Nepal Journal of Obstetrics and Gynaecology最新文献_第3页

Pregnancy Outcome in Early versus Late Onset Preeclampsia 早发型与晚发型子痫前期的妊娠结局

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42101

J. Shrestha, A. Subedi, E. Gauchan, A. Shrestha, Chandan Pandey

{"title":"Pregnancy Outcome in Early versus Late Onset Preeclampsia","authors":"J. Shrestha, A. Subedi, E. Gauchan, A. Shrestha, Chandan Pandey","doi":"10.3126/njog.v16i2.42101","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42101","url":null,"abstract":"Aims: To determine the pregnancy outcome of early and late onset preeclampsia. \u0000Methods: This was a cross sectional analytical study conducted in the department of Obstetrics and Gynaecology, Manipal Teaching Hospital from July to October 2021. All cases of preeclampsia diagnosed according to International Society of Study of Hypertension in Pregnancy 2018, were included. Early and late onset preeclampsia cut-off used was 34 weeks. Preeclampsia diagnosed before 34 were classified as early onset and after 34 weeks as late onset preeclampsia. Maternal and perinatal outcomes were analyzed using Statistical Package for Social Sciences version 21. \u0000Results: The prevalence of early onset and late onset preeclampsia were 4.3% and 8.3% of all deliveries. Early to late onset preeclampsia were 1:2. Renal involvement, placental abruption, IUGR, low birth weight, low Apgar and perinatal morbidity were significantly more in early onset; pre-term labor and use of MgSO4 and antihypertensives were also more in early onset. \u0000Conclusion: Late onset preeclampsia was more common than early onset preeclampsia but the maternal and perinatal outcome were poor for early onset as compared to late onset preeclampsia.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72523929","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: 2

Psychological correlates in women with infertility 不孕妇女的心理因素

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42098

M. Prasad, S. Venkatesh, Sampath Kumar, Amrutha Pentakota, Vijaylakshmi

{"title":"Psychological correlates in women with infertility","authors":"M. Prasad, S. Venkatesh, Sampath Kumar, Amrutha Pentakota, Vijaylakshmi","doi":"10.3126/njog.v16i2.42098","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42098","url":null,"abstract":"ABSTRACT \u0000Aims: To assess the psychological status of infertile women using the Fertility Problem Inventory and to identify any relationship between characteristics of infertility and the psychological problems. \u0000Methods: A prospective, quantitative, descriptive, questionnaire- based study with institutional ethics committee clearance was conducted for two months, on women undergoing infertility treatment. Fertility Problem Inventory Questionnaire was applied and stress levels analyzed. Data were tabulated into Microsoft Excel and statistical analysis was performed in terms of percentages and students t tests for categorical variables. \u0000Results: Thirty-two patients were studied in the time period with an average of 30.15 years. Seventy-five percent of the patients were found to be suffering from a moderately severe level of infertility-related stress. The remaining were suffering from a moderate level of infertility-related stress. The duration of marriage was found to have a significant correlation with the stress. \u0000Conclusions: Majority (two-thirds) of the study group were suffering from a serious psychological morbidity. Psychological evaluation of people seeking infertility treatment could be considered","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83489905","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

Diagnosis and management of ectopic ureter in a low resource setting – A case series 低资源环境下异位输尿管的诊断和治疗-一个病例系列

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42111

S. Heywood, Shuvechchha Dewa Shrestha

{"title":"Diagnosis and management of ectopic ureter in a low resource setting – A case series","authors":"S. Heywood, Shuvechchha Dewa Shrestha","doi":"10.3126/njog.v16i2.42111","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42111","url":null,"abstract":"Aims: To review the experience of women and girls treated for ectopic ureter in Surkhet through the fistula camps and Fistula Treatment Centre and analyse the diagnostic method, management and outcome. \u0000Methods: This was a retrospective study of the patients with ectopic ureter who received treatment in Surkhet since 2009. Data were analysed from patient records and interviews. \u0000Results: Seven patients were diagnosed with ectopic ureter over a period of 12 years. Five patients were prepubertal with age range of 7 - 15 years. History of continuous incontinence with normal voiding was suggestive of ureteric fistula in six out of seven cases. The seventh case had massive ureterocele in the distal end of the duplex right ureter. Ultrasound suggested a diagnosis of duplex collecting system in five cases. IVU or CT IVU suggested duplex ureter in only three cases. Diagnosis was confirmed by examination under anaesthesia after i.v. frusemide in six cases. All cases were managed by implantation of the ectopic ureter into the bladder. In the case with ureterocele heminephrectomy was performed. All seven patients are well at follow-up between 6 months and five years after presentation. \u0000Conclusion: Ectopic ureter is a treatable cause of urinary incontinence and the diagnosis may be overlooked. A lifelong history of continuous urinary leakage with normal voiding, in absence of trauma or surgical procedure should raise the suspicion. Examination under anaesthetic and ultrasound proved most effective in confirming the diagnosis","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86132697","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

Ovarian Steroid Cell Tumor, Not Otherwise Specified: a case series 卵巢类固醇细胞肿瘤，未另行说明:一个病例系列

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42115

Sunitha Sankaralingappa, S. Patra, P. Trivedi

引用次数: 0

Effect of different intensities of glycemic control on maternal and fetal outcome in women with diabetes in pregnancy 不同强度的血糖控制对妊娠期糖尿病妇女母胎结局的影响

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42096

Laxmi Devi M, M. Prasad, Lubna Mukhtar

{"title":"Effect of different intensities of glycemic control on maternal and fetal outcome in women with diabetes in pregnancy","authors":"Laxmi Devi M, M. Prasad, Lubna Mukhtar","doi":"10.3126/njog.v16i2.42096","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42096","url":null,"abstract":"Aims: To compare the feto-maternal outcomes between patients who have achieved different glucose target values after intervention for hyperglycemia in pregnancy. \u0000Methods: A prospective comparative observational study was conducted in the Obstetrics Department of a Teaching Hospital. The main outcome parameters were the values of the fasting blood sugar (FBS) and the postprandial blood sugars (PPBS) obtained from the self-monitoring tests. The patients were grouped into two groups – the tight control group-I and less tight control group-II. maternal and neonatal parameters are compared. Pearson’s chi-square test was used for proportions and unpaired t-test was used for numbers after checking for normality of distribution and p-value of <0.05 was taken as statistically significant. \u0000Results: Average values of FBS/PPBS values were lesser in group I (84/120) compared to group II (93/142).The proportion of maternal and fetal complications (hypertensive disorders, polyhydramnios, macrosomia, neonatal hypoglycemia, hyperbilirubinemia, NICU admission) were similar between the two groups. The average gestational age at delivery (38.2 weeks vs 37.7 weeks), the proportion of LSCS (50% vs 66.7%) and neonatal birth weight (2.88 kg vs 2.98 kg) were similar in both groups. \u0000Conclusion: There is no difference in feto-maternal outcome in between well controlled lesser control of blood sugar","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75988298","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

Maternal and Fetal Outcomes in Active versus Expectant Management of prelabor rupture of membrane 产前胎膜破裂的积极治疗与期待治疗的母婴结局

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42100

Rosy Malla, Shailaja Khadka, Sumana Thapa, Sumit Bidari, Indira Acharya, Bibhusan Neupane, Kopila Rai

{"title":"Maternal and Fetal Outcomes in Active versus Expectant Management of prelabor rupture of membrane","authors":"Rosy Malla, Shailaja Khadka, Sumana Thapa, Sumit Bidari, Indira Acharya, Bibhusan Neupane, Kopila Rai","doi":"10.3126/njog.v16i2.42100","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42100","url":null,"abstract":"Aim: To assess the effects of planned early birth (active treatment within 24hrs) compared to expectant management (without active treatment within 24hrs) for women at term with Prelabor Rupture of Membrane (PROM) on maternal and fetal outcomes. \u0000Methods: This is an observational comparative study carried out in all the pregnant women who present in maternity ward of Shree Birendra Hospital with PROM at 37-41 weeks of gestation with vertex presentation during the study period between 13 April 2020 to 13 April 2021.They were randomly placed into (A) active treatment group and (B) expectant treatment group. Group (A) was induced with 25mcg of PGE1 (Misoprostol) depending on cervical score, whereas group (B) was expectantly managed for 24 hrs. PROM to delivery interval, maternal and fetal outcomes were then evaluated in both the groups. \u0000Results: 79.5% of group A and 71.8% in group B delivered through vaginal route. 20.5% patients in group A and 28.2% patients in group B underwent Cesarean section. The average PROM to delivery interval was 15.6 hours in group A, as compared to 16.8 hours in group B. Only 2 babies in group B had an Apgar score of less than 7 at five minutes. Subsequently, in both the groups, two babies required NICU admission for respiratory distress syndrome with no neonatal mortality in both the groups. \u0000Conclusion: Expectant management up to 24 hours can be safely offered to a woman with term PROM.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82628171","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

Diagnostic laparoscopy findings in pelvic pain among the women attending Gynecology OPD at Dhulikhel Hospital 在Dhulikhel医院妇科门诊就诊的妇女盆腔疼痛的腹腔镜诊断结果

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42110

A. Yadav, S. Tamrakar

{"title":"Diagnostic laparoscopy findings in pelvic pain among the women attending Gynecology OPD at Dhulikhel Hospital","authors":"A. Yadav, S. Tamrakar","doi":"10.3126/njog.v16i2.42110","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42110","url":null,"abstract":"Aims: To evaluate the laparoscopic findings in women with pelvic pain. \u0000Methods: A prospective study conducted in Department of Obstetrics and Gynecology at Dhulikhel Hospital from March 2017 to December 2018. All women with pelvic pain, ultrasound evaluation and laparoscopic procedure at the hospital were taken. Data entered in SPSS 23 and analyzed using descriptive parameters. \u0000Results: Maximum number of cases of pelvic pain belonged to 21-30 years, most of them were parous with mean duration of pain of 16.48±4 months. The mean age and parity of the patients was 34±5 years and 1.74 respectively. The most common complaint was dysmenorrhea (33.3%) followed by abnormal vaginal discharge (31.7%). On clinical examination, pelvic tenderness was observed in majority (21.7%) of cases. \u0000On laparoscopic examination, normal finding were seen in 41.7% cases followed by pelvic inflammatory disease (19.2%), endometriosis (17.5%), pelvic adhesion (12.5%), retroverted uterus (2.5%). PCOS, pelvic congestion and fimbrial cyst were seen in 1.7% each. Pyosalphinx and twisted ovary were seen in 0.8% each. \u0000Conclusions: Laparoscopy serves as diagnostic as well as a therapeutic modality of management in chronic pelvic pain.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82183887","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

Incidence and risk factors of perineal tears of pregnant women delivering at a midwife obstetric unit South Africa 在南非助产士产科单位分娩的孕妇会阴撕裂的发生率和危险因素

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42102

A. Hoque, S. Buckus

{"title":"Incidence and risk factors of perineal tears of pregnant women delivering at a midwife obstetric unit South Africa","authors":"A. Hoque, S. Buckus","doi":"10.3126/njog.v16i2.42102","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42102","url":null,"abstract":"Aim: To estimate the incidence and risk factors for perineal tears of low-risk pregnant women delivering at a midwife obstetric unit. \u0000Methods: A retrospective study performed on perineal tear during childbirth from birth register at midwife run unit in Durban municipality, South Africa between January 2018 and October 2019. Risk factors were studied and bivariate and logistic regression done. Results are expressed with adjusted odds ratios (OR) and p-values <0.05 are considered significant. \u0000Results: A total of 1578 women had singleton vaginal childbirths. Half (50.6%) of them have perineal tears. The incidences of episiotomy, combined first-and second, and third-and fourth- degree (OASI) tears are 24.3%, 25.1% and 1.1% respectively. Risk factors for any perineal tears are younger mothers (teenage OR=2.9, 20-24 years OR=2.2), primipara (OR= 15.8), received antenatal care (OR=.47) and gestational age (GA) (<32 weeks OR=.05). The risk factors for episiotomy are; teenage (OR=5.4), ages 20-24 years (OR=4.2), ages 25-29 years (OR=3.0), primipara (OR=12.4), GA (£32 weeks OR=.16), GA 33-36 weeks (OR=.6) and having antenatal care (OR=.41). Birth weight <2.5 kg and between 2.5-3.0 kgs (OR=.014) and (OR=.09) are protective for OASI. \u0000Conclusions: Risk factors for the perineal injuries are similar to those previously reported in other studies. Training of midwives on perineal care and selection for undertaking episiotomy is urgently needed to improve maternity services at the midwife obstetric unit. Identification of those at risk may reduce obstetric perineal injury.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80416889","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

Awareness and Attitude Regarding Teenage Pregnancy among Adolescent Girls of Chandannath Municipality, Jumla 乔姆拉市钱德纳特市少女对少女怀孕的认识和态度

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42106

Sharmila Shrestha, Sarita Shrestha, Monika Lama, S. Ojha, Savina Thapa

引用次数: 1

Obstetric outcome in patients with rheumatic heart disease: experience in a tertiary hospital 风湿性心脏病患者的产科结局:三级医院的经验

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42107

A. Chaudhary, G. Baral, S. Subedi, S. Ghimire, Rakina Bhansakarya

{"title":"Obstetric outcome in patients with rheumatic heart disease: experience in a tertiary hospital","authors":"A. Chaudhary, G. Baral, S. Subedi, S. Ghimire, Rakina Bhansakarya","doi":"10.3126/njog.v16i2.42107","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42107","url":null,"abstract":"Aims: To determine the clinical outcome of rheumatic heart disease in pregnancy. \u0000Methods: Retrospective cross-sectional descriptive study from April 2019 to April 2021 in Nobel Medical College, Biratnagar, Nepal. Feto-maternal variables were taken for their health status. Data presented in table with frequency. \u0000Results: Out of 13013 deliveries in a year, 49 had cardiac disease (0.37%) and 38 had rheumatic heart disease (0.29%) over 28 weeks of gestation; 95% (n=36) had mitral valve involvement; 12 were primigravida and 7 preterm at the time of delivery. Half of them underwent caesarean section for various indications. Most common maternal complications were cardiac failure, cardiac arrythmia, admission to ICU, obstetric complications, including maternal mortality in 5.2% (n=2) cases. Low birth was in 29% (n=11) of cases, and 34% (n=13) of them needed NICU care at the time of delivery. There was history of rheumatic fever in 9 cases (24%). \u0000Conclusions: Rheumatic heart disease is the commonest diagnosis among heart disease in pregnancy and adverse event can be minimized by multidisciplinary intervention","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80492797","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