Background Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries. Compared to expectant management, active management decreases incidence PPH. Objective To compare effectiveness rectal misoprostol with intramuscular oxytocin prevention postpartum hemorrhage. Methods This a prospective, randomized analytical study from 1stSeptember 2009 28th February 2010 at Department Obstetrics Gynecology, Dhulkhel Hospital - Kathmandu...

Background The frequency of gestational diabetes mellitus (GDM) is 0.6% -15% pregnant woman. modern trend towards the delay starting family main factor responsible for increase prevalence GDM. This condition associated with adverse effect on mother and fetus, so it important to find out GDM by screening all women. Objective To observe feasibility using 50g GCT women attending Dhulikhel Hospital, Obstetric OPD. determine incidence in population maternal fetal outcome among those having an...

Ovarian pregnancy is an uncommon presentation of ectopic gestation and usually, it ends with rupture before the end first trimester. Its often difficult to distinguish from that tubal hemorrhagic ovarian cyst. We report a rare primary ruptured in 26 years lady. Kathmandu University Medical Journal | VOL.10 NO. 3 ISSUE 39 JUL- SEP 2012 Page 76-77 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8026

Background Knowledge of contraceptive methods is an important factor for individual to use or not family planning methods. In Nepal, at least one modern method universal amongst both men and women.Objectives To assess the knowledge, attitude regarding various practice contraceptives couples attending Dhulikhel Hospital Obstetrics Gynecology Department.Methods Five hundred fifteen were interviewed. Their contraception evaluated with help pre-evaluated questionnaire. The other variable used...

Background Spontaneous abortion refers to a pregnancy that ends spontaneously before the fetus has reached viable gestational age or expulsion extraction of an embryo weighing 500 g less from its mother. The Maternal Mortality Morbidity Survey Nepal 2008/09 reported 7% maternal deaths in were due complications related abortion.Objective main objective this study was examine histopathological changes chorionic villi and endometrial decidual tissue products conception obtained women with...

Background: Intrauterine growth restricted (IUGR) fetuses are at higher risk of developing neonatal complications and also known to develop metabolic syndrome in adult life. So, an early antenatal detection, choosing the optimal time method delivery intervention when required could minimize significantly.
 Objective: To find out prenatal outcome maternal placental factors.
 Methods: A prospective study was conducted from January 2010 2019, a Teaching Hospital. singleton pregnancy,...

Background: Gestational Diabetes Mellitus increased almost 30% in many countries, including underdeveloped countries and same Nepal. Hospital-based studies Nepal reported cases, with prevalence 2.48% 2010 to 4.47% 2019 emphasising on necessity of universal screening for Mellitus.Methods: As part implementation Electronic Decision support System Antenatal Care, formative study clinical vignettes case presented six healthcare providers ( Incharges, Auxiliary Nurse, Midwives Lab Assistants)...

Aims: This study explored how youth participatory action research (YPAR) methods, specifically play-based activities integrated with cricket, can engage adolescent girls in Nepal’s Terai region to identify and address gender-related health challenges. It aimed assess these methods contribute empowering girls, developing capacities, promoting gender equity through sports. Methods: Three interactive workshops were held forming ‘Cricket Changemakers’ teams. Through a combination of...

<p class="abstract"><strong>Background:</strong> Abnormal uterine bleeding is the cause of concern, inconvenience and discomfort to many ladies, this affects millions women in both developed developing world. Until recent times, dilatation curettage was usual method evaluation .This detects less than 50% cases, but hysteroscopy a better diagnostic modality prompt treatment can be provided same setting.</p><p class="abstract"><strong>Methods:</strong>...

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Intrauterine growth restricted (IUGR) fetuses are at greater risk of developing fetal hypoxia, neonatal complications, impaired neurodevelopment, and also intensive care unit stay mortality. They known to develop metabolic syndrome in adult life. So, the main objective this study was find out frequency intrauterine restriction, identify maternal placental factors associated with restriction its...

Background: Hyperemesis gravidarum (HG) is a syndrome that occurs in the first half of pregnancy and manifested by severe vomiting. The vomiting can cause weight loss, dehydration, ketonuria electrolyte imbalances. Several studies have evaluated outcome pregnancies 'complicated' nausea purpose present study was to evaluate association between clinical course, obstetric complications birth pregnant women with HG, determine epidemiological characteristics these women. Objective: To maternal...

Abstract Background Despite promising data from high-income countries, the impact of diet quality on gestational weight gain (GWG) has not been investigated in context many low-income countries including Nepal. Methods We prospectively examined association between 1 st trimester and GWG rate among a cohort singleton pregnant women ( n = 101; age 25.9 ± 4.1 years) community-based periurban hospital Dhulikhel, Diet was assessed adapted Nepali version 21-item PrimeScreen questionnaire...

Background Hormonal contraceptives are one of the most commonly used means contraception. Lack contraception may lead to large family size, increased preexisting illness on pregnancy, social and economic instability, risk unsafe abortion so on. This also unintended pregnancies which alter outcomes as well. However, improper uses associated with several serious adverse effects. Therefore, achieve optimum benefit least effects, safe effective use these agents monitoring their pattern patient...

Objective: To observe the role of indomethacin in polyhydramnios. Method: This was a prospective, longitudinal and analytical study conducted Kathmandu University Hospital, Dhulikhel from 1st July 2011 to December 2012. There were 32 patients included study. Indomethacin administered orally at dose 25 mg three times day for 1 week. The admitted observation clinical symptoms, fundal height, fetal status amniotic fluid index measurement. After delivery, baby investigated any abnormality...

Culturally appropriate dietary assessments are lacking in many low-income countries including Nepal. Here we examined the reproducibility and validity of a screener which was translated adapted to assess diet quality among pregnant Nepalese women. A pilot cohort singleton women (N = 101; age 25.9 ± 4.1 years) recruited from tertiary, periurban hospital An Nepali version PrimeScreen questionnaire, assessing weekly consumption frequency 12 healthy 9 unhealthy food groups, administered twice...

Background: Ovarian tumours account for 15% to 25% of all primary malignancy and the leading cause death from gynaecolgical malignancies. There are limited publications related ovarian Nepal. surgeries common in Kathmandu University Hospital. This study aims provide basic information this geographical region Nepal.
 Objectives: To review nature problems certain socio-demographic namely: caste, age, address co-morbid condition patients presenting with problems.
 Methodology: is a...

Introduction: The management of women with pregnancy complications at the peri-viability period involves a complex set medical, ethical, emotional, and social challenges for obstetrician. survival rate preterm babies has been improving along advancement in neonatal intensive care unit (NICU) technology. Our recent experience shown even very infants use surfactant therapy. Objective: This observational study was conducted order to evaluate benefit therapy on neonates, enable straight forward...