Cesarean Delivery and its indication: a Cross Sectional Study in a Tertiary Care Hospital, Pokhara, Nepal

Aims: This study is done to see the maternal and fetal factors associated with isolated oligohydraminos.Methods: It is a retrospective observational study done at Western Regional Hospital Pokhara. All cases of oligohydraminos except those with diabetes mellitus, hypertension, premature rupture of membranes, preterm labour and fetal congenital anomalies were included in the study. SPSS 16 and MS-Excel were used for data entry and analysis. Results were presented as graphs and tables.Results: Sixty cases were enrolled in the study and the mean age was 25.6 years. Oligohydraminos was more prevalent among primigravida compared to multigravida (62% vs. 38%). Half of the women (n=30) delivered in between 37 to 40 weeks of gestation while 47% (n=28) of the women were post dates and two were post term. LSCS was the most common mode of delivery in this study (n=48). Anhydraminos was detected in seven women (12%) during caesarean section and rest had scanty liquor (41 in LSCS and 12 in vaginal delivery). One fifth of them (n=12) had low birth weight and there were no cases of growth retardation. Eighty two percent of women (n=49) had scanty clear liquor while only seven percent (n=4) had meconium stained scanty liquor. One had stillbirth and the rest had Apgar score of six or more including anhydramnios.Conclusions: There were seven cases of anhydraminos and four cases of meconium stained liquor. All the live births had Apgar score of six or more. There was one stillbirth and neonatal admission each while no neonatal death in this study.

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Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4806 ◽

2020 ◽

Vol 58 (222) ◽

Author(s):

Prashant Simkhada ◽

Shradha Acharya ◽

Roshan Lama ◽

Sujata Dahal ◽

Nita Lohola ◽

...

Keyword(s):

Emergency Department ◽

Length Of Stay ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Duration Of Stay ◽

The Mean

Introduction: Emergency department of a hospital is responsible for providing medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department is not staffed or equipped to provide prolonged care. Duration of stay in the Emergency department directly affects the quality of patient care. Longer length of stay is associated with Emergency department overcrowding, decline in patient care, increased mortality and decreased patients satisfaction. The main aim of this study is to find the mean stay duration of patients in the emergency department of a tertiary care hospital in Nepal.Methods: This is a descriptive cross-sectional study which was conducted in a tertiary care teaching hospital from Jan 15,2019 to Jan 30, 2019. Ethical clearance was obtained from Kathmandu Medical College- Instutional Review Committee. The calculated sample size was 587. Consecutive sampling technique was used. The data thus obtained was entered in SPSS version 20 and necessary calculations were done. Results: The mean emergency stay duration was obtained to be 3.18 hours at 95% confidence interval (C.I and standard deviation was 2.51 hours. Female had longer mean duration of stay (3.25 hours) compared to male (3.11 hours). The maximum length of stay was 15.3 hours. Most of the patients attending the emergency department were discharged right through the emergency department 398 ( 67.8%). Mean duration of stay was longest (5.06 hours) for the referral group. Conclusions: The mean stay duration in Emergency Department of tertiary care hospital in Nepal is getting shorter compared to similar study done previously.

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Study of maternal and fetal outcome in postdate pregnancy in tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203556 ◽

2020 ◽

Vol 9 (9) ◽

pp. 3585

Author(s):

Patel Yogeshkumar Pransukhbhai ◽

Poonam Londhe

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Mode Of Delivery ◽

Fetal Outcome ◽

Cross Sectional Study ◽

Care Hospital ◽

Maternal Complications ◽

Cross Sectional ◽

Medical College ◽

Vaginal Deliveries

Background: Fetal, neonatal and maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study was conducted to find out the fetomaternal outcome of such prolonged pregnancy.Methods: This was a prospective cross-sectional study of 70 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital B. J. Medical College, Ahmedabad, Gujarat, India.Results: Out of 70 patients, majority of the subjects belongs to 26-30 years of age (50%). The gestational age of 90% of patients were between 40-42 weeks. About 42-44% of the foetus had a birth weight of 2.5-3.5 kgs. Maximum patients underwent vaginal deliveries in spontaneous group (57%) and 64% underwent LSCS in induced group. Mode of delivery is significantly associated with presence of adequate liquor.Conclusions: With regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up.

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Evaluation of Calf circumference as a procedure to screen low birth weight babies: a hospital based cross sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20174732 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2065 ◽

Cited By ~ 1

Author(s):

Arshiya Rehman Sheikh ◽

Sushama Subhash Thakre ◽

Subhash Thakre ◽

Chaitanya Rangangouda Patil ◽

Prithvi B. Petkar

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Calf Circumference ◽

Cross Sectional ◽

Low Birth Weight Babies ◽

The Mean

Background: In spite of the interventions being taken, low birth weight still persists as a public health problem in low and middle-income countries. World Health Organization defines low birth weight as birth weight less than 2500 gm. There is a constant search to find newer methods to detect low birth weight babies so that early methods can be instituted. This study was conducted to evaluate calf circumference as procedure to screen low birth weight babies in tertiary care hospital in Nagpur. Methods: A cross sectional study was conducted in tertiary care hospital of Nagpur, Maharashtra for a period of 4 months. The study subjects were babies delivered at the hospital. Birth weight was recorded using a digital weighing scale within 24 hours of the delivery. Length, calf circumference, head and chest circumference were measured according to standard guidelines. Results: Majority of mothers were in the age group of 20 to 24 years of age group, were educated up to primary school and belonged to Hindu religion. The mean calf circumference of low birth weight babies was 9.64±1.13 cm and was 10.96±1.01 cm in normal weight babies. The mean values of calf circumference were significantly lower in low birth weight babies (p <0.001). The sensitivity and specificity for the best cut off of calf circumference was found to be 89.97% and 42.86% respectively.Conclusions: Measuring calf circumference was found to be a good test with higher sensitivity but lower specificity. Hence, calf circumference can be used as an alternative method to screen babies born in remote areas, where the facility of weighing the baby at birth is not available.

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Mean Birth Weight and Mean placental Weight among Deliveries in a Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.3660 ◽

2019 ◽

Vol 57 (219) ◽

Author(s):

Raju Kafle ◽

Kabiraj Nibedita ◽

Binod Kumar Gupta

Keyword(s):

Birth Weight ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Uterine Wall ◽

Placental Weight ◽

Care Hospital ◽

Cross Sectional ◽

The Mean

Introduction: Placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, provide thermo-regulation to the fetus, waste elimination, and gas exchange. The present study was undertaken to look for mean birth weight and placental weight among deliveries in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in a tertiary hospital of Nepal. Ethical clearance was taken from institutional review comittee of hospital. Mothers with term and preterm gestation, their infants and the placentas were the subjects for the study. The study was conducted on 158 term and preterm deliveries. Placental weight, birth weight, gestational age, neonates’ gender, weight, length and head circumference were recorded. Results: The mean of weight of total 158 placentas was 449.24±82.07 g and the mean of birth weights was 2872.84±478.88 g. Out of 158 deliveries, 138 (87.4%) babies were of term gestation and 20 (12.6%) babies were preterm. Conclusions: Mean birth weight and placental weights are similar to that found on similar studies done on other hospitals. Knowing the mean placental weight and birth weight which relates to different functional dimensions of placenta and baby growth helps for further evaluation of placenta and baby.

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A Cross Sectional Study to Assess the Levels of Depression and Anxiety in Patients with Chronic Obstruction Pulmonary Disease in a Tertiary Care Hospital

Indian Journal of Community Health ◽

10.47203/ijch.2021.v33i01.012 ◽

2021 ◽

Vol 33 (1) ◽

pp. 90-96

Author(s):

Richa Sinha ◽

Trisha Gupta ◽

Sonam Maheshwari

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Care Hospital ◽

Sectional Study ◽

Comorbid Conditions ◽

Cross Sectional ◽

Copd Patients ◽

The Mean

Objective: In the present study, demographic profile, knowledge and motivation of COPD patients attending tertiary hospital, the level of anxiety and depression is assessed. Materials and Methods: This cross-sectional study was carried out on consecutive patients with COPD during their routine out- and in-patient visits in the tertiary care hospital during 4 months (April 2019 to July 2019). Physician confirmed cases of more than 1-year duration were included in the study. Thus 194 COPD patients were admitted in the ward. They were interviewed by using HADS scale and Modified Morisky scale. The diagnosis of COPD was confirmed by Chest X- ray and Spirometery test and a history of exacerbation or hospitalization over past 6 months was also obtained. The chi square-test, t-test and one-way analysis of variance were used in the univariate analyses, whilst regression was used in the multiple variable analyses.Results: A total of 194 COPD individuals, 124 Males and 70 Females were enrolled in the study. The mean age of the respondents was 49.16 ± 8.20 (25-62) years. The mean scores for anxiety and depression were 19.12± 2.38 and 11.54± 2.50 respectively. Both anxiety and depression scores were statistically significant between the gender. Among males 70 % cases were having no comorbid conditions; however, 57.10 % females were having more than two comorbid conditions. Conclusion: Present study illustrates that anxiety and depression are common in patients with COPD, furthermore, patients with depressive disorders have more comorbidities in comparison with patient with anxiety.

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Mean Evan's Index among Patients with Normal Computed Tomography Scan visiting Radiology Department in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.7006 ◽

2021 ◽

Vol 59 (240) ◽

Author(s):

Sagar Koirala ◽

Prity Agrawal ◽

Suresh Bishokarma ◽

Pratyush Shrestha

Keyword(s):

Computed Tomography ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Radiology Department ◽

Point Estimate ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

The Mean

Introduction: Evan's index is useful to objectively see if ventricles size is abnormal especially in borderline cases of hydrocephalus. Studying ventricular size in CT scan is essential in every pathology of the brain. Use of objective parameters to define hydrocephalus helps us not only to diagnose a case but also follow up the case following treatment. The aim of this study was to find out the mean even index among patients visiting the department of radiology of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital from 1st january 2020 to 31st December 2020. Ethical clearance was obtained from the Institutional Review Committee of Upendra Devkota Memorial Neurological and Allied Sciences (reference number: 116/2021). Computed tomography scans were done for various reasons in the hospital over a one year period and reported normal by the radiologists were included in the study. Convenient sampling was done. Statistical analysis was done using Statistical Package for the Social Sciences. Point estimate at 95% Confidence Interval was calculated along with mean and standard deviation for continuous data. Results: In this study, among the 216 cases, the mean Evan’s index was found to be 0.20±0.04. Conclusions: The mean evan’s index in our study population was lower than the normal cut-off value.

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