Nepal Journal of Obstetrics and Gynaecology最新文献

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2023-02-11 DOI: 10.3126/njog.v17i1.49685

R. Baral

引用次数: 0

Smooth muscle tumor of uncertain malignant potential (STUMP) of Vulva 外阴不确定恶性潜能的平滑肌瘤

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52383

M. Yadav, G. Baral

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Two syringes technique for spinal anesthesia to prevent hypotension in patients undergoing elective cesarean section 选择性剖宫产术中预防低血压的双针管麻醉技术

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52370

S. Shrestha, Jeju Nath Pokhrel, T. Gurung, Sagar Devkota, Apurb Sharma

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Abortion Legislation and its Reform: A Cross Sectional Study on the Views of Obstetricians and Gynecologists in Nepal 堕胎立法及其改革:尼泊尔妇产科医生观点的横断面研究

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52372

S. Aryal, D. Shrestha

{"title":"Abortion Legislation and its Reform: A Cross Sectional Study on the Views of Obstetricians and Gynecologists in Nepal","authors":"S. Aryal, D. Shrestha","doi":"10.3126/njog.v17i2.52372","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52372","url":null,"abstract":"Aims: To assess the knowledge of obstetrician and gynaecologists in Nepal about abortion legislation and to know their perception on its reform. \u0000Methods: A cross-sectional survey design was adopted. An online questionnaire was sent to all members of the Nepal Society of Obstetrician and Gynaecologists and response was collected. Profile of the respondents, their knowledge on the 2002 abortion legislation and their attitude on its reform were noted. \u0000Results: The response rate was 10.1%. There was a fair knowledge of previous abortion legislation amongst the 43 respondents. The mean score for the knowledge on previous abortion law and its reform was 3.85±0.35 and 3.0±1.14 respectively. Twenty-seven (62.8%) respondents felt the need for reform was necessary. In regards to the reform, 44.25% (19) stood for it and 46.5% (20) were against it. More (55%) obstetrician and gynaecologists practicing in the Bagmati province were against the reform. \u0000Conclusions: Obstetrician and gynaecologists practitioners in Nepal have a good knowledge of abortion legislation and are aware of its reform. The need for reform is also perceived well but there is a divided opinion amongst practitioners, with half of them positive about the reform and half standing against it. \u0000 ","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85325837","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

Clinical analysis of ectopic pregnancy in a tertiary center in rural Telangana 特伦甘纳邦农村某三级中心异位妊娠的临床分析

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52373

N. Anusha, B. M. Hota, N. Movva

{"title":"Clinical analysis of ectopic pregnancy in a tertiary center in rural Telangana","authors":"N. Anusha, B. M. Hota, N. Movva","doi":"10.3126/njog.v17i2.52373","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52373","url":null,"abstract":"Aims: To find the incidence, risk factors, morbidity and mortality in ectopic pregnancy in a tertiary center in rural Telangana.\u0000Methods: This retrospective observational study was conducted in the Department of Obstetrics and Gynecology, Mamata Medical College, Khammam, Telangana State, India, over 5 years from 2017 to 2021. Detailed informative data of all admitted and treated cases of ectopic pregnancy were collected, analyzed and discussed.\u0000Result: The incidence of ectopic pregnancy was 1.3 per 100 pregnancies and 2.5% case fatality. The majority of cases were in the 20-30 years of age group (82.5%); multipara (50%) and gestational age of ≤ 8 weeks (62.5%). History of abortion was the most common risk factor (67.5%). The classical triad of amenorrhoea, pain abdomen and bleeding per vagina was present in 45% of cases; and amenorrhea (97.5%), pain abdomen (87.5%) and vaginal bleeding (42.5%), abdominal tenderness (85%) and unstable hemodynamic (22.5%) were reported. The fallopian tube was the commonest site and operative management was required in 97.2% of cases.\u0000Conclusion: Prevention of known risk factors, early reporting and referral in need, diagnosis and effective management is the way to a better outcome in ectopic pregnancy.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78985940","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

Analysis of the phenotypic variants of polycystic ovarian syndrome in women of reproductive age group 育龄妇女多囊卵巢综合征表型变异分析

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52379

P. Basnet, M. Chhetry, D. Shah, Tulasa Basnet, Sarita Sitaula, M. Dahal

{"title":"Analysis of the phenotypic variants of polycystic ovarian syndrome in women of reproductive age group","authors":"P. Basnet, M. Chhetry, D. Shah, Tulasa Basnet, Sarita Sitaula, M. Dahal","doi":"10.3126/njog.v17i2.52379","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52379","url":null,"abstract":"Aims: To identify the different phenotypic variant of PCOS in women of reproductive age group and to assess the hormonal and metabolic profile of women with PCOS.\u0000Methods: This Prospective descriptive study was conducted in the Department of Obstetrics and Gynecology, BPKIHS, Dharan for a period of one year from July 2020 to June 2021. All Women presenting to Gynecology OPD with complaints of menstrual irregularity and clinical features of hyperandrogenism were assessed and evaluated for polycystic ovarian syndrome. BMI was calculated. Hormonal Profile (serum LH, FSH and testosterone) and metabolic parameters (fasting blood sugar and lipid profile) were studied; and then further categorized into different phenotypic variants. All data were stored in Microsoft excel format and analyzed using SPSS version 11.5. using descriptive statistics.\u0000Results: Total of 80 cases of PCOS were enrolled during the study period. The most common phenotypic variant was Type B (60%) followed by Type D (30%). The mean BMI was 22.4± 4.2kg/m2 . All PCOS cases presented with menstrual irregularity as the primary complaint.\u0000Conclusions: Anovulatory PCOS was the most common phenotypic variant in our study population. This study did not find obese PCOS hence emphasizing the need of evaluation in lean women with or without hyperandrogenism presenting with menstrual irregularities. ","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85580073","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

Analysis of the Factors leading to Severe Acute Maternal Morbidity and Maternal Mortality during COVID 19 Pandemic COVID - 19大流行期间孕产妇严重急性发病和死亡因素分析

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52384

J. Shrestha, Sudiksha Thapa, Nidhish Sharma

{"title":"Analysis of the Factors leading to Severe Acute Maternal Morbidity and Maternal Mortality during COVID 19 Pandemic","authors":"J. Shrestha, Sudiksha Thapa, Nidhish Sharma","doi":"10.3126/njog.v17i2.52384","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52384","url":null,"abstract":"Aims: To determine prevalence, causes and factors leading to severe acute maternal morbidity and mortality during COVID 19 pandemic. \u0000Methods: The was a cross sectional observational study conducted in the department of Obstetrics and Gynaecology of Manipal teaching hospital from March 2020 to February 2022 amid COVID 19 pandemic. Women who sustained severe acute maternal morbidity (according to World health organization organ system criteria) and maternal deaths during pregnancy, labour and six weeks postpartum were included. Maternal characteristics, total live births, pregnancy outcome, causes and factors leading to morbidity and mortality were noted. The acquisitioned data was analyzed using Statistical Package for Social Sciences version 21. \u0000Results: There were 37 cases of severe acute maternal morbidity and 2 cases of maternal deaths. The severe acute maternal morbidity ratio was 9.4 per 1000 live births and maternal mortality ratio was 51 per 100,000 live births. Therefore, severe acute maternal morbidity mortality ratio was 18.5:1 and mortality index 5.1%. Haematological and coagulation system (45.9%) and neurological system (29.7%) were the common organ systems involved. Hypertensive disorders (40.5%) and haemorrhage (32.4%) were the main causes of severe acute morbidity. Both maternal deaths occurred due to eclampsia. There was no severe acute maternal morbidity or mortality due to COVID infection in pregnancy. Delay in seeking and reaching to the health centre (65%) was major delay leading to severe morbidity and mortality. \u0000Conclusions: Indices and causes of severe acute maternal morbidity and mortality during COVID 19 pandemic was not worse compared to those prior to COVID 19 pandemic. Primary delay in seeking and reaching health care was the main factor leading to severe morbidity and mortality. \u0000 ","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78430942","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

Stillbirths In Nepal: A Scoping Review 尼泊尔的死产:一项范围审查

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52368

Keshar Bahadur Dhakal, D. Khadka, A. Dhakal, Sulochana Dhakal-Rai

{"title":"Stillbirths In Nepal: A Scoping Review","authors":"Keshar Bahadur Dhakal, D. Khadka, A. Dhakal, Sulochana Dhakal-Rai","doi":"10.3126/njog.v17i2.52368","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52368","url":null,"abstract":"Stillbirth is the term to describe a foetal demise in utero either prior to, or during the process of labour. It is one of the most burning issues in obstetrics research in recent years. Stillbirth is one of the most heart-wrenching events which can occur unexpectedly during the course of a pregnancy. It causes immense distress to the mother and the health professionals involved. This study aims to explore the incidence, sociodemographic characters, risk factors and obstetrical outcomes related to stillbirths among various studies in Nepal. We searched various electronic databases such as MEDLINE, CINAHL, PubMed, Nepal Journals on-line (NepJOL) and Bangladesh Journals on-line (BanglaJOL) from 2014 to 2021, especially for articles reporting hospital-based stillbirths. We included studies with primary studies on stillbirth conducted in a hospital setting in Nepal and published in English language. The incidence of stillbirths in Nepal varied widely. In this study, the incidence varied from 8 to 23.87 per 1000 births. The majority of stillbirths were preterm, occurring among women aged 20 - 35 years. Many stillborn babies were low birth weight. The categorisation of maternal age and weight of baby, lower limit of gestational week was not similar across the studies. Hypertensive disorders in pregnancy and unexplained factors were the leading risk factors. Limited number of studies available and the lack of uniformity among studies was the main limitation of this review.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76588043","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

Smooth muscle tumor of uncertain malignant potential (STUMP) 恶性潜能不确定的平滑肌瘤(STUMP)

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52380

R. Yadav, S. Ansari, Kanika Chopra, K. Agrawal, M. Osama, S. Dhar

引用次数: 0

Diagnostic Laparoscopy to assess tubal and pelvic pathology in patients of subfertility: A retrospective analysis 诊断腹腔镜评估输卵管和盆腔病理在不孕患者:回顾性分析

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-12-31 DOI: 10.3126/njog.v17i2.52371

Nilam Subedi, A. Ghimire, P. Pant

{"title":"Diagnostic Laparoscopy to assess tubal and pelvic pathology in patients of subfertility: A retrospective analysis","authors":"Nilam Subedi, A. Ghimire, P. Pant","doi":"10.3126/njog.v17i2.52371","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52371","url":null,"abstract":"Aims: To assess the tubal pathology contributing to primary and secondary infertility by laparoscopic examination. \u0000Methods: The study was carried out in the department of Obstetrics and gynecology, Grande International Hospital. This is a retrospective study conducted in tertiary care hospital over a period of 2 yrs. From 2020 February to 2022 January. All patients with complaints of infertility (primary and secondary) who were admitted, evaluated and operated for infertility in Obstetrics and Gynaecology department of Grande international Hospital. \u0000Results: Of the 52 patients minimum age was 20 and maximum was 46 with mean age of 30.52±4.885. Thirty eight patients had primary infertility and 14 had secondary. Forty patients had normal uterus while 12 had enlarged uterus. Hydrosalpinx was found in 11.5 % and 30.8% in right and left tube respectively. Pyosalpinx was found in 9.6% and 7.7% in right and left tube respectively. Bilateral tubes were patent in 22 cases while bilateral blocked tube was found in 13 cases so rest 17 cases had unilateral tubal block. Pelvic adhesions were found in 44.2 % cases. Most of them were associated with endometriosis (15.4%) followed by ovarian cyst (11.5%) and fibroid uterus (11.5%). \u0000Conclusions: Majority had normal tubal pathology followed by edematous tube, hydrosalpinx and pyosalpinx. Endometriosis, fibroid and ovarian cyst were commonly associated conditions.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89764653","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