Browsing by Author "Bhansakarya, Rakina"
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Publication Complete Recovery of Renal Function among Obstetric Patients with Acute Kidney Injury at a Tertiary Care Hospital: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) Bhansakarya, Rakina; Baral, Gehanath; Shrestha, Shailendra; Subedi, Shanti; Ghimire, Sita; Shrestha, Prajmi; Chaudhary, Amar NathAbstract: Introduction: Acute kidney injury is a rare complication of pregnancy and is associated with high maternal morbidity and mortality. Obstetric factors associated with it are preeclampsia/eclampsia, sepsis, hemorrhage and dehydration. Here, we aim to find out the prevalence of complete recovery of renal function among obstetric patients with acute kidney injury. Methods: This is a descriptive cross-sectional study conducted in a tertiary care hospital from 1st July 2020 to 30th June 2021 where obstetric patients who had developed acute kidney injury were included and followed till 6 weeks of diagnosis. Ethical approval was obtained from Institutional Review Committee of Nobel Medical College and Teaching Hospital (IRC- NMCTH 437/2020). The convenience sampling method was used. Data entry and analysis were done using Statistical Package for Social Sciences version 21. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of total 66 obstetric patients with acute kidney injury, 45 (68.2%) (57-79.3 at 95% Confidence Interval) had complete recovery of renal function. Rate of renal function recovery in Stage 1, Stage 2 and Stage 3 acute kidney injury were 19 (90%), 19 (86%) and 7 (58%) respectively. The most common causes of acute kidney injury were Preeclampsia/eclampsia 18 (40%), sepsis 23 (28.8%) and hemorrhage 10 (22.2%). Conclusions: The prevalence of complete recovery in obstetric patients with acute kidney injury was similar to findings from other studies done in similar settings.Publication Trends in Cesarean Delivery at a Tertiary Care Hospital(Institute of Medicine, Tribhuvan University, 2025) Ojha, Neebha; Khaniya, Bishal; Pun, Sunita; Bhansakarya, Rakina; Ghimire, Asmita; Sharma, AshishAbstract: Introduction Cesarean delivery is on the rise globally, and many government bodies and clinicians have expressed concern about the rising rate of cesarean delivery. The study aims to assess the trend in cesarean delivery rate and the type of cesarean delivery at five-year intervals during the study period. Methods This descriptive cross-sectional study was conducted at TU Teaching Hospital by a chart review of cesarean delivery (CD) during the years 2014, 2019, and 2024 AD. Basic data including age, parity, ethnicity, gestational age, and multiple pregnancy was obtained. The collected data were entered and analyzed in SPSS 26. Results The annual CD rate was 39.0 %, 52.7%, and 56.0% among the total livebirth delivery during the years 2014, 2019, and 2024, respectively. The proportion of primary CD increased from 2014 to 2019 but remained static in 2024 (31%, 41%, and 39.4%), however for repeat CD it increased steadily. Mothers undergoing CD in the age ≥35 years increased from 106 (6.1%) in 2014 to 241 (13.5%) in 2024 (8%, 11.7%, and 16.5%). The emergency CD were three times more common than elective CD in all the years interval. The most common indications for the primary and repeat CD werea fetal distress and refused trial of labor respectively. Conclusions This study showed increasing trend in the cesarean delivery rate. Primary CD constituted more than the repeat CD, however the rate of increase was more in the repeat than in the primary CD. It is important to reduce primary CD if we want to decrease the overall CD rate.