Mother & Childhood Nurs. تمريض صحة الأم والطفل

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    Access, Utilization and Compliance to Family Planning Methods among Women and the Role of Health Care Providers as Educators
    (Al-Quds University, 2025-03-27) Areej Awni Mohammed Nawara; أريج عوني محمد نوارة
    Abstract The use of contraceptives is necessary for the spacing of each birth to reduce complications that may occur to the mother and her child, and improve the mother's and her child's health status. The studies aimed to assess women's access, utilization, and compliance with family planning (FP) methods, as well as the role of healthcare providers (HCPs)in educating them in the Gaza Strip (GS). The study uses a cross-sectional descriptive design to explore access, utilization, compliance, and the role of HCPs in FP education. Data will be collected through self-administered questionnaires from 361 women attending primary healthcare centers in the southern and mid-zone GS. A combination of quota and consecutive sampling was applied. The questionnaire includes sections on socio-economic factors, FP use, access, compliance, and HCPs roles. The study tools have been selected, and the rate of Cronbach's alpha is 0.910 to measure stability. A pilot study on 36 women was done to explore the appropriateness of the study instruments; data were analyzed using SPSS version 25. Ethical approval ensures confidentiality and voluntary participation.Findings revealed significant factors affecting FP access utilization and compliance, including spousal communication 85.6%, husband’s influence 82.5%, and healthcare providers’ guidance 70.6%. Also, the study revealed that women were using contraceptives 70.8%, the copper IUD, 21.7%. Implants 2.2%. The level of women's access to different contraceptive options, including access to hormonal methods like pills and patches, and condoms, 62,8%, and access to copper IUDS, 62.2%. Additionally, the study found a contraceptive compliance rate of 78%. Health education programs about contraceptives are 83%. Socio-demographic factors such as age, education, employment, and income were found to influence access and compliance with FP methods, P<0.05, with younger 43.6%, less educated (53.1% women, 45.3% husbands), and unemployed women 16.7%. Increasing reproductive wellness includes both access to and use of FP methods. Healthcare professionals are essential in informing people about their alternatives so they can make well-informed decisions. The success of FP programs increases when rules are effectively followed. To enhance compliance, HCPs need more training in FP counselling and to be given access to a variety of strategies. To promote trust and improve communication between patients and providers, healthcare professionals must receive ongoing education.
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    Exploring Palestinian Women’s Experiences with Ectopic Pregnancy in West Bank, Palestine: A qualitative study
    (Al-Quds University, 2025-05-24) Jihan Ramadan Abdel- Fatah Badaha; جيهان رمضان عبد الفتاح بدحة
    Ectopic pregnancy is a serious health problem that might imply life threatening complications among women in the reproductive stage. Despite the well-known implications of early diagnosis and surgical management of ectopic pregnancy, women's experience of ectopic pregnancy and its consequences is not well understood, particularly within the Palestinian context. Aim and Objectives: This study aimed to explore the psychological, physical, and social dimensions of Palestinian women's experiences following an ectopic pregnancy. Methodology: A qualitative phenomenological design was employed, using purposive sampling. Ten women who had experienced ectopic pregnancy at Ramallah Governmental Hospital and Al Maqased Hospital in Jerusalem participated in depth isemi-structured interviews, which were conducted between February and June 2023. Thematic analysis was used to identify patterns in participants' narratives. Main Findings: Five major themes emerged: (1) Psychological Impact, characterized by sadness, denial, guilt, fears about future fertility, and feelings of inadequacy; (2) Physical Impact, marked by severe persistent pain and difficulties related to medical procedures; (3) Social Impact, including inadequate support, stigmatization, and social isolation; (4) Marital Dynamics, ranging from blame and ignorance to support and care; and (5) Healthcare Provider Interactions, revealing lack of psychological support and unclear communication about treatments and prognosis. Conclusion : The findings demonstrate that ectopic pregnancy profoundly affects women's psychological wellbeing, physical health, social relationships, and marital dynamics. Palestinian women face unique challenges influenced by cultural and healthcare system factors. This study highlights the need for integrated psychosocial support, clear communication from healthcare providers, holistic pain management, and enhanced post-treatment guidance. These insights can inform improvements in clinical practice and support systems for women experiencing this challenging reproductive health event. Keywords: Ectopic pregnancy, Palestinian women, psychological impact, physical pain, social support, qualitative research, reproductive health.
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    The 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 فياض
    The 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
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    Quality 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 معروف
    The 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.
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    Preconception 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 فرسخ
    Background: 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