Manju Pandey, B. Shrestha, B. Acharya, H. Subedi, S. Baniya
{"title":"Inversion of uterus due to prolapsed submucous fundal fibroid","authors":"Manju Pandey, B. Shrestha, B. Acharya, H. Subedi, S. Baniya","doi":"10.3126/njog.v17i2.52382","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52382","url":null,"abstract":"Inversion of uterus is rarely encountered by gynecologist during practice; inversion in a non- pregnant uterus is further rarer; only case reports are published in literature on non-puerperal uterine inversion. We present a case of a 40-years multipara who had a history of irregular and excessive vaginal bleeding associated with severe lower abdominal pain during vaginal bleeding for two years. She was referred from general hospital with suspicion of cervical cancer. Being a rare clinical condition diagnosis and management of uterine inversion is challenging. High index of clinical suspicion is necessary which can be aided by radiographic imaging. Our case was diagnosed as a case of complete uterine inversion secondary to fundal fibroid clinically. She underwent abdominal hysterectomy with bilateral salpingectomy with bilateral sacrospinous vault suspension after resuscitation with fluids, blood transfusion and broad-spectrum antibiotics.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78319985","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}
{"title":"Late presentation of vesicouterine rupture following vaginal birth after caesarean","authors":"Baburam Dixit Thapa, M. Regmi","doi":"10.3126/njog.v17i2.52381","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52381","url":null,"abstract":"Vesicouterine rupture is one of the complications of vaginal birth after cesarean section. Late presentation of bladder along with uterine rupture is rarely reported in literature. A case of vaginal birth after cesarean got admitted on seventh postpartum day due to hematuria and urinary retention. On Per abdominal examination bladder was palpable. A large defect was noted in the dome of bladder on cystoscopy. The posterior wall and fundus of uterus was acting as posterior wall of urinary bladder on laparotomy. Total hysterectomy was done and bladder was repaired. ","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":"88606703","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}
{"title":"Correlation between various biochemical biomarkers and blood pressure in pregnant women","authors":"Balwinder Kaur, Renu, Anil Kumar, Beant Singh, Manjit Kaur","doi":"10.3126/njog.v17i2.52374","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52374","url":null,"abstract":"Aims: To find out the correlation of C-reactive protein, serum uric acid and serum LDH with hypertensive antenatal patients. \u0000Methods: The present study was conducted among preeclamptic and eclamptic antenatal patients. Serum was used for estimation of serum levels of CRP, LDH and Uric acid. The data obtained was compiled and analyzed statistically and was expressed in terms of mean±SD and percentage. Student t-test, Chi-square test, Pearson’s Correlation Coefficient were used and p value less than 0.05 was considered significant. \u0000Results: A positive correlation was found between serum CRP level and systolic blood pressure (r = +0.525, P=0.001) & serum CRP level diastolic systolic blood pressure (r= + 0.493, P=0.001). There was a positive correlation between serum uric acid with systolic (r= +0.454, P <0.001) and diastolic blood pressure (r = +0.471, p < 0.001). There was positive correlation between Serum LDH with systolic (r =+0.385, p value of r <0.001) and diastolic BP (r = +0.420, p value of r < 0.001). \u0000Conclusion: Hyperuricemia, increased serum CRP and LDH level can be used as biomarkers for identifying women at risk of preeclampsia and its complications along with adverse effects. We conclude that CRP, serum LDH and Serum Uric acid are reliable and inexpensive markers to predict severity of hypertensive disorders of pregnancy. \u0000 ","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":"90885094","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}
{"title":"Clinical and Demographic Profile of Covid-19 Infected Pregnant Women admitted in Obstetric Ward","authors":"M. Thapa, Dilasha Karki, Sujata Maharjan, L. Lama","doi":"10.3126/njog.v17i2.52378","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52378","url":null,"abstract":"Aims: To evaluate the severity of the infection among pregnant women in an urban area of Nepal during the first surge in COVID-19 cases in Nepal in the year 2020. \u0000Methods: This is a retrospective and descriptive study carried out at Department of Obstetrics and Gynecology in Kathmandu Medical College, Kathmandu, Nepal, from August 2020 to January 2021. All the Covid infected pregnant women admitted in Obstetric ward for various presenting symptoms were included. \u0000Results: Among 52 Covid-19 positive pregnant women admitted for various obstetrical and medical complaints, 90.38% were asymptomatic at the time of admission. Those who were symptomatic (9.61%) had mild form of infection. Majority of infected women were admitted in the month of October and November with most common presentation being women in labour (48.07 %). \u0000Conclusions: Pregnant women with SARS Covid-19 infection has no greater threat to their health.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79513284","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}
M. Gautam, Bipin Khanal, Amita Dhakal, Manish Pathak, Sagarika Tiwari
{"title":"Ultrasound measurement of fetal kidney length in the second and third trimester of pregnancy and its correlation with gestational age","authors":"M. Gautam, Bipin Khanal, Amita Dhakal, Manish Pathak, Sagarika Tiwari","doi":"10.3126/njog.v17i2.52369","DOIUrl":"https://doi.org/10.3126/njog.v17i2.52369","url":null,"abstract":"Aims: To measure the fetal kidney length in the second and third trimesters of pregnancy and correlate it with the gestational age and other routine fetal parameters.\u0000Methods: This prospective cross-sectional study includes 250 pregnant women presented in the Nobel Medical College for ultrasound examination from the period of July 2021 to June 2022. Gestational age was estimated based on the last menstrual date and ultrasonogram. Routine fetal parameters and mean fetal kidney length were measured. The correlation between gestational age, fetal kidney length, and routine fetal parameters was studied.\u0000Results: The mean gestational age according to ultrasound and last menstrual period were 35.5 ± 3.4 weeks and 35.2 ± 3.2 weeks respectively. The mean fetal kidney length was 36.8 ± 4.02mm. There was a very strong positive correlation between gestational age and fetal kidney length (r=0.921, p =0.001). Compared to the routine fetal parameters, adding fetal kidney length improved the effectiveness in predicting gestational age. (R2 =0.918 vs. R2 =0.936)\u0000Conclusion: Fetal kidney length can be added to the other standard parameters to improve the prediction of gestational age. ","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78643313","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}
{"title":"Maternal and fetal outcome of severe pre-eclampsia and eclampsia in cesarean section and normal delivery","authors":"L. K, S. B","doi":"10.3126/njog.v16i2.42103","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42103","url":null,"abstract":"Aims: To evaluate the maternal and fetal outcomes in severe preeclampsia and eclampsia in Cesarean Section and normal delivery . \u0000Methods: An observational descriptive study of severe pre-eclampsia-eclampsia conducted in the Department of Obstetrics and Gynaecology, Basaveshwara Medical College Hospital. Gestational age 32-42 weeks were included and imminent deliveries were excluded from the study. Primary outcome variables were mode of delivery, maternal morbidity-mortality, and perinatal morbidity-mortality. \u0000 Results: 63.2% in severe pre-eclampsia, 50% in eclampsia group delivered vaginally; 15.1% in severe preeclampsia and 25% in eclampsia group underwent elective LSCS; 21.7% in severe preeclampsia and 25% in eclampsia group underwent emergency LSCS. Incidence of cesarean deliveries in severe pre-eclampsia was 36.8% and in eclampsia it was 50%. No maternal death was observed in elective LSCS. Maternal death in vaginal delivery cases was 0.94% in severe preeclampsia and 4.76% in eclampsia. In emergency LSCS cases maternal mortality was 1.4% in severe preeclampsia and 4.76% in eclampsia group. No perinatal mortality was observed in elective LSCS group; 4.7% perinatal mortality occurred in normal delivery, 20.5% in emergency LSCS in severe preeclampsia and 7.1% in eclampsia who were delivered vaginally. \u0000Conclusion: In eclampsia, feto-maternal outcome is better in the cesarean deliveries than in the vaginal deliveries","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84656696","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}
{"title":"Unusual occurrence of tuberculosis in mature cystic teratoma","authors":"Sanjib Pariyar, S. Karki","doi":"10.3126/njog.v16i2.42122","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42122","url":null,"abstract":"Mature cystic teratoma is a common benign germ cell tumor of ovary. Unusual presentation can be seen in mature cystic teratoma like struma ovarii, carcinoid tumor, and malignant transformation. Detection of tuberculosis in mature cystic teratoma is uncommon. Here, a 57-years-female who presented with abdominal mass and pain abdomen who had tuberculosis in mature cystic teratoma","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82663678","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}
J. Shah, Jenifei Shah, G. Baral, R. Baral, Jesifei Shah
{"title":"Types of plagiarism and how to avoid misconduct: Pros and cons of plagiarism detection tools in research writing and publication","authors":"J. Shah, Jenifei Shah, G. Baral, R. Baral, Jesifei Shah","doi":"10.3126/njog.v16i2.42085","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42085","url":null,"abstract":"The ultimate journey of research and writing is publication. To see one’s name listed in the author's byline is an exciting feeling. This exciting feeling of authorship credit is linked with responsibility. The impact of the published work will depend on the dissemination of evidence-based scientific findings to help the health care workers, scientists, and policymakers for the benefit of society. This requires ethical research, to begin with, and publication without misconduct to maintain the integrity and trust in science. Among various misconducts in research writing and publication, plagiarism is serious scientific misconduct. The issue of plagiarism is a global concern that requires a collective effort from all stakeholders to prevent it and take prompt action if this issue does arise. Adequate teaching and training are necessary to increase awareness right from the early phases of learning; and to develop a culture of ethical research, writing, and publication. Types of plagiarism and its characteristics vary and should be dealt with accordingly, from a warning to definitive punishment for the offense committed. The software available to detect and avoid plagiarism is plenty and should be used taking into consideration their accuracy, usability, and cost.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82855951","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}
{"title":"Juvenile nulliparous uterine prolapse in an unmarried 17-year-old adolescent","authors":"Apariharya Rana, A. Rana","doi":"10.3126/njog.v16i2.42116","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42116","url":null,"abstract":"In a peripheral health camp, a 17-year-old juvenile nullipara who presented with the history of something coming out per vagina was clinically diagnosed as third-degree pelvic organ prolapse (POP) Stage III, acknowledged as a rarity concerning patient wellbeing and reproductive future.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78632209","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}
{"title":"Electrical Cardioversion in Pregnancy: A Case Report","authors":"H. Rijal, S. Thapa, Pooja Jha","doi":"10.3126/njog.v16i2.42119","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42119","url":null,"abstract":"A case of 28 years primigravida with refractory tachycardia at term is reported. She was refractory to medical cardioversion. Electrical cardioversion was applied before and after the delivery of baby. With several cycles of variable joules of electrical cardioversion, the normal rhythm was not obtained. However, patient’s rhythm reverted to sinus with anti-arrhythmic medication after third week of cesearean delivery.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"170 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76795298","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}