SUMMARYObesity is the most conmen disorder of metabolism in humans , it is the oldest metabolic disturbances. Obesity can be defined as an increase in the body weight more than 20% above the ideal body weight (Foster , 1992). The identification of obesity and ovHypertension is considered now one of the most important worldwide disease, as it leads to multiple morbidities and mortalities, it is a multifactorial disease, both genetic and environmental factors play an important role in its development during the chThis work was designed to detect the prevalence of obesity among primary school children and to detect factors leading to obesity and predispose to occurrence of hypertension.Two tools were used in this study :1. An interview questionnaire sheet was used to collect biosocial, sociodemographic data, eating habits and family medical history.2. Clinical assessment sheet was used to measure the student’s weight, height and blood pressure measurements.In order to achieve the goals of this study, 200 school children from elementary school in Zagazig City were screened for obesity during the period from 4 / 2005 to 6 / 2005 .They were 105 females (52.5%) and 95 males (47.5%), their age ranged from 6-12 y• Weight and height measurements were done for all children to identify the degree of obesity according to Garrow, (1980) as the following equation :BMI = Weight / (Height)² in meters .• Blood pressure measurement for three consecutive days, the mean B.P. was calculated by the following equation:?xــــــn- The prevalence of obesity was found to be 18.6%. The prevalence among females and males were (10.4%, 8.2% respectively).- The prevalence of hypertension was of that systolic hypertension (30.5%), diastolic hypertension (24.5%) and combined hypertension was (6.0%).- Around 70% of the sample were middle and last borne child and 64.5% of them had a moderate level of scholastic achievement.- As regard the parent’s age (40%) of the children fathers were > 40 years old while in relation to mother’s age 42% of them aged 35-40 years old.- Regarding the parent’s educational level, 26.5% of the sample’s fathers were attended secondary education and only 15.5% of them were illiterate or read and write. In relation to mother’s education, 27.5% were illiterate or read and write while 17% of t- The majority of the sample’s fathers 93% were workers and 73% of the sample’s mothers were non-workers (housewives).- Consanguinity among the obese children parent’s was 25.5%.- Considering the family income, 76.5% of the sample families had a sufficient income while only 8% of them can able to save.- Concerning the social level, 45.5% of the sample families were low social class while 27% and 27.5% of them were from the middle and high social class. Also 78% of the sample had T.V. and radio devices.- Regarding the medical history, for the sample father’s 36.5% of them were obese while 38% suffered from hypertension and for the sample mother’s, 69% were obese while 24% of them were suffered from hypertension.- As regard the intake and regularity of meals, 72% of the sample had a regular meal time, 66% of them had a breakfast before going to school. Also 69.5% of the sample drunk milk daily.- Regarding the food quality, 96.5% of the sample were eating excess bread and starches while 92% of the sample preferred vegetables and fruits. On the other hand , 97.5% of the sample preferred excess salts and spices.- In relation to snacks and soft drinks, 72.5% of the sample had additional meals and snacks during the day. 89.5% of them drunk excess soft drinks. More than half of the studied sample (65%) were preferred to have their meals with their families. The maj- More than one quarter of the sample (27.5%) practiced exercises. Only 2% of them preferred walking while, 18.5% of the sample suffered from rapid breathing after practicing sports.- A statistically significant differences were found between the child’s sex, scholastic achievement (P= 0.002, P=0.000) respectively.- Concerning the relationship between sociodemographic and body mass index (BMI), there were statistically significant differences in consanguinity (P=0.05) and social level (P=0.05).- There were statistically significant differences between BMI and the sample’s mothers and fathers educational level (P= 0.01, P=0.03) respectively.- Regarding the relationship between BMI and the sample’s eating habits, there were statistically significant differences in eating excess bread and starches, proper cooking method, and drinking soft drinks (P=0.03, P=0.05) respectively.- There were statistically significant difference between BMI and physical exercises, at the types of sports and manifestations after exercises (P= 0.017, P=0.004) respectively.- Concerning the relationship between systolic hypertension and biosocial characteristics of the sample, there were statistically significant differences in school degree (P=0.000), birth order (P=0.03), and age (P=0.05). On the other hand, there was no s- Statistically significant differences were found between diastolic hypertension and biosocial characteristics in age (P=0.05), school degree (P=0.000) and scholastic achievement (P=0.001). With contrary there was no statistically significant difference SUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identi