Objective: To identify the effectiveness of instruction oriented intervention for primipara women upon episiotomy and self
perineal care.
Methodology: A quasi-experimental study was carried out to determine the effectiveness of instruction-oriented
intervention for primipara women upon episiotomy and self-perineal care. A purposive "non-probability" sample of (60)
primipara mothers was selected from Ibn AL-Balady Pediatric and Maternity Hospital, Al-russafa, Baghdad. The sample
has been divided into two groups; (30) primipara women who were considered as a study group, and another (30) primipara
women who were considered as a control one. The study group was exposed to an instruction-oriented intervention. While,
the control group was not exposed to the intervention. A questionnaire was developed as a tool of data collection for the
purpose of the study. A pilot study was carried out to test the reliability of the questionnaire for the period from March 13th
to March 25th, 2009. Data were analyzed through the application of descriptive and inferential statistical data analysis
approach.
Results: The results have revealed that the study group participants had benefit from the implementation of instructional
intervention and dramatic change had occurred in their episiotomy and self-perineal care knowledge. The study concluded
that the majority of mothers had adequately met their needs of perineal care, cleanliness of the perineum, using ice pack,
taking a soothing bath tube, dry heat, refrain from the marital relationship (coitus), mothers nutrition to prevent
constipation, used bath room, pelvic muscle exercise, follow-up were adequately met.
Recommendations: The study recommended that the oriented instructional intervention can be presented to all pregnant
mothers who are attending the primary health care centers. Moreover, an instructional intervention might be useful if it is
constructed and implemented in the hospital for women with episiotomy.
Individual cannot live alone due to to his need for others to facilitate His supplies for living, thus social affiliation is considered one of the most important psychological, social needs in individuals life through his willing to affiliate to others whether they were friends ,family, colleague , or even home to reach some degree of psychological stability.
Affiliation is a tool to search for Satiate through living with group from the same type or comply for group or to be compatible with them or even to be adherent and accept what the group agreed about of criterion.
 
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The research aimed to evaluate the financial performance of the Public Company for the manufacture of medicines and medical supplies / Samarra - Iraq to know the strengths and weaknesses that affect its performance, as well as to compare its performance in the years between (2017-2019), which are characterized by security stability with its performance in previous years (2014 -2016) which is characterized by security instability, to assess the extent of its ability to achieve growth in performance, by answering the main question, what is the evaluation of the performance of the Public Company for the manufacture of medicines and medical supplies / Samarra - Iraq in the light of financial indicators?
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