Nepal Journal of Obstetrics and Gynaecology最新文献_第4页

Gestational Weight Gain among women with different pre-pregnancy BMI and its relation with Birth Weight of Neonates 不同孕前体重指数妇女妊娠期体重增加及其与新生儿出生体重的关系

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2022-01-01 DOI: 10.3126/njog.v16i2.42099

Rupa Paneru, M. Thapa

{"title":"Gestational Weight Gain among women with different pre-pregnancy BMI and its relation with Birth Weight of Neonates","authors":"Rupa Paneru, M. Thapa","doi":"10.3126/njog.v16i2.42099","DOIUrl":"https://doi.org/10.3126/njog.v16i2.42099","url":null,"abstract":"Aim: To find out the relationship between gestational weight gain among women with different early pregnancy Body Mass Index and birth weight of neonates. \u0000Methods: This is an analytical observational hospital based study. Singleton pregnancy within 10 weeks of gestation were included in the study and they were followed at term. First trimester Body Mass Index was calculated and the women were divided in to underweight, normal weight, overweight and obese according to World Health Organization classification. Total gestational weight gain was calculated and compared according to the American College of Obstetrics guideline. The birth weight of neonate was recorded soon after the delivery and the relation between gestational weight gain and birth weight of the neonate was studied. \u0000Results: Total 228 women were analyzed. Most of the women (69%) had normal Body Mass Index with the mean gestational weight gain of 10.59±4.317 kg and the mean birth weight 3.03±0.487 kg. Underweight and normal weight women had less pregnancy weight gain; overweight women had slightly higher weight gain whereas obese women had weight gain as per the recommendation. The birth weight of neonate was higher in overweight and obese women (p=0.004) but without positive correlation. \u0000Conclusions: The gestational weight gain is not related to the birth weight of neonates but related to the early pregnancy BMI.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85096404","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

Association of laboratory parameters with chest CT findings in COVID-19 patients COVID-19患者实验室参数与胸部CT表现的关系

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-19 DOI: 10.3126/njog.v16i1.37915

A. Gurung, R. Baral, B. Koirala, S. Shrestha

{"title":"Association of laboratory parameters with chest CT findings in COVID-19 patients","authors":"A. Gurung, R. Baral, B. Koirala, S. Shrestha","doi":"10.3126/njog.v16i1.37915","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37915","url":null,"abstract":"Aims: To analyze the Chest CT Scan and association of the severity score with the serum biomarkers D- dimer, C-reactive protein (CRP), Lactate dehydrogenase (LDH) and Ferritin levels.\u0000Methods: This is a retrospective study done from the database of Department of Radiology and Department of Pathology at Nobel medical college and teaching hospital during the peak of the second wave of the pandemic from 1st April 2021 to 31 st May 2021. Data for the Chest CT scan and lab parameters were analyzed and correlated. Ethical approval was obtained from the Institutional review committee of Nobel Medical College and Teaching Hospital. Descriptive statistical analysis was performed.\u0000Results: A total of 263 cases of Chest CT scan were done in 2 months period who were diagnosed as cases of COVID 19. In this study the severity and scores were taken from the database in the Radiology department. The lab parameters like D-dimer, CRP, LDH and Ferritin levels were studied from the database in the lab. Age of the patients ranged from 19 to 89 years with maximum cases 68 (25.8%) seen in the age group of 50-59 years. According to the chest CT Scan the severity score was in between 11-15 in 92 (48.3%) cases. Fifty six cases showed abnormal levels of D-dimer, Ferritin, CRP and LDH. D-dimer was raised in 26 (46.4%), LDH was raised in 48 (87.2%) while Ferritin and CRP was also raised in all 56 cases.\u0000Conclusions: There was a positive correlation between the biomarkers and the Chest CT severity score. The severity of the disease with involvement of the lungs can be estimated by correlating with the lab parameters.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81141875","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: 1

Anti-mullerian hormone as an emerging promising marker in the prognosis of PCOS 抗苗勒管激素在多囊卵巢综合征预后中的应用前景

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-19 DOI: 10.3126/njog.v16i1.37914

Anuradha Meena, Amit Kyal, P. Mukhopadhyay, Pragati Sharma

{"title":"Anti-mullerian hormone as an emerging promising marker in the prognosis of PCOS","authors":"Anuradha Meena, Amit Kyal, P. Mukhopadhyay, Pragati Sharma","doi":"10.3126/njog.v16i1.37914","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37914","url":null,"abstract":"Aims: To correlation of AMH with clinical, hormonal and ultrasound findings; and determine the role of AMH as prognostic marker. \u0000Methods: This was a prospective cross sectional study on women attending Gynaecology outpatient department of Medial College and Hospital, Kolkata, from January 2018 to June 2019. Study comprised of 70 newly diagnosed cases of PCOS using Rotterdam criteria 2003. Clinical history included menstrual complaint, hirsutism and weight gain; examination included BMI and Ferriman-Gallwey score; and investigations included FBS, 2hr PPBS, TSH, Prolactin, total testosterone, LH, AMH level and pelvic USG before starting intervention and same parameters were rechecked after 3 months of treatment completion. \u0000Results: A total of 70 PCOS patients were included in a study conducted within 1 year time period. The most common Phenotype in our study is Phenotype A (O+H+P) which was almost 85.71%, followed by Phenotype B (O+H) 7.14% and the least we got Phenotype C (H+P) that is 2.86%. There was statistically significant (p<0.05) decrease in AMH level following treatment of PCOS (before treatment mean AMH level was 9.634.42 and after treatment the level was 5.812.77). \u0000Conclusions: The most frequent PCOS phenotype in Indian women is A (O+H+P). Therapy in PCOS women with raised AMH reduces the AMH levels. Measurement of serum AMH provides a high specificity and sensitivity by which it can act as a prognostic marker for PCOS.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80200735","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

Bladder Injury: A complication of Transobturator Tape Surgery 膀胱损伤:经闭带手术的并发症

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-19 DOI: 10.3126/njog.v16i1.37920

A. Shrestha, G. Dangal, K. Tiwari

引用次数: 0

Surgical Morbidity and its Associated Factors in Ovarian Carcinoma 卵巢癌的手术发病率及其相关因素

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-19 DOI: 10.3126/njog.v16i1.37919

Birendra Bhagat

{"title":"Surgical Morbidity and its Associated Factors in Ovarian Carcinoma","authors":"Birendra Bhagat","doi":"10.3126/njog.v16i1.37919","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37919","url":null,"abstract":"Aims: To estimate 30-day surgical morbidity in patients with ovarian carcinoma and identify its associated factors. \u0000Methods: This was an observational study conducted at two cancer hospitals, from October 2020 to March 2021. All women with ovarian carcinoma that underwent surgery were enrolled in the study. Incidence of surgical complications was recorded. Patients were followed up to the 30 th day post- operatively. Logistic regression analyses were used to evaluate the factors affecting surgical complications and their association was determined. \u0000Results: A total of 31 patients were analyzed in this study. The incidence rate of surgical complications was 29%. Total 11 complications occurred in nine patients (one intra-operatively and 10 post-operatively). Post-operative complications were wound infection (n=4; 12.9%), urinary tract infection (n=2; 6.4%); one each had post-op ileus, hemorrhage and deep vein thrombosis; and one mortality. Advancing age, increased Body Mass Index, primary surgery, higher surgical complexity score, increased operative time, increased blood loss, higher American Society of Anesthesiologists (ASA) score, presence of chronic disease were associated with surgical morbidity; and their hospital stay was longer (p=0.04). \u0000Conclusion: The common complications were wound infection and urinary tract infection.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77850873","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 Caesarean Section using Robson’s Classification at Provincial Public Hospital 省立医院应用Robson分型剖宫产术的研究

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37514

Murari Thakur

{"title":"Study of Caesarean Section using Robson’s Classification at Provincial Public Hospital","authors":"Murari Thakur","doi":"10.3126/njog.v16i1.37514","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37514","url":null,"abstract":"Aims: To categorize all pregnant women admitted for delivery at Provincial Public Hospital Janakpurdham according to Robson’s ten group classification and to assess the caesarean section rate and identify the indications contributing to the same. \u0000Methods: This is a prospective study conducted at Provincial Public Hospital Janakpurdham for 3 months from 15 th April to 15 th July 2020 .Total of 1536 participants admitted for delivery including 257 undergoing caesarean section were included in the study and were classified according to the Robson’s classification. For each group, demographic and obstetric profile, relative size and its contribution to the overall caesarean rate was calculated. \u0000 Results: The overall caesarean section rate was 16.7% (257 among 1536 total deliveries). Robson’s Group 5(Previous caesarean section, singleton cephalic, ≥37 weeks) was the major contributor (46%) to the overall caesarean section rate followed by Group 2b (nullipara, singleton cephalic, ≥37 weeks, caesarean section before labor) (15.6%). \u0000Conclusion: Induction of labor for Group 2a and 4a should be done and trial for vaginal delivery in previous Cesarean section for Group 5 should be promoted to reduce the caesarean section rate. Study result is limited by lack of labor induction facility at the study site.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"148 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80571849","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

Obstetric profile during and before COVID 19 period pandemic at a teaching hospital in Eastern Nepal 尼泊尔东部一所教学医院在COVID - 19大流行期间和之前的产科概况

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37516

Rakina Bhansakarya, G. Baral, S. Subedi, Sita Ghimire, Prajmi Shrestha, A. Chaudhary

引用次数: 0

“Sack of marble” appearance in mature cystic teratoma: an unusual finding 成熟囊性畸胎瘤的“大理石袋”外观:不寻常的发现

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37624

Prajmi Shrestha, G. Baral, Rakina Bhansakarya, A. Chaudhary

引用次数: 0

Quality of life and sexual dysfunction in cervical cancer survivors 宫颈癌幸存者的生活质量和性功能障碍

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37616

S. Rai

引用次数: 2

Peripartum hysterectomy at a tertiary center 三级中心围产期子宫切除术

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37613

Monica Gurung, G. Baral

引用次数: 0