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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
{"title":"Quality of life and sexual dysfunction in cervical cancer survivors","authors":"S. Rai","doi":"10.3126/njog.v16i1.37616","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37616","url":null,"abstract":"Aim: To evaluate the quality of life and sexual dysfunction in cervical cancer survivors. \u0000 Methods: This is a cross sectional study conducted in Bhaktapur Cancer Hospital from 14 th January to 13 th April 2021. Total 136 patients treated for cervical cancer without other coexisting cancers and psychological disorders were interviewed. Independent t test was used to compare means in two categories while ANOVA to compare mean in more than two categories like treatment. \u0000 Result: Out of 136 cervical cancer survivors 80% were from hilly region, 75% were diagnosed in late stage of disease and average age was 50 years. Total mean FACT-Cx score was 61.1±14.8, with lowest score in physical wellbeing (8.4±5.5) and highest in social and family wellbeing (18.5±6.2); and 94.8% of the patients had sexual dysfunction. \u0000Conclusion: This study indicated that the quality of life and sexual function were very low among cervical cancer survivors. Need of counseling regarding the general health and sexual health among cervical cancer is observed.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86020999","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
High Grade Endometrial Stromal Sarcoma: a rare case report 高级别子宫内膜间质肉瘤1例
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37621
S. Rai
{"title":"High Grade Endometrial Stromal Sarcoma: a rare case report","authors":"S. Rai","doi":"10.3126/njog.v16i1.37621","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37621","url":null,"abstract":"High grade endometrial stromal sarcoma (HG-ESS) is a very rare entity with poor outcome in compared to other endometrial stromal sarcoma as it is usually diagnosed in late stage. The stage of the disease, age and complete surgery are most important prognostic factors. Surgical management of a 40 years old lady with menometrorrhagia and high grade endometrial stromal sarcoma is presented.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87131667","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 perinatal outcome in Rh-Negative women rh阴性妇女的孕产妇和围产期结局
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37619
M. Yadav, G. Baral
{"title":"Maternal and perinatal outcome in Rh-Negative women","authors":"M. Yadav, G. Baral","doi":"10.3126/njog.v16i1.37619","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37619","url":null,"abstract":"Aim: To find out the Maternal and perinatal outcomes in Rh-Negative mothers. \u0000Methods: This is a cross sectional study of all Rhesus negative mothers giving childbirth at Department of Obstetrics and Gynecology, Nobel Medical Col- lege Teaching Hospital from March 2020 to February 2021. Maternal variables like age, parity, mode of delivery, and complications were recorded. Fetal vari- ables like period of gestation, fetal outcomes, hemoglobin, indirect bilirubin, fetal weight were noted. \u0000Results: There were 108 cases of Rh negative pregnancy and 95 of them deliv- ered Rh positive fetuses. Prevalence of Rh negative pregnancy was 1.68%. Half of them (51; 53.6%) underwent caesarean section due to obstetric indications with 20 repeat cesarean sections and 9 (17.7%) cases for fetal distress. Gross perinatal death was 9; none of the patients received antepartum im- munoprophylaxis; and 86 received postpartum Anti-D Rh IgG. There was only one case of proven isoimmunisation presented as hydrops fetalis in a grand multiparous woman with positive Indirect Coomb Test; and two newborn re- ceived exchanged transfusion. \u0000Conclusion: Rhesus negative rate was 1.68% and proven isoimmunization rate was 1%.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79660863","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
Pattern of Lower Urinary Tract Symptoms (LUTS) and satisfaction among patients having diagnostic cystoscopy 诊断性膀胱镜检查患者下尿路症状模式及满意度
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37523
T. Pradhan, Amit Deo, Raj Deb Mahato R, T. Basnet
{"title":"Pattern of Lower Urinary Tract Symptoms (LUTS) and satisfaction among patients having diagnostic cystoscopy","authors":"T. Pradhan, Amit Deo, Raj Deb Mahato R, T. Basnet","doi":"10.3126/njog.v16i1.37523","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37523","url":null,"abstract":"Aims: To study the pattern of LUTS during diagnostic cystoscopy and to evaluate patient’s satisfaction using rigid cystoscopy with intra-urethral lignocaine gel. \u0000Methods: Hospital based cross-sectional observational study done in all patients attending Department of Obstetrics and Gynecology with LUTS. Diagnostic cystoscopy was performed after using intra-urethral lignocaine gel. Patients profile and indications for cystoscopy were recorded; and VAS (Visual Analogue Scale) was used to assess procedure related pain. Data stored in MS Excel and descriptive analysis performed using SPSS 21. \u0000 Result: Forty-three patients were included in the study. The mean age of presentation was 45.77 years. Majority of the patients were pre-menstrual and with symptoms less than 5 year duration. Twenty-seven (62.8%) patients had urgency as indication for cystoscopy followed by cystitis and recurrent urinary infection each (16.3%). Only 2 patients had mixed urinary incontinence. Thirty- one (72.1%) had mild discomfort, seven (18.7%) moderate and 5(9.2%)severe in visual analogue scale. \u0000 Conclusions: Urgency was found to be a frequent indication for diagnostic cystoscopy and use of rigid cystoscope using inra-urethral gel showed only mild discomfort to majority of patients.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80914290","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
Recurrent Puerperal Uterine Inversion 复发性产后子宫内翻
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37626
Monica Gurung, G. Baral
{"title":"Recurrent Puerperal Uterine Inversion","authors":"Monica Gurung, G. Baral","doi":"10.3126/njog.v16i1.37626","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37626","url":null,"abstract":"Uterine inversion is rare and life threatening obstetric complication. This is a case of recurrent uterine inversion managed successfully with Johnson’s Maneuver followed by condom tamponade placement.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78865376","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
Quintuplet Pregnancy in a women with HIV positive status HIV阳性妇女的五胞胎妊娠
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37622
B. Neupane, Babita Chaudhary, Shiba Bam
{"title":"Quintuplet Pregnancy in a women with HIV positive status","authors":"B. Neupane, Babita Chaudhary, Shiba Bam","doi":"10.3126/njog.v16i1.37622","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37622","url":null,"abstract":"Quintuplets are a rare occurrence and even rarer if they are born to a woman without fertility treatment. It is associated with not only high rates of obstetric complications but also increased perinatal morbidity and mortality. We here report a case of a woman with HIV positive status under ART with Quintuplets who delivered on her second trimester.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90682811","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
Laparoscopic pelvic adnexal surgery in Nobel Medical College 诺贝尔医学院腹腔镜盆腔附件手术
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37522
A. Chaudhary, G. Baral, Prajmi Shrestha, Rakina Bhanshakarya
{"title":"Laparoscopic pelvic adnexal surgery in Nobel Medical College","authors":"A. Chaudhary, G. Baral, Prajmi Shrestha, Rakina Bhanshakarya","doi":"10.3126/njog.v16i1.37522","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37522","url":null,"abstract":"Aim: To share early experience of gynaecological laparoscopic surgeries for adnexal masses in Nobel Medical College and Teaching Hospital (NMCTH). \u0000 Methods: This is a observational descriptive study in the Department of Obstetrics and Gynaecology of Nobel Medical College, Biratnagar for one year in 2019-2020. All the patients undergoing laparoscopic pelvic surgeries for adnexal masses were analysed for indication, type of procedure, complications and histopathological diagnosis. \u0000Results: A total of 123 laparoscopic surgeries were performed. Preoperative diagnosis in most of the cases was adnexal mass followed by adnexal evaluation for subfertility. The common surgical procedure was cystectomy followed by salpingo-oophorectomy in 80% of cases. The most common histopathological diagnosis was mature cystic teratoma (42; 34%) followed by endometriosis (29; 23.8%) and cystadenoma (25; 20.3%). \u0000 Conclusions: Adnexal evaluation and surgical treatment were performed with laparoscopy. The common pathologies were mature cystic teratoma, endometriosis and ovarian cystadenomas.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74697956","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
Choice of temporary contraception based on client’s demographic status and parity 根据病人的人口状况和生育均等选择临时避孕措施
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37611
Benju Pandit
{"title":"Choice of temporary contraception based on client’s demographic status and parity","authors":"Benju Pandit","doi":"10.3126/njog.v16i1.37611","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37611","url":null,"abstract":"Aim: To analyse the demographic factors and parity in women influencing choice of contraceptive methods. \u0000 Methods: This is a hospital record based retrospective study at Bhaktapur hospital, a tertiary hospital in a span of 6 months from October 2020 to March 2021. Data were collected from medical record and descriptive analysis was done. \u0000 Results: There were 142 women taking contraceptive service in six months.Implant was the most commonly used method of contraception (48%), followed by the IUCD (26%), Injectable (16%) and OCP (10%). Age group of 20-39 had more acceptance of contraception as compared to adolescent and women above 40. More the parity more usage of long acting reversible contraception was found. \u0000 Conclusion: The most common contraceptive method used among women was implant. Client having two or more children are more to receive long acting contraception.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82184837","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
Correlation of Cardiotocography with Intraoperative findings and neonatal outcome in caesarean section for non-reassuring fetal status 胎儿状态不稳定的剖宫产术中心脏造影与术中发现和新生儿结局的相关性
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37521
Arju Chand Singh, R. Khatri, Pradyuman Chauhan, S. Thapa
{"title":"Correlation of Cardiotocography with Intraoperative findings and neonatal outcome in caesarean section for non-reassuring fetal status","authors":"Arju Chand Singh, R. Khatri, Pradyuman Chauhan, S. Thapa","doi":"10.3126/njog.v16i1.37521","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37521","url":null,"abstract":"Aims: To demonstrate the correlation of cardiotocography with intraoperative findings and neonatal outcome undergoing emergency cesarean section for non-reassuring fetal status. \u0000 Methods: It is a hospital based cross sectional study at maternity ward of Shree Birendra Hospital in Kathmandu with non-reassuring CTG who underwent cesarean section in a period of one year. Their CTG were correlated with their intraoperative findings and neonatal outcome such as meconium stained liquor, nuchal cord, Apgar score at birth, NICU admission, perinatal mortality and stillbirth. \u0000 Results: Fifty four patients were recruited. Most common operative finding was meconium stained liquor (35.2%); and cardiotocographic abnormality was variable Deceleration (37%). Variable deceleration and late deceleration had significant correlation with meconium stain liquor and nuchal cord. Apgar score ≤ 7 at 5 minute was 7.4%. NICU admission was 13% with common abnormality as late Deceleration. \u0000 Conclusion: CTG pattern of variable and late deceleration had correlated with the meconium stained liquor and nuchal cord only. There was no relation with neonatal outcome in terms of Apgar score and admission rate.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89082021","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 outcome of sacrospinous fixation following pelvic organ prolapse surgery 盆腔器官脱垂手术后骶棘固定的临床效果
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-07 DOI: 10.3126/njog.v16i1.37610
S. Poudel, G. Dangal
{"title":"Clinical outcome of sacrospinous fixation following pelvic organ prolapse surgery","authors":"S. Poudel, G. Dangal","doi":"10.3126/njog.v16i1.37610","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37610","url":null,"abstract":"Aims: To evaluate the midterm outcome of sacrospinous fixation done during surgical management of pelvic organ prolapse. \u0000Methods: This was an interview based cross sectional follow up study done among the patients who underwent sacrospinous fixation procedure along with pelvic organ prolapse surgery in Kathmandu Model Hospital and Paropakar Maternity Hospital. This was conducted between 15 th February 2021 and 15 th April 2021. Post-operative cases 22 to 30 months (average 2 years) from the day of surgery were included. \u0000 Results: Out of 321 eligible SSF patients from both the hospital, 156 agreed to participate. Among them, 77 (48%) were in 60-69 years of age and 82% were postmenopausal; 33% were more than para 3; 20% had right gluteal pain that was decreased to 1.9% by 2 years; and 20% had some degree of urgency and stress incontinence. \u0000 Conclusion: Sacrospinous fixation is safe and effective procedure which can be done during pelvic organ prolapse surgery with good success rate and minimal post-operative complications.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78773352","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
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