efforts to provide PCC education, starting in schools and extending through healthcare facilities, are recommended to enhance knowledge and outcomes. To further enhance knowledge and outcomes, it is recommended to expand PCC education, beginning in schools and continuing through healthcare facilities, to bridge existing gaps and promote better health practices
- ItemThe Title of The Study: The quality-of-life level of infertile Palestinian Women & Men in West Bank, Palestine: A Cross-sectional Study.(Al-Quds University, 2024-08-24) Anwar Amin Mousa Hammad; أنوار أمين موسى حمادBackground. infertility is not only a reproductive problem but also a societal and cultural issue especially in the Palestinian community. Previous studies concluded that infertility negatively influences the infertile individual and strongly affects the quality of life of those people. Aim. To assess the quality of life among infertile men and women who seek treatment at Razan and European fertility centers in Bethlehem and Ramallah- West Bank. Method. A descriptive cross-sectional study design was employed to implement this study by using online questionnaire. The target population was composed of infertile men and women who seeking infertility treatment in Razan centers in Bethlehem and Ramallah, Palestinian European fertility center in Ramallah in the West Bank, Palestine. Data was collected using a online questionnaire, a valid and reliable Arabic version of the “FertiQol international” questionnaire was used in the data collection. The questionnaire includes two sections: the socio-demographic characteristics, and the FertiQoL questionnaire subscale. A convenient sample of the participants (100 women and 100 men) were met at the centers as mentioned above and invited to participate in the study according to the inclusion criteria then the participants fill the online questionnaire after they received the link to the questionnaire. The data was analyzed using the Statistical Package for Social Sciences (SPSS) Version (25). Results. The study included a total of 200 participants, with an equal distribution of Men (50.0%) and Women (50.0%) Our findings indicate that the QoL of infertile women is better than infertile men. For infertile men and women, the 18-27 age group had significantly lower scores compared to the older age groups on all FertiQoL subscales (p<0.05). For infertile women, significant differences were found between job status and FertiQoL subscales in the Mind-Body, Relational, Social, Core FertiQoL, Treatment Tolerability, and Total FertiQoL. In contrast, for infertile men, statistically significant differences in the Relational, Core FertiQoL, Treatment Environment, Treatment Tolerability, subscales, and Total FertiQoL score were significantly higher for employed versus unemployed Men (p=0.037). In monthly economic status, for infertile men and women P- values were less than (0.05) in all subscales. For both infertile men and women, those who had successful pregnancies before scored significantly higher on all subscales (p= 0.001), except the social subscale for infertile women, there was no significant difference. For infertile Men, there were statistically significant differences between FertiQoL and type of infertility in the Social (p=0.01) and Core FertiQoL(p=0.03) subscales, for Women, there was a statistically significant difference in the Mind-body subscale (p=0.01), and Core FertiQoL subscale (p=0.05) only. For Men, there were statistically significant differences between FertiQoL and undergone in vitro fertilization in the Relational, Social, Core FertiQoL, and Treatment environment (p<0.0001) subscales, and infertile Women, in the Mind-body, and Core FertiQoL(p<0.0001) subscales.Conclusion. The infertile women and men evaluated their satisfaction with their QoL as good most of the participants evaluated their health and satisfaction with scores of more than 3 from 5, however, the infertile women had better QoL than infertile men. The QoL becomes better for infertile men and women by increasing in age, high education level, having a job, high family monthly income, and having previous successful pregnancies. No correlation was found between the QoL of infertile men and women and the type of infertility, duration of infertility, residence area, and the diagnosed cause of infertility. Infertility among Palestinians is a complex and multifactorial issue influenced by societal, financial, cultural, and political issues.
- ItemPalestinian Women Knowledge towards Pelvic Organ Prolapse in West Bank, Palestine: Across sectional study(Al-Quds University, 2024-08-20) Doha Khaleel Moheasen; ضحى خليل محيسنPelvic organ prolapse (POP) is a common disorder among women of different ages, although, the prevalence of pelvic organ prolapse is high in developing countries and its negative impact on women life who have this problem, previous research detected a lack of knowledge and awareness among women as well as limitation in their seeking care behaviors towards POP. Aim: to assess women’s knowledge about Pelvic organ prolapse in the southern area of West Bank, Palestine. Methodology: A cross-sectional study was conducted among 317 married women of different ages. The sample of this study was convenient. Women from Hebron and Bethlehem areas were invited to participate in this study. A questionnaire in Arabic language was developed by the researchers and then was validated to achieve the purpose of the study. Data collection was conducted by using electronic and paper questionnaire. SPSS version 25 was used for data analyses, Kruskal-wallis H and mann whitney u test was used. Results: Approximately, 208 (65.6%) of the participants had low level of knowledge about POP in term of risk factors, diagnosis and treatment. The major source of knowledge with regards the POP is the surrounding community 95 (30%). Moreover, around 89 (28.1%) did not aware and did not hear about POP. Medical science education and report sign and symptoms (S&S) of POP and the awareness about POP had strong relationships with the level of knowledge of pelvic organ prolapse. The prevalence of women who had POP symptoms is 182 (57.4 %), 151 (82.9 %) of them didn’t seek health care regarding POP symptom. There are no relationships between demographic and obstetrical data and presence of POP symptoms. The highest mentioned reason 106 (70.19%) for not seeking health care was that the symptoms are not annoying”, the next reason 103 (68.2%) is the belief that the condition they suffer is normal. iv Conclusions: There are low level of knowledge and awareness among Palestinian women regarding POP as well as high level of POP symptoms and high level of not seeking health care among women who had symptoms of POP151 (82.96). intervention needed to improve Palestinian women knowledge towards POP risk factors, treatment, prevention and early detection and promote their seeking care behavior by encouraging them to visit the gynecologic clinics.