Mother & Childhood Nurs. تمريض صحة الأم والطفل
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- 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.
- ItemAsessment of Midwives knowledge and Compliance toward Active Management of Third Stage of Labour at Hebron hospital in Palestine(Al-Quds University, 2024-08-26) Ikhlas Mahmoud Ahmad Hmidat; اخلاص محمود احمد حميداتIntroduction: Postpartum hemorrhage (PPH) is a serious maternal life-threatening complication in the third stage of labor that leads to maternal morbidity and mortality globally, particularly responsible for about 25%of maternal deaths in developing countries ( WHO, 2018). PPH can be preventable by using Active Management of the Third Stage of Labor AMTSL as the use of AMTSL reduces the PPH occurrence in about 60%. Moreover, AMTSL is important worldwide intervention protocol to prevent PPH by shortening the time of the normal third stage of labor by using a uterotonic drug (oxytocin), delaying cord clamping, controlling cord traction, and checking uterine tones to achieve delivery of the placenta safely and decrease blood loss in labor, and to complete placental delivery in less than 30 minutes. This study evaluates the knowledge and competency of midwives in Hebron hospitals, Palestine, regarding AMTSL. Aim: To assess midwives' knowledge and competency in AMTSL and examine the correlation with socio-demographic variables toward active management of the third stage of labor at Hebron hospitals in Palestine. Methodology: This study used a Quantitative, descriptive cross-sectional design, conducted in the main six governmental and private hospitals in Hebron city. The sample size was 125 midwives. Data were collected using two validated and reliable separate tools (Questionnaires was used to collect the data for assessing midwives knowledge and observational checklist was used to evaluate midwives practices of AMTSL ). Ethical approval was obtained from the Ethical Committee at Al-Quds University, and permission was taken from the Palestinian Ministry of Health, the nursing directors of private hospitals, and the head midwife in each ward of the selected hospitals. The verbal consent form was taken from each participant and from delivered mother . The study duration lasted six months from (June to December)/ 2023. Data were analyzed using the Statistical Package for Social Sciences (SPSS 26). Results: Results showed a poor level of knowledge among the midwives toward the AMTSL with a total knowledge score of (76%). However, midwives reflect good level of knowledge (86%) For (Domain 1) 'Before Placental Expulsion. In contrast, Domain 2 and Domain 3 (During Placental Expulsion and After Placental Delivery), indicate a lower level of knowledge in about (68% and 62%) respectively. However, the Midwives practices of AMTSL at the hospitals in Hebron governorate were considered good practice which accounts for a score of (89.3%). A very weak correlation was found between the total knowledge score and practice implementation R (correlation) was (0.056) with p-value of (0.534). There was a significant correlation between the midwives' age and their knowledge of AMTSL in (D1&D3), marital status correlated with their knowledge in (D3), and years of experience also correlated with their knowledge in (D3). The training on AMTSL correlated positively with their knowledge of (D1&D2) and with their Practice (D2) and the availability of written protocols on AMTSL in the institution correlated positively with the total knowledge in (D1&D2) and practice (D2). Conclusions: The results of this research emphasize how critical it is for midwives to have ongoing professional development, standardized protocols, and sufficient resources to improve their adherence to AMTSL practices. This study highlights the need for continuous education and training programs to enhance midwives' proficiency in AMTSL, aiming to reduce PPH and improve maternal health outcomes in Palestine. Recommendations include facilitate regular professional development workshops and standardized protocols across healthcare facilities. Moreover, activate the monitoring system at hospital to maintain the application of AMTSL practices
- ItemTeachers' Knowledge Attitudes and Practices of School Bullying among Children in Northern Areas of the West Bank of Palestine(Al-Quds University, 2024-05-29) Enas Hani Abedalateef Amer; إيناس هاني عبد اللطيف عامر: Bullying among school children is a big concern, as it leads to several negative consequences for the children and their school achievements. School teachers need to have adequate knowledge and the proper level of positive attitude and practices towards how to deal with such phenomenon. Aim: to examine the knowledge, attitudes, and practices of school teachers of bullying in northern areas of the West Bank of Palestine. Methodology: The study employed a quantitative design and a convenient sample of 424 school teachers from 22 randomly selected schools in the Northern areas of West Bank – Palestine. Teachers were asked to answer a self-administered questionnaire. The questionnaire was taken from previous studies. It was then modified and distributed online Data analysis was undertaken using SPSS, and ethical considerations were considered. Results: Teachers had a median age of 42 years old, 60.8% were females, and 54.7% reported facing bullying issues with children before. Median (IQR) knowledge, attitude, and practice scores were 74.29 (5.71), 87.0 (4) and 73.33 (8), respectively, significantly higher among females, older teachers, with higher educational levels, and who faced bullying before with children. Also, more experienced teachers had more positive attitudes and practice, while teachers in boy's schools had less positive attitudes. Significant correlations were found between knowledge and attitude (r = 0.361, p-value < 0.001), knowledge and practice (r = 0.282, p-value < 0.001) and attitude and practice (r = 0.290, p-value < 0.001). Conclusion: The phenomenon of school bullying among children is worth studying, and school teachers showed high levels of knowledge, positive attitudes, and accepted level of practices in the North West Bank of Palestine. It is recommended to establish more educational training for teachers and conduct further studies in this area in other settings of Palestine. Conclusion: The phenomenon of school bullying among children is worth studying, and school teachers showed high levels of knowledge, positive attitudes, and accepted level of practices in the North West Bank of Palestine. It is recommended to establish more educational training for teachers and conduct further studies in this area in other settings of Palestine.