Journal of Nepal Medical Association最新文献_第6页

Assessment of Smoking Behaviour of Adolescents in Two Districts of Nepal and Implications of the MPOWER Policy Measures: A Mixed Method Study. 尼泊尔两个县青少年吸烟行为评估及 MPOWER 政策措施的影响：混合方法研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8575

Jemish Acharya, Chardsumon Prutipinyo, Nithat Sirichotiratana, Kwanjai Amnatsatsue

{"title":"Assessment of Smoking Behaviour of Adolescents in Two Districts of Nepal and Implications of the MPOWER Policy Measures: A Mixed Method Study.","authors":"Jemish Acharya, Chardsumon Prutipinyo, Nithat Sirichotiratana, Kwanjai Amnatsatsue","doi":"10.31729/jnma.8575","DOIUrl":"10.31729/jnma.8575","url":null,"abstract":"Introduction: Tobacco use is the single most preventable cause of death and disease worldwide. This study aimed to assess the smoking behaviour of adolescents in two districts of Nepal and examine the implications of the MPOWER policy on their smoking behaviour.Methods: An explanatory, mixed-method study was conducted in two districts of Nepal. Qualitative in-depth interviews were conducted among nine participants aged 35-50, representatives of the Ministry of Health, academic institutions, and managers of organisations working in tobacco control, using snowball sampling method. A total of 306 students of age 13-15 years, from six government schools were recruited through simple random sampling method using an adapted version of the Global Youth Tobacco Survey (GYTS). Findings of the qualitative and quantitative study were explained for concurrence and relevance to present overall study findings. Ethical approval was received from the Nepal Health Research Council and Mahidol University.Results: Findings from the survey reported that a total of 25 (8.10%) of respondents were smokers, from which 13 (4.20%) were current smokers and 12 (3.90%) were ever smokers. Socio-economic status played a crucial role in the smoking behaviour. Although the survey among adolescents indicated an awareness of the policies, there was a lack of cessation services, which was concurrent with the qualitative findings. The interviews recommended improvements in the implementation of policy ban on public smoking, taxation, and availability of cessation services.Conclusions: The MPOWER policies are not regulated strictly, especially in areas of the ban on public smoking, regulating the selling of cigarettes to adolescents <18 years, and availability of cessation services.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"315-322"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cranial Autonomic Symptoms in Migraine Patient Presenting in the Department of Neurology of a Tertiary Care Center: A Descriptive Cross-sectional Study. 一家三级医疗中心神经内科就诊的偏头痛患者的头颅自主神经症状：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8576

Parash Rayamajhi, Pravesh Bhattarai, Janak Khadka, Sujit Khanal, Subodh Chapagain

{"title":"Cranial Autonomic Symptoms in Migraine Patient Presenting in the Department of Neurology of a Tertiary Care Center: A Descriptive Cross-sectional Study.","authors":"Parash Rayamajhi, Pravesh Bhattarai, Janak Khadka, Sujit Khanal, Subodh Chapagain","doi":"10.31729/jnma.8576","DOIUrl":"10.31729/jnma.8576","url":null,"abstract":"Introduction: Cranial autonomic symptoms (CAS) are typically associated with trigeminal autonomic cephalagias (TACs) and are also a part of TACs' diagnostic criteria. However, they have also been commonly reported in migraine patients. This study aimed to find the prevalence of CAS in Migraine patients who presented to the Department of Neurology in a tertiary care center.Methods: This descriptive cross-sectional study was conducted among migraine patients who visited the Department of Neurology of a tertiary care center from September 2023 to December 2023 after obtaining ethical approval from the Institutional Review Committee. Neurologists used ICHD-3 beta criteria to diagnose migraine and the presence of cranial autonomic symptoms in patients with migraine through face-to-face interviews using a structured questionnaire. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.Results: Among 119 migraine patients, at least one cranial autonomic symptom was seen in 76 (63.86%) (55.23-72.51, at 95% Confidence Interval). Lacrimation 34 (44.73%) and conjunctival injection 27 (35.52%) were the two most commonly reported symptoms. Bilateral CAS was present in 60 (78.94%) patients.Conclusions: The prevalence of at least one CAS in migraine patients was found to be similar to other studies done in similar settings.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"311-314"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional Outcome of Solid Interlocking Nail in Open Tibial Fracture at a Tertiary Care Center: A Descriptive Cross-sectional Study. 一家三级医疗中心在开放性胫骨骨折中使用实心交锁钉的功能结果：描述性横断面研究

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8571

Vijayendra Adhikari, Prasamsha Sitaula, Ojas Thapa, Sumi Singh, Anil Kumar Mishra, Ramesh Prasad Singh, Pralhad Kumar Chalise, Praphulla Shrestha

{"title":"Functional Outcome of Solid Interlocking Nail in Open Tibial Fracture at a Tertiary Care Center: A Descriptive Cross-sectional Study.","authors":"Vijayendra Adhikari, Prasamsha Sitaula, Ojas Thapa, Sumi Singh, Anil Kumar Mishra, Ramesh Prasad Singh, Pralhad Kumar Chalise, Praphulla Shrestha","doi":"10.31729/jnma.8571","DOIUrl":"10.31729/jnma.8571","url":null,"abstract":"Introduction: There is a high incidence of open fractures accounting 23% of all tibial fractures. The minimal soft tissue and precarious blood supply of the shaft of tibia make these fractures vulnerable to complications. The treatment should be decided through thoughtful analysis for personality of injuries and the status of the soft tissue. Intramedullary nailing allows stable fixation with minimal soft tissues dissection and preserve the soft tissue and allows early joint motion with higher rate of union. The purpose of our study was to find the outcome of open tibial fractures lower than Gustilo type IIIb, that were treated by unreamed solid interlocking intramedullary nails.Methods: A descriptive cross-ectional study was conducted from December 2021 to June 2023 after taking approval from ethical committee. All 34 patients treated with solid interlocking intramedullary nail, without reaming for open tibial fracture during 18 months period were included in the study. Final follow up was done at one year and the outcome was assessed by Modified Ketenjian's criteria.Results: The mean time of union rate was 15.82±3.95 weeks. Complications were: superficial infections in 4 (11.76%) patients and deep infection in 1 (2.94%) patient. Using Modified Ketenjian's Criteria, 26 (76.47%) patients had an excellent result followed by good in 7 (20.59%), fair in 1 (2.94%) and there was no case with poor outcome.Conclusions: Solid intramedullary interlocking nail is an effective treatment with minimal soft tissue dissection for open tibia fracture less than GA III B as it provides stable fixation with early mobilization and provides a high rate of union, less complication and early return to function.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"297-300"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe Acute Respiratory Distress in a Child with Hypereosinophilic Syndrome: A Case Report. 一名嗜酸性粒细胞过多综合征患儿的严重急性呼吸窘迫：病例报告。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8579

Bipesh Kumar Shah, Shankar Prasad Yadav, Dheeraj Nagpal, Naveen Pokhrel, Samiksha Lamichhane

引用次数: 0

Healthcare System Sustainability Challenges in Nepal and Opportunities Offered by Alternative Healthcare Delivery Arrangements. 尼泊尔医疗保健系统的可持续性挑战和替代性医疗保健服务安排带来的机遇。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8584

Pramila Rai, Denise A O'Connor, Ilana N Ackerman, Rachelle Buchbinder

{"title":"Healthcare System Sustainability Challenges in Nepal and Opportunities Offered by Alternative Healthcare Delivery Arrangements.","authors":"Pramila Rai, Denise A O'Connor, Ilana N Ackerman, Rachelle Buchbinder","doi":"10.31729/jnma.8584","DOIUrl":"10.31729/jnma.8584","url":null,"abstract":"Abstract: The burden of chronic diseases in Nepal is increasing due to demographic and epidemiological transitions; alongside the persistent impact of communicable, maternal, newborn, and child health diseases, this critical situation acts as the precursor to rising healthcare costs. Nepal struggles to sustain its healthcare system amidst political instability, pandemics, natural disasters, and slow economic growth, particularly when healthcare funding is mainly dependent on out-of-pocket payments. Nepal requires lower-cost alternative healthcare delivery arrangements to provide high-value care while relieving economic sustainability pressures. Alternative healthcare delivery arrangements have a broad potential scope; they can involve strategic changes in how care is delivered and by whom, or they can also involve the application of information and communication technologies, e.g., telemedicine. This paper highlights the specific challenges to healthcare system sustainability in Nepal and the potential for high-value, lower-cost alternative healthcare delivery models to improve system performance in the longer term.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"347-349"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Altered Passive Eruption among Patients Visiting Dental Outpatient Department in a Tertiary Care Center: A Descriptive Cross-sectional Study. 一家三级医疗中心牙科门诊部就诊患者的被动喷发改变：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8566

Simant Lamichhane, Manoj Humagain, Sachita Thapa, Sita Bhusal, Arjun Hari Rijal, Prakriti Rupakhety, Rakesh Ranjan

{"title":"Altered Passive Eruption among Patients Visiting Dental Outpatient Department in a Tertiary Care Center: A Descriptive Cross-sectional Study.","authors":"Simant Lamichhane, Manoj Humagain, Sachita Thapa, Sita Bhusal, Arjun Hari Rijal, Prakriti Rupakhety, Rakesh Ranjan","doi":"10.31729/jnma.8566","DOIUrl":"10.31729/jnma.8566","url":null,"abstract":"Introduction: The eruption of teeth is considered to be a continuous phenomenon. Two types of eruption are possible namely, active and passive eruption. Failure in passive eruption (by the apical movement of gingiva from the enamel surface) generally results in a clinical condition known as altered passive eruption. It can result in the shortened crown height of a tooth and an esthetically unpleasant situation i.e., excessive gingival display or gummy smile. The main motto of this study was to find out the prevalence of altered passive eruption and associated gingival biotypes in adult patients visiting for dental treatment in tertiary centers along with strategically placed outreach centers.Methods: A descriptive cross-sectional study was done in the Department of Dentistry, Dhulikhel Hospital, and four outreach centers of the same hospital. The study was conducted from October 2022 to April 2023 after obtaining the ethical approval. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.Results: Among 165 patients, the prevalence of altered passive eruption was 21 (12.72%) (7.62-17.78 at 95% Confidence Interval). Furthermore, among 21 patients, the altered passive eruption was seen in the thick biotype patients in 16 (76.19%) and thin biotype patients in 5 (23.81%).Conclusions: The prevalence of altered passive eruption appeared to be equivalent when compared with the previous studies.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"284-287"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study. 在一家三级政府医院工作的护士和医生的职业倦怠：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8577

Sunil Kumar Shah, Richa Sinha, Pratik Neupane, Gobinda Kandel

{"title":"Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study.","authors":"Sunil Kumar Shah, Richa Sinha, Pratik Neupane, Gobinda Kandel","doi":"10.31729/jnma.8577","DOIUrl":"10.31729/jnma.8577","url":null,"abstract":"Introduction: Work environment related feelings of dissatisfaction, exhaustion, decreased interest and isolation is common. Burnout among health professionals has been on rise at every stage of professional growth affecting wellness of service providers, patient care and health care organizational efficiency. Assessment of burnout among health care workers from government setup in the current context in this post COVID era in our socio-geographical context has become essential. The aim of this study was to find the prevalence of burnout among nurses and doctors working at a tertiary care government hospital in Nepal.Methods: This descriptive cross sectional study was conducted among nurses and doctors working at a tertiary level government hospital from May 2022 to Nov 2022 after approval from Institutional Review Committee of the same institute. Nurses and doctors available on duty, from all ages were included. Trainees and students, those unable to participate due to their illness, on leave, known cases of mental illness were excluded. The point estimate was calculated at 95% Confidence Interval.Results: Among 180 participants, the prevalence of moderate burnout was 94 (52.22%) (44.92-59.51, 95% Confidence Interval). Among nurses 72 (50%), while in doctors 22 (61.11%) had moderate burnout. Out of those with moderate levels of burnout, the majority of 66 (52.80%) were in the age group 26-50 years.Conclusions: The prevalence of burnout among nurses and doctors is high, similar to other studies done in similar settings.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"293-296"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paraquat Toxicity Leading to Acute Kidney Injury: A Case Report in an Adult Patient. 百草枯中毒导致急性肾损伤：一名成人患者的病例报告。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8560

Newton Ashish Shah, Manish Yadav, Rupesh Sah, Bibek Rajbhandari

{"title":"Paraquat Toxicity Leading to Acute Kidney Injury: A Case Report in an Adult Patient.","authors":"Newton Ashish Shah, Manish Yadav, Rupesh Sah, Bibek Rajbhandari","doi":"10.31729/jnma.8560","DOIUrl":"10.31729/jnma.8560","url":null,"abstract":"Abstract: Paraquat poisoning poses a significant and emerging public health challenge in developing countries. The distribution and usage of Paraquat, a potent herbicide, remain unrestricted in many regions despite its high fatality rate and absence of a specific antidote. Paraquat mostly involves lungs but can also involve the kidneys and liver. Diagnostic challenges and a lack of available samples at presentation contribute to underreporting and limited awareness among healthcare providers, making paraquat poisoning a neglected toxicological emergency. Herein, we present a case of a 40-year-old male who presented to the emergency department on the fourth day after ingesting paraquat in a suicidal attempt. Upon presentation, he had erosion on the tongue and posterior pharyngeal wall, along with deranged renal function tests and elevated serum creatinine levels. The patient developed acute kidney injury, with serum creatinine levels rapidly rising from normal to 3.85 mg/dl, accompanied by a decrease in daily urine output. He was managed conservatively, and his hospital stay was uneventful.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"343-346"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidetector Computed Tomography Used in Evaluation of Olfactory Fossa Depth in a Tertiary Hospital in Eastern Region of Nepal: A Descriptive Cross-sectional Study. 尼泊尔东部地区一家三甲医院用于评估嗅窝深度的多载体计算机断层扫描：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8578

Ajay Kumar Yadav, Rajeev Kumar Shah, Neha Yadav, Bipin Koirala, Binit Dev, Sushil Taparia

{"title":"Multidetector Computed Tomography Used in Evaluation of Olfactory Fossa Depth in a Tertiary Hospital in Eastern Region of Nepal: A Descriptive Cross-sectional Study.","authors":"Ajay Kumar Yadav, Rajeev Kumar Shah, Neha Yadav, Bipin Koirala, Binit Dev, Sushil Taparia","doi":"10.31729/jnma.8578","DOIUrl":"10.31729/jnma.8578","url":null,"abstract":"Introduction: Olfactory fossa (OF) is a depression in most infero-medial portion of anterior cranial fossa formed by cribriform plate, crista galli and lateral lamella of cribriform plate (LLCP). LLCP being thinnest and extremely variable parts, more prone for iatrogenic injury during sinus surgery in case of asymmetric and deep OF. Multidetector computed tomography (MDCT) is frequently used imaging modality in the evaluation of paranasal sinus. The objective of the study is to classify the OF depth according to the Keros classification.Methods: In this ethically approved prospective, cross-sectional descriptive study, CT scan was done in 530 consecutive patients from February 2022 to July 2023. Coronal CT images of paranasal sinuses and nose were used to measure the OF depth. The data collected was analyzed using SPSS.Results: Out of 530 patients included in this study, 310 (58.49%) were male and 220 (41.51%) were female with mean age of 40.46±11.56 years. Total of 1060 olfactory fossa were analyzed with mean depth of 4.96±1.88 mm. In our study, 310 (29.24%) had type I, 730 (68.88%) had type II and 20 (1.88%) had type III according to Keros classification.Conclusions: Keros type II OF is more common. The dangerous type III OF having low prevalence, more commonly seen on right side and in males.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"301-305"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study. 一家三级医院的高危妊娠及其结果：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8561

Sunita Bhandari, Yam Dwa, Meenu Maharjan, Manisha Bajracharya

{"title":"High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.","authors":"Sunita Bhandari, Yam Dwa, Meenu Maharjan, Manisha Bajracharya","doi":"10.31729/jnma.8561","DOIUrl":"10.31729/jnma.8561","url":null,"abstract":"Introduction: High-risk pregnancy is defined as one which is complicated by factors or factors that adversely affect the pregnancy outcome (maternal, perinatal or both). Early detection and effectivemanagement of high risk pregnancy helps in achieving favorable maternal and perinatal outcomes. This study aimed to find the prevalence of high risk pregnancy and its outcome among pregnant women admitted for delivery in the obstetrics and gynecology department of a tertiary care hospital Methods: A descriptive cross sectional study was conducted in a tertiary care hospital among high risk pregnant women admitted for delivery using structured proforma, from April 2023 to September 2023 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling was used among pregnant women who met the inclusion criteria. Data was entered in excel and analysis was done using IBM SPSS Statistics. Point estimate was calculated at 95% Confidence Interval Results: Among 350 deliveries, high risk pregnancy was seen in 91 (26%) (16.15-32.00, 95% Confidence Interval). The high risk factors were previous history of cesarean section 25 (27.47 %) followed by hypothyroidism 19 (20.87%) and gestational diabetes mellitus 15 (16.48%). Out of 90 high risk pregnancy, 84 (92.30%) had term delivery. Lower segment cesarean section was done in 69 (75.82%) patients of which 26 (28.57%) underwent emergency cesarean section. The total number of births among high risk preganancies were 93 with two sets of twin births. A total of 13 (13.97%) of the babies had low-birth weight.Conclusions: The prevalence of high risk pregnancy was found to be similar as compared to studies done in similar settings.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"306-310"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0