Nepal Journal of Obstetrics and Gynaecology最新文献_第6页

Awareness and perception of epidural labor analgesia among pregnant women visiting antenatal clinic in National Referral Hospital 在国家转诊医院产前门诊就诊的孕妇对硬膜外分娩镇痛的认知和感知

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-02 DOI: 10.3126/njog.v16i1.37410

Tandin Tshomo, K. Tenzin, Jamphel Tshering

{"title":"Awareness and perception of epidural labor analgesia among pregnant women visiting antenatal clinic in National Referral Hospital","authors":"Tandin Tshomo, K. Tenzin, Jamphel Tshering","doi":"10.3126/njog.v16i1.37410","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37410","url":null,"abstract":"Aims: To assess the awareness and perception of labour epidural analgesia among pregnant women visiting the antenatal clinic. \u0000Methods: This was an observational cross-sectional study. Study participants included pregnant women visiting the antenatal clinic during 2nd and 3 rd trimester conducted from 21 st September 2018 till 20 th September 2019. Data were collected by using an interviewer-administered questionnaire. Ethics approval was granted by the research Ethics Board of health, Bhutan. \u0000Results: Total 450 parturients participated in this study; 61.4% of the participants knew that labour epidural services were available and 37.5% got information through media. A total of 57.3% of respondents had severe fear about labour pain; 62.4% had severe fear about delivery complication; 85.2% thought that epidural labour analgesia was a good method of pain relief; and 67% were willing to accept it for their current pregnancy. However, 86.6% would recommend epidural labour analgesia as an option of pain relief to other pregnant women. \u0000Conclusion: Awareness about the availability of labour epidural analgesia services needs to be improved, as a majority of the parturient was keen to avail epidural analgesia after the information about its availability was provided.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90730009","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

Robson Classification and quality audit 罗布森分类和质量审核

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-02 DOI: 10.3126/njog.v16i1.37407

G. Baral

引用次数: 0

Classification of Caesarean Section: A Scoping Review of the Robson classification 剖宫产的分类:罗布森分类的范围回顾

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2021-06-02 DOI: 10.3126/njog.v16i1.37409

Sulochana Dhakal-Rai, E. V. Teijlingen, P. Regmi, J. Wood, G. Dangal, Keshar Bahadur Dhakal

{"title":"Classification of Caesarean Section: A Scoping Review of the Robson classification","authors":"Sulochana Dhakal-Rai, E. V. Teijlingen, P. Regmi, J. Wood, G. Dangal, Keshar Bahadur Dhakal","doi":"10.3126/njog.v16i1.37409","DOIUrl":"https://doi.org/10.3126/njog.v16i1.37409","url":null,"abstract":"Caesarean section (CS) rate is rising dramatically worldwide. WHO recommended CS rate of 10-15% at populational level would not be the ideal rate at the hospitals level due to the differences on population they have been serving. At the hospital level, a perfectly effective system is necessary to understand the trends and causes of rising trends of CS as well as to implement effective measures where necessary to control the same. Hence, WHO recommended the Robson classification, which is also called the 10-group classification of CS (TGCS) as a global standard tool to assess, monitor and compare CS rates within healthcare facilities over time, and between health facilities. The Robson classification, proposed by Dr Michael Robson in 2001, is a system that classifies all women at admission at a specific health facility for childbirth into 10 groups based on five basic obstetric characteristics (parity, gestational age, onset of labour, foetal presentation and number of foetuses). This classification is easy and simple and mutually exclusive, highly reproducible, easily applicable, and useful to change clinical practice. It has many strengths such as simplicity, flexibility (further subdivisions can be made to increase homogeneity within groups). This classification helps to identify and analyse the contribution of each group to overall CS rates. It also allows distinguishing the main group of women who contributes most and least to the overall CS rates; so that the CS rates can be monitored in a meaningful, reliable, and action-oriented manner in each health facilities for optimal use of CS.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"267 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83682173","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

Stress and Coping Strategies among Pregnant Women attending Antenatal Clinic of a Teaching Hospital in eastern Nepal 尼泊尔东部一家教学医院产前门诊孕妇的压力和应对策略

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32899

Pratikshya Tripathi, Ganesh Devkota

{"title":"Stress and Coping Strategies among Pregnant Women attending Antenatal Clinic of a Teaching Hospital in eastern Nepal","authors":"Pratikshya Tripathi, Ganesh Devkota","doi":"10.3126/njog.v15i2.32899","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32899","url":null,"abstract":"Aim: To find out the stress and coping strategies among pregnant women attending antenatal clinic. \u0000Methods: A descriptive, cross-sectional research design was used for the study. The sample was taken from an antenatal outpatient department of Nobel Medical College Teaching Hospital. A total of 300 pregnant women was selected by using non- probability consecutive sampling technique. Data was collected by using standard tool, Pregnancy Stress Rating Scale (PSRS) and Brief Cope. Data analysis was done by descriptive and inferential statistics. \u0000Results: The study revealed that 40.7% of the respondents experienced a high level of stress and 84.0% of respondents had used adequate coping strategies where “self- distraction” was the most used coping strategy by the respondents with a mean score (2.99±.56). Stress and coping strategies had positive mild correlation (r=0.040). \u0000Conclusions: More than one-third of the respondents had experienced a high -level stress and the majority of the respondents had used adaptive coping strategies. The different methods of coping strategies during pregnancy should be expanded as per the best available evidence to lower stress and other adverse outcomes of stress. \u0000Keywords: Brief cope, coping strategies, pregnancy stress rating scale, stress","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75358620","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

Comparison of incidence of intra uterine fetal death and its causes at an interval of five years in Kathmandu University Hospital 加德满都大学医院5年子宫内胎儿死亡发生率及其原因的比较

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32905

S. Tamrakar, P. Tripathi

{"title":"Comparison of incidence of intra uterine fetal death and its causes at an interval of five years in Kathmandu University Hospital","authors":"S. Tamrakar, P. Tripathi","doi":"10.3126/njog.v15i2.32905","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32905","url":null,"abstract":"Aims: To compare the incidence of intra uterine fetal death and its causes at an interval of five years. \u0000Methods: This retrospective study was conducted to compare the incidence of intrauterine fetal death and its causes during 2010 and 2011 versus 2016 and 2017. \u0000Results: A total of 4219 deliveries conducted in the year 2010 and 2011, of them 90 (2.13%) were intrauterine fetal death. Likewise altogether 5873 deliveries conducted in the year 2016 and 2017, of them 105 (1.79%) were intrauterine fetal death. Mean age of mothers with fetal death were similar (25.47±5.64 vs 25.76±5.7 years; p>0.05). Common presenting complaints were reduced/absent fetal movement, abdominal pain, pre-labor rupture of membranes and antepartum hemorrhage. The majority of women were at low risk. Fetal characteristics of the intrauterine fetal deaths were almost comparable except fetal weight. Dead fetuses weighed lower significantly in the year 2016 and 2017 (2182.78±821.04 vs 1943.62±912.19 gram; p=0.05). In both periods, majority of stillborn babies appeared to be non-dysmorphic. There were significant numbers of referred-in cases who have complications. \u0000Conclusions: The incidence of intrauterine fetal death is decreased in Kathmandu University Hospital over the years and referred-in cases are more for the obstetric care. \u0000Keywords: fetal death, fetal movements, nuchal cord, placenta","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85481656","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

Contextual challenges in research ethics and quality of research 研究伦理和研究质量方面的背景挑战

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32894

G. Baral

引用次数: 0

Computed tomographic characterization of adnexal masses 附件肿块的计算机层析特征

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32922

A. Gurung, S. Shrestha

{"title":"Computed tomographic characterization of adnexal masses","authors":"A. Gurung, S. Shrestha","doi":"10.3126/njog.v15i2.32922","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32922","url":null,"abstract":"Aims: To evaluate the computed tomographic scan features of benign and malignant adnexal masses. \u0000Methods: Retrospective descriptive study of CT scan features of adnexal masses were evaluated at Department of Radiology of Nobel Medical College from April to September 2020. Initial ultrasound or clinical diagnoses of adnexal masses were referred for the CT scan. Incidental adnexal findings on abdominal-pelvic CT scan performed for other diagnosis were also included.Descriptive parameters were calculated. \u0000Results: Total 46 cases were studied where mean age was 41.3 years with range 10-74 years. Most common age group with adnexal masses were in between 30 and 50 years (56.6%); 86% had benign features and rest were associated with either ascites (66%) or peritoneal deposits (13%). Complex cysts (60%) was the most common consistency with simple cyst (26%) followed by solid (6%). Amongst the benign neoplastic lesions most of them were dermoid cysts (35%). \u0000Conclusions: CT scan can be used as a supplementary diagnostic tool for cystic and solid componentcharacterization of adnexal masses and help in evaluation of the nature and extent of disease. \u0000Keywords: adnexal mass, computed tomography, simple cyst, complex cyst","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81405345","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

Effect of cardiotocographic monitoring prior to induction of labor 引产前心脏造影监测的效果

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32921

S. Singh, G. Baral

{"title":"Effect of cardiotocographic monitoring prior to induction of labor","authors":"S. Singh, G. Baral","doi":"10.3126/njog.v15i2.32921","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32921","url":null,"abstract":"Aim: To assess the role of intermittent cardiotocographic monitoring of induction of labor while using misoprostol in pregnancy of 41 weeks or more. \u0000Methods: This is hospital based descriptive study conducted from December 2017 to March 2018. CTG was done before each transvaginal administration of misoprostol in 113 primigravida patients at Paropakar Maternity Women’s Hospital in Kathmandu. Variables studied were indications of induction, mode of delivery, Apgar score and neonatal admissions. \u0000Results: 11.5% of CTGs were non-reassuring who underwent Cesarean Section and had significantly low Apgar at 1 minute but only 46% of neonates required resuscitation. Liquor was thick meconium in 61.5% of non-reassuring CTGs. Total twelve (10.6%) of neonate needed resuscitation of which six (6%) neonate in reassuring CTG where as 46.1% of neonate needed resuscitation in non-reassuring. NICU admission rate was 7.96% in total and 33.3% of neonate with non-reassuring CTG who needed resuscitation. However there was no neonatal mortality during this period. \u0000Conclusions: Intrapartum cardiotocography can prevent fetal compromise early. \u0000Keywords: Apgar score, caesarean section, cardiotocography, induction, resuscitation","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81757541","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 serum homocysteine levels with the development of preeclampsia 血清同型半胱氨酸水平与子痫前期发展的关系

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32896

Lokeshwari Kannayan, Naz Shamim, Anju Arpana, M. K. Mudigubba, S. B

{"title":"Association of serum homocysteine levels with the development of preeclampsia","authors":"Lokeshwari Kannayan, Naz Shamim, Anju Arpana, M. K. Mudigubba, S. B","doi":"10.3126/njog.v15i2.32896","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32896","url":null,"abstract":"Aims: To determine the association between serum homocysteine levels and preeclampsia and its relevance as a potential marker for predicting preeclampsia. \u0000Methods: A total number of 50 preeclampsia cases were taken. 30 cases of normal pregnancy were taken as controls. This study was carried out in the Department of Obstetrics and Gynecology, Gauhati Medical College and Hospital, Gauahati from August 2012 to July 2013. Blood samples were drawn from the antecubital vein and serum homocysteine levels were measured. \u0000Results: The mean serum homocysteine levels in preeclampsia cases were 27.7 ± 6.4 μmol/l compared to serum homocysteine levels in normal pregnancy 9.23 ± 3.4 μmol/l (P<0.01).There was a significant relationship between the systolic and the diastolic blood pressure and serum homocysteine levels. As the systolic and diastolic blood pressure increases, serum homocysteine levels also increased significantly (P<0.001). \u0000Conclusion: This study showed raised serum homocysteine levels in patients with preeclampsia compared to normal pregnancy. \u0000Keywords: Serum homocysteine; Preeclampsia; Blood pressure","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82679172","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

Risk of Malignancy Index-3 and Histopathological Diagnosis of Ovarian Mass 卵巢肿块恶性肿瘤指数-3的风险及组织病理学诊断

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32911

Benju Pandit, G. Baral

{"title":"Risk of Malignancy Index-3 and Histopathological Diagnosis of Ovarian Mass","authors":"Benju Pandit, G. Baral","doi":"10.3126/njog.v15i2.32911","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32911","url":null,"abstract":"Aims: To find out the accuracy of Risk of Malignancy Index (RMI-3) to predict ovarian malignancy pre-operatively. \u0000Methods: Intention to treat cross sectional study at Paropakar Maternity and Women’s Hospital in Kathmandu in 2018-2019. Cases with ovarian mass were taken pre-operatively with serum tumor marker (CA-125) and ultrasound report, and histopathology report post- operatively. Pregnancy and diagnosed malignancy were excluded. Sensitivity, specificity, positive and negative predictive values of RMI-3 were calculated at different cut-off values using Receiver operator characteristics (ROC) curve. \u0000Results: 36 cases of ovarian tumor from 15 to 60 years (mean=35) were studied. There were 31(86.1%) premenopausal and 5 (13.9%) in menopausal state; 26 (72.2%) were married and 10 (27.8%) unmarried; 19 (52.8%) were multiparous, 9 (25%) were nulliparous and 8 (22.2%) uniparous; 34 (94.4%) presented with pain in lower abdomen; 16 (44.4%) had lump in lower abdomen; 8 (22.2%) had bloody vaginal discharge. Eight out of 36 (22.2%) had malignant histopathology. Taking histopathology to diagnose ovarian malignant tumor RMI 3 score >200 has sensitivity, specificity, positive and negative predictive value of 75%, 92%, 75%, 92% respectively. Taking the cut off value of RMI 3 at >190.5, AUC is 0.906 for ovarian malignant tumor the sensitivity, specificity, positive and negative predictive values were 75%, 93%, 55% and 96% respectively. \u0000Conclusions: Risk of Malignancy Index RMI-3 value of 190 or more is the best predictive cut-off to predict ovarian malignancy pre- operatively. \u0000Keywords: Cut-off value; ovarian cancer; RMI-3","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76769684","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