Journal of Perinatal Society of Nepal最新文献

A Baby Girl Born with Bilateral Congenital Cataract to A Mother with Unilateral Congenital Cataract Treated in Childhood 一女婴出生时患有双侧先天性白内障，母亲在童年时患有单侧先天性白内障

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson9

Apariharya Rana, Srijana Adhikari, Chandika Pandit

引用次数: 0

Determination of Gestational Age by Fetal Kidney Length Measurement in Uncomplicated Pregnancy in a Tertiary Care Centre 在三级保健中心通过胎儿肾脏长度测量测定无并发症妊娠的胎龄

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson7

U. Khanal, Akash Kumar Chaurasia, Birendra Raj Joshi, A. Jha

{"title":"Determination of Gestational Age by Fetal Kidney Length Measurement in Uncomplicated Pregnancy in a Tertiary Care Centre","authors":"U. Khanal, Akash Kumar Chaurasia, Birendra Raj Joshi, A. Jha","doi":"10.59881/jpeson7","DOIUrl":"https://doi.org/10.59881/jpeson7","url":null,"abstract":"Introsution: Gestational age of fetus is estimated by including various biometric parameters. Newer parameters like fetal kidney length have not been studied in Nepalese population. \u0000Objective: To determine gestational age by fetal kidney length measurement after the 20th week of gestation in healthy women with uncomplicated pregnancy. \u0000Method: Obstetric sonography was performed in 108 pregnant women with regular menstrual cycles, known menstrual age and uncomplicated pregnancy from 20 weeks to term. Fetal kidney length was evaluated as a measure to calculate the predicted gestational age. \u0000Results: The study showed mean fetal kidney length at 20-24, 25-29, 30-34 and 35-37 weeks gestation 22.5 ± 0.5, 26.9 ± 0.7, 32.32 ± 0.7 and 36.3 ± 0.6 mm, respectively. Overall, in second and third trimester, fetal kidney length showed strong linear correlation with gestation age with highest significant Pearson correlation coefficient of 0.989 as compared to other parameters (BPD=0.986, HC=0.976, AC= 0.971, FL= 0.984). \u0000Conclusion: Fetal kidney length can be used as a reliable parameter for determination of gestational age. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124345287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disease Pattern of Out-Patient Department Visits in The Department of Obstetrics and Gynecology at A Tertiary Care Hospital 某三级医院妇产科门诊就诊疾病类型分析

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson2

Pramod Kattel

{"title":"Disease Pattern of Out-Patient Department Visits in The Department of Obstetrics and Gynecology at A Tertiary Care Hospital","authors":"Pramod Kattel","doi":"10.59881/jpeson2","DOIUrl":"https://doi.org/10.59881/jpeson2","url":null,"abstract":"Background: Department of obstetrics and gynecology is one of the busiest departments amongst hospital visits. The aim of this study was to determine the disease pattern prevailing in out-patients of department of obstetrics and gynecology and their segregation with respect to infectious and non-infectious etiology. \u0000Methods: This hospital based cross-sectional study was conducted in outpatients attending obstetrics and gynecology department of Kathmandu National Medical College, Kathmandu, Nepal from 17th August 2017 to 16th August 2018. A sum of 1504 patients attending the department was enrolled in the study which included cross referrals for out-patient consultations as well. Diagnosis was based on history, examination and/or investigations (urine, cervical discharge, blood and/or ultrasonography- abdomen and pelvis). \u0000Results: More than half (n=803, 53.4%) out-patient department consultation was observed in age group of 20-30years with mean age of 24years. Noninfectious etiology accounted for most out-patient visits (n=1016, 67.6%). The top five out-patient department visits noted were vaginal discharge syndrome (n=325, 21.6%) followed by abnormal uterine bleeding (n=202, 13.4%), ante-natal visits (n=147, 9.8%), non-specific pain lower abdomen/backache (n=108, 7.2%) and urinary tract infection (n=98, 6.5%). Among the total 82 cross-referrals, the order for referral was Medicine (n=34, 41.5%), Dermatology (n=22, 26.8%), Pediatrics (n=12 14.6%), Surgery (n=8, 9.8%) followed by Dental (n=6, 7.3%). \u0000Conclusions: The patterns of gynecological problems observed were vaginal discharge followed by abnormal uterine bleeding, non-specific pain lower abdomen/backache and urinary tract infection in descending order. The most common infectious problem being vaginal discharge and non-infectious being abnormal uterine bleeding. The result of this study will be helpful for health planners and policy makers for launching programs to reduce gynecological morbidity and improve overall women’s health.","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"23 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125947301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Bacterial Vaginosis in Preterm Labour and Its Fetal and Maternal Outcome 细菌性阴道病在早产中的患病率及其胎儿和母体结局

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson5

S. Gurung, J. Shrestha, A. Subedi

{"title":"Prevalence of Bacterial Vaginosis in Preterm Labour and Its Fetal and Maternal Outcome","authors":"S. Gurung, J. Shrestha, A. Subedi","doi":"10.59881/jpeson5","DOIUrl":"https://doi.org/10.59881/jpeson5","url":null,"abstract":"Introduction: Preterm births accounts for about 11.1 % of births worldwide. Infection accounts for 20% – 40% of these cases and Bacterial vaginosis has been found in 15 % of preterm labor group. \u0000Objective: To find the prevalence of Bacterial vaginosis among the cases who presented with preterm labour and to determine its maternal and neonatal outcome. \u0000Methodology: A prospective cross- sectional analytical study on 100 preterm labour cases conducted over a year in the obstetric ward in Manipal Teaching Hospital. Three high vaginal swabs from posterior fornix were taken and tested in Microbiology laboratory. The maternal and neonatal outcome of women with preterm labour due to bacterial vaginosis were noted. The data were analyzed using SPSS 21. Chi2 test was used for comparing maternal and neonatal complications positive or negative with Bacterial Vaginosis. \u0000Results: In the study period, 584 women had preterm deliveries. The total deliveries during that period was 2,531. The prevalence of Bacterial vaginosis in PTB was found to be 17 %.The accuracy of Gram stain was found to be 90% (sensitivity-57%, specificity-92%, PPV-36%, NPV-96%). The accuracy of wet mount was 90 % (sensitivity-42.85%, specificity-93.5%, PPV-33.3%, NPV95.6%). There were increased cases of chorioamnionitis among women who were BV positive (p-value=0.02). Newborn born to women with BV positive had increased chance of poor Apgar score at 5 minutes (p-value <0.05). \u0000Conclusion: Maternal and neonatal complications were more common in women with preterm labour associated with Bacterial Vaginosis. Gram stain and wet mount are fairly accurate and can be used as an adjunct to culture for the diagnosis of Bacterial Vaginosis. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115534733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Study of Perinatal Outcome and Neonatal Hypothyroidism in Pregnant Women with Hypothyroidism Delivering in a Tertiary Care Centre in Western Nepal 在尼泊尔西部三级保健中心分娩的甲状腺功能减退孕妇围产期结局和新生儿甲状腺功能减退的研究

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson3

Miki Shah, B. Panta, Asmita Pantha, Benju Nepal, Kopila Sunar, Sunita Thapa, D. Shrestha

{"title":"Study of Perinatal Outcome and Neonatal Hypothyroidism in Pregnant Women with Hypothyroidism Delivering in a Tertiary Care Centre in Western Nepal","authors":"Miki Shah, B. Panta, Asmita Pantha, Benju Nepal, Kopila Sunar, Sunita Thapa, D. Shrestha","doi":"10.59881/jpeson3","DOIUrl":"https://doi.org/10.59881/jpeson3","url":null,"abstract":"Introduction: Hypothyroidism is a common endocrine problem in pregnant women with a reported prevalence of 1.5 to 4.4%. Both overt and subclinical hypothyroidism have adverse effects on perinatal outcome. \u0000Aim and Objective: To find the prevalence of hypothyroidism in pregnancy and its impact on perinatal outcome and neonatal hypothyroidism in a tertiary centre in western Nepal. \u0000Methods: This is a retrospective descriptive study conducted from April 2018 to April 2022 involving 75 hypothyroid pregnant women during their antenatal check-ups. It also included known cases of hypothyroidism. The hospital records of all the hypothyroid women who delivered in this centre were reviewed. The prevalence of subclinical and overt hypothyroidism were calculated. The relationship between the status of hypothyroidism and perinatal outcome in terms of mode of delivery, APGAR scores, birth weight and admission to neonatal intensive care unit were evaluated. \u0000Results: The prevalence of maternal hypothyroidism was 0.92% with subclinical hypothyroidism being 0.29% and overt hypothyroidism being 0.63%. The perinatal outcomes in terms of mode of delivery, APGAR scores, birth weight and admission to neonatal intensive care unit were not statistically significant between subclinical and overt hypothyroidism. \u0000Conclusion: The prevalence of maternal hypothyroidism, especially subclinical hypothyroidism was low. There were no significant adverse effects on perinatal outcome. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130100178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antenatal Magnesium Sulphate Infusion for Neuroprotection of Preterm Babies 产前硫酸镁输注对早产儿神经保护的作用

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson11

Bashu Dev Parajuli

引用次数: 0

Failed Successive Attempts at Medical Abortion of A 26 Weeks Intrauterine Fetal Death and The Discovery of Rudimentary Horn Pregnancy 26周宫内死胎连续用药流产失败及角妊娠初步发现

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson10

Radhika Kunwar

引用次数: 0

Maternal Complications and Perinatal Outcome in The Booked and Unbooked Cases of Pregnancy at Manipal Teaching Hospital 马尼帕医院预约和未预约妊娠的产妇并发症和围产儿结局

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson4

R. Tuladhar, J. Sharma

{"title":"Maternal Complications and Perinatal Outcome in The Booked and Unbooked Cases of Pregnancy at Manipal Teaching Hospital","authors":"R. Tuladhar, J. Sharma","doi":"10.59881/jpeson4","DOIUrl":"https://doi.org/10.59881/jpeson4","url":null,"abstract":"Introduction: The use of prenatal care prevents maternal complications and perinatal adverse outcomes by early identification of high risk pregnancies, assessment of growth and well being of the fetus, prompt diagnosis and management of complications, with safe delivery. \u0000Objectives: This study aims at comparing the obstetrical complications and perinatal outcomes in delivered booked and unbooked mothers to determine the correlation of booking status and maternal and perinatal outcome. \u0000Methodology: In this prospective study, 350 patients admitted for delivery at Manipal Teaching Hospital, Pokhara during March 2014 to May 2015 were included. Antenatal complications of the mothers, postnatal complications, neonatal outcome and the mode of delivery were compared amongst the booked and unbooked cases. \u0000Results: There was an increased prevalence of preeclampsia (6.3% in unbooked vs. 1.6% in booked); eclampsia (2.5% in unbooked vs. nil in booked); antepartum haemorrhage (5.06% in unbooked vs. 2.1% in booked); Preterm premature rupture of membrane (5.1% in unbooked vs. 2.1% in booked); Rh-isoimmunization (06% in unbooked vs. nil in booked); Intrauterine growth restriction (5.7% in unbooked vs. 3.6% in booked ); and Intrauterine fetal death (7.6% in unbooked vs. 0.5% in booked) in unbooked mothers as compared to booked mothers. The unbooked mothers were prone to postpartum hemorrhage (6.9% vs 2.6% in booked mothers). Assisted breech delivery and ventouse delivery were recorded higher in unbooked cases than in booked case (3.2% vs. 0.5% and 3.8% vs. 3.1% respectively). \u0000Conclusion: The poorer maternal and fetal outcome in unbooked cases in comparison to booked cases can be reduced with the best utilization of the prenatal care. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129121875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of Providing Kangaroo Mother Care at a Tertiary Hospital 在三级医院提供袋鼠妈妈护理的经验

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson8

Sunil Raja Manadhar

{"title":"Experience of Providing Kangaroo Mother Care at a Tertiary Hospital","authors":"Sunil Raja Manadhar","doi":"10.59881/jpeson8","DOIUrl":"https://doi.org/10.59881/jpeson8","url":null,"abstract":"Introduction: Hypothermia is a major problem in newborns particularly among low birth weight (LBW) babies and it is one of the major cause of mortality and morbidity among LBW babies. Kangaroo Mother Care (KMC) is a simple method of maintaining temperature by keeping the LBW babies normothermic and indicated especially for LBW babies without using costly equipment. Dr Edgar Rey Sanabria introduced Kangaroo Mother Care (KMC) in Bogotá, Colombia in 1978 as an alternative to incubators for LBW infants to keep small babies warm. WHO defines KMC with its four components: early, continuous, and prolonged skin-to-skin contact between the newborns and mother; exclusive breastfeeding; early discharge from the health facility and close follow-up at home. Objective: To share the experience of Kangaroo Mother Care (KMC) at Kathmandu Medical College Teaching Hospital (KMCTH) \u0000Materials and Methods: At neonatal unit, 5 bedded an air-conditioned room were allocated as the KMC room and the temperature of this room was maintained at 28 0C. Before starting KMC, orientation on KMC, its procedures and benefits were explained to the mother or caregivers. Premature /LBW babies were kept over the mother’s chest with the help of cotton-made slings (Nyano Angalo wrap). The study period was of a one-year duration (Nov 2018- October 2019) . \u0000Results: 35 babies born in KMCTH received KMC during 12 months period (Nov 2018- October 2019) using Nyano Angalo wrap. The mean birth weight of babies kept on KMC was 1340 gms and mean gestational age was 33.6 wks. Each baby received KMC for 14.5 hrs average duration. \u0000Conclusion: Kangaroo mother care is a simple, feasible and non expensive intervention. It enhances breast feeding and bonding between the mother and the newborn babies. Its extensive use will help in the reduction of present high neonatal mortality, particularly among LBWs due to hypothermia. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114193675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perinatal Outcome Following Assisted Reproductive Technology Treatment at A Tertiary Fertility Center In Nepal. 尼泊尔三级生育中心辅助生殖技术治疗后的围产期结局。

Journal of Perinatal Society of Nepal Pub Date : 2023-06-01 DOI: 10.59881/jpeson6

Sanu Maiya Shrestha Pradhan, Renee Pradhan, M. Bajracharya, A. Karki, Namuna Ghimire

{"title":"Perinatal Outcome Following Assisted Reproductive Technology Treatment at A Tertiary Fertility Center In Nepal.","authors":"Sanu Maiya Shrestha Pradhan, Renee Pradhan, M. Bajracharya, A. Karki, Namuna Ghimire","doi":"10.59881/jpeson6","DOIUrl":"https://doi.org/10.59881/jpeson6","url":null,"abstract":"Introduction: Globally, an increasing number of babies have been born with the help of Assisted Reproductive Technology (ART) treatment. While most births after ART are uncomplicated, sometimes it is associated with adverse perinatal outcomes such as preterm birth, low birth weight and increased risk of congenital anomalies. Therefore, the objective of this study was to assess the perinatal outcomes in children born after assisted reproductive technologies at a tertiary fertility center in Nepal. \u0000Methodology: This was a descriptive study which analyzed retrospective data collected from the medical record of a tertiary fertility center at Lalitpur, Nepal. Perinatal outcomes of total 201 births that resulted from various ART treatment that was conducted in the center from November 2015 till April 2021 have been included in this study. Univariate analysis was done in SPSS version 20. \u0000Results: Altogether, there were 201 total births out of which 199 were live births and 2 were stillbirths. Among the live births around two-third (69.7%) were singleton deliveries and remaining one- third (30.4%) were multiple deliveries. More than 90% of study population had undergone Lower Segment Caesarean Section (LSCS). There were 263 live born babies resulting from 199 live births. More than half of the babies were born prematurely (50.19%). Low birth weight (LBW) and very low birth weight (VLBW) was seen among 36.50% and 7.22% babies respectively. Congenital abnormality was identified in 13 babies (4.94%) Four stillborn babies and eight neonatal deaths were reported. More adverse perinatal outcomes were seen among twins and triplets than singleton babies. \u0000Conclusion: While most births were uncomplicated, certain extent of adverse perinatal outcomes among the ART conceived babies cannot be ignored. Vigilant monitoring of pregnancy conceived by ART treatment helps in improving the perinatal outcome. ","PeriodicalId":158871,"journal":{"name":"Journal of Perinatal Society of Nepal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114213847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0