Nepal Journal of Obstetrics and Gynaecology最新文献_第9页

Quality of life of postmenopausal women of Kaski district 卡斯基地区绝经后妇女的生活质量

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29340

D. Koirala, Nirupa Thapa, S. Shrestha

{"title":"Quality of life of postmenopausal women of Kaski district","authors":"D. Koirala, Nirupa Thapa, S. Shrestha","doi":"10.3126/njog.v15i1.29340","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29340","url":null,"abstract":"Aim: To assess menopause specific quality of life of postmenopausal women. Method: This descriptive survey was carried out among postmenopausal women aged 40 to 60 years residing in a municipality of Kaski district of Nepal. Data was collected from 150 women meeting the criteria through face to face interview using a structured questionnaire consisting of socio-demographic items and Menopause-Specific Quality of Life (MENQOL) scale. Results: Respondents’ mean age and SD was 52.83±4.19 years and their mean menopausal age and SD was 47.12±4.34 years. The most common menopausal symptom reported by the respondents was decrease in physical strength (82.70%) and the least frequent symptom was increase in facial hair (7.40%). The mean scores and SD of MENQOL for physical, psychosocial, sexual and vasomotor domains were 1.67±0.42, 1.46±0.42, 1.31±0.47 and 1.27±0.57 respectively. Significant differences were detected in vasomotor, psychosocial and physical domain score according to physical activity, living status and body mass index respectively (p=0.05). Conclusions: Based on findings, it is concluded that all the postmenopausal women tend to have at least one or more menopausal symptoms. Physical domain is the most affected domain of QOL among the postmenopausal women. The presence of menopausal symptoms affects the quality of life of women adversely that warrants focused teaching and counselling.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84263651","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: 5

Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria 女性尿失禁:尼日利亚拉各斯妇科门诊患者的患病率、危险因素及其对生活质量的影响

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29338

F. Akinlusi, T. Ottun, Y. Oshodi, Bilkees Oluwatoyin Seriki, F. D. Olalere, T. O. Kuye

{"title":"Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria","authors":"F. Akinlusi, T. Ottun, Y. Oshodi, Bilkees Oluwatoyin Seriki, F. D. Olalere, T. O. Kuye","doi":"10.3126/njog.v15i1.29338","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29338","url":null,"abstract":"Aims: To determine the prevalence of urinary incontinence, risk factors and impact on the quality of life in gynecological clinic attendees of a University Hospital. \u0000Methods: A cross sectional descriptive study was conducted amongst gynecological clinic attendees in a Teaching Hospital in Nigeria from 1st February to 31st July 2017. Structured questionnaires were used to ascertain the presence of urinary incontinence. Socio-demographic and medical factors; impact on daily activities and treatment history were assessed. Women with and without urinary incontinence were compared. Univariate, bivariate and multivariable analyses were performed. \u0000Results: There were 395 women of 25 - 67 years (mean age = 38.81±10.1). About 33% had experienced urinary incontinence in the previous 6 months with Urgency, Mixed and Stress urinary incontinence occurring in 18.0%, 7.6% and 7.3% respectively. Independent risk factors for urinary incontinence were age (odds ratio=0.49, 95% confidence interval [CI] =0.26 - 0.92, P =0.026), higher body mass index (odds ratio=1.92, 95% CI =1.53 - 3.00, P =0.004) and history of constipation (odds ratio=2.11, 95% CI =1.30 - 3.43, P =0.003). About 47% of those with urinary incontinence admitted to negative feelings like anxiety and depression; 45% had moderate to severe impact on their quality of life in all domains but only 27.7% sought help. \u0000Conclusions: Urinary incontinence is common and risk factors include older age, high body mass index and constipation. Despite its substantial impact on the quality of life, majority do not seek help. Addressing modifiable risks factors and improving treatment seeking behaviour will assist in reducing the prevalence of urinary incontinence. \u0000Keywords: female urinary incontinence; quality of life; risk factors; stress incontinence; urgency incontinence.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76766428","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: 6

Management of COVID-19 Infected Patients in Pregnancy and Puerperium 妊娠和产褥期新冠肺炎感染患者的管理

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29347

B. Sharma, G. Dangal, Bandana Khanal, Siddeshwar Angadi

引用次数: 0

Effect of inter-pregnancy interval on maternal and fetal outcome 妊娠间期对母胎结局的影响

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29343

Pravin Shrestha, Vibha Mahato, Smita Shrestha Karmacharya

{"title":"Effect of inter-pregnancy interval on maternal and fetal outcome","authors":"Pravin Shrestha, Vibha Mahato, Smita Shrestha Karmacharya","doi":"10.3126/njog.v15i1.29343","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29343","url":null,"abstract":"Aims: To explore the impact of inter-pregnancy interval on maternal and fetal health Methods: Descriptive cross sectional study conducted at Department of Obstetrics and Gynaecology, Manipal Teaching hospital, Pokhara, Nepal. Inter-pregnancy interval (IPI) was calculated as the time elapsed between the woman’s last delivery and the date of last menstrual period for the present second or higher order birth. Intervals were taken in weeks and then converted to months. IPI were categorized as <18months, 18-23, 24-59, >59 months. Results: Among the 550 pregnancies studied, the majority (57%) of them had an IPI of more than 59 months. Long IPI of >59 months had increased risk of maternal complications like preeclampsia (12.4%), postdate pregnancy (10.8%), PROM (4.4%), oligohydramnios (3.8%), placenta previa (2.5%), gestational diabetes mellitus (2.2%), chronic hypertension (1.5%), abruptio placenta (0.3%), IUFD (0.6%) and overt DM (0.3%). Increased preterm birth was seen in IPI <18 months (25%). Short IPI had also increased risk of IUGR (8.3%) and anaemia. Adverse maternal outcome was least when IPI was between 18-23 months. Conclusions: IPI shorter than 18 months and longer than 59 months were associated with increased risk of adverse maternal and perinatal outcomes.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"19 1","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87213908","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

Cesarean Section profile at a tertiary center 三级中心剖宫产剖宫产剖面

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29345

M. Shrestha, S. Shrestha

引用次数: 3

Endourological Management of Iatrogenic Ureterovaginal Fistula following Obstetric and Gynecological Surgeries at Tertiary Referral Center 三级转诊中心产科和妇科手术后医源性输尿管阴道瘘的泌尿系统管理

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29344

A. Upadhyay, B. Acharya, A. Kunwar, Kabir Tiwari, S. Shrestha, H. Pradhan, G. Dangal

{"title":"Endourological Management of Iatrogenic Ureterovaginal Fistula following Obstetric and Gynecological Surgeries at Tertiary Referral Center","authors":"A. Upadhyay, B. Acharya, A. Kunwar, Kabir Tiwari, S. Shrestha, H. Pradhan, G. Dangal","doi":"10.3126/njog.v15i1.29344","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29344","url":null,"abstract":"Aims: To evaluate the outcome of endourological management of iatrogenic ureterovaginal fistula caused by gynecological and obstetric surgeries. \u0000Methods: This is a retrospective analysis of uretorovaginal fistula (UVF) patients who underwent UVF management with endourology technique from February 2014 to November 2019. All data were taken from fistula database. All non-obstetric/gynaecological cases and open surgical procedures leading to UVF were excluded. Diagnostic evaluation by cystoscopy and ureterorenoscopy; and use of guide wire, C-arm and DJ stent were recorded. Three to six months post-operative follow up status was also recorded. \u0000Results: There were 14 cases managed by retrograde DJ stenting. Both hysterectomy (n=10) and Cesarean Sections (n=4) were the past surgeries. Diagnosis was made by history, methylene blue test, cystoscopy, intravenous urography and CT urogram. Treatment was retrograde DJ stenting. All of them had unilateral distal ureteric injury close to vesicoureteric junction leading to ureterovaginal fistula. All were continent at the end. \u0000Conclusions: Endourological approach with retrograde DJ stenting had successful outcome in iatrogenic UVF. \u0000Keywords: double J stent, endourological technique, iatrogenic ureterovaginal fistula, ureterorenoscope.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77356208","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

Sirenomelia in Dicephalic parapagus twins discordant for anencephaly and spina bifida. 双头畸胎儿的鼻音畸形与无脑畸形和脊柱裂不一致。

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29349

Tripti Shrestha, G. Baral, Nesuma Sedhain

引用次数: 1

Analysis of Pap smears in a cytopathology lab of a teaching hospital 某教学医院细胞病理学实验室子宫颈抹片检查结果分析

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29346

R. Baral

引用次数: 1

Second trimester abortion service at a provincial public hospital 省级公立医院妊娠中期堕胎服务

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29342

R. Pandit, Murari Thakur

引用次数: 1

Acute Fatty Liver of Pregnancy: A Life Threatening Condition 妊娠期急性脂肪肝:一种危及生命的疾病

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29348

Sarita Sitaula, A. Agrawal, A. Thakur, T. Manandhar, Babauram Dixit Thapa, Jibanath Dhamala

引用次数: 0