NepMed Repository :: Browsing by Author "Darlami, Radha"

Browsing by Author "Darlami, Radha"

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Analysis of Caesarean Sections according to Robson’s Ten Group Classification System at a Tertiary Care Hospital in Lumbini Province
(Rapti Academy of Health Sciences (RAHS), 2024) Lamichhane, Basant; Darlami, Radha; Bhattarai, Stuti
Abstract: Introduction: A Caesarean section (CS) is a common surgical operation in obstetrics. There is an alarming concern regarding rising rate of CS worldwide. This study was conducted to align with the Robson classification, an international standard for tracking and comparing CS rates within an institution. The study also identifies the CS rates within each group according to Robson’s ten-group classification system (RTGCS). Methods: This cross-sectional study, conducted over six months from October 2022 to March 2023, took place in the Department of Obstetrics and Gynecology at Rapti Academy of Health Sciences, a tertiary care center in Province 5. Descriptive analysis was performed on various variables according to the Robson’s Ten Group Classification System (RTGCS), and the Caesarean sections (CS) were subsequently categorized. Results: Out of 1780 total deliveries, 1060 (59.55%) were vaginal deliveries while 720 (40.45%) were CS. According to the Robson classification, group 1 was the predominant contributor at 34.2%, followed by group 5 at 21.1% and group 3 at 16.1% respectively. In regards to the indication of CS, cephalo-pelvic disproportion was the top most indication for CS. Conclusions: As per the study as group 1 and group 5 are the leading group of CS in the institute, measures such as following evidence based labour care guide and promoting instrumental deliveries and vaginal birth after caesarean (VBAC) could help address the increasing CS rates.
Place of Child Birth and its Associated Factors in Shitganga Municipality, Arghakhanchi district, Nepal
(Rapti Academy of Health Sciences (RAHS), 2024) Darlami, Radha; Karki, Khem Bahadur; Oli, Bishnu Prasad
Abstract: Introduction: Maternal and newborn mortality are tragic facts that occur due to complications occur during pregnancy and deliveries. Although, there are improvements in institutional birth services, still more than one-third of women in Nepal give birth at home due to various circumstances. The main objective of this study is to identify the factors associated with place of child birth. Methods: A community based cross-sectional study was conducted in Shitganga Municipality of Arghakhanchi district. Using simple random sampling, 342 women who delivered in last one year were interviewed with structured questionnaire. Ethical approval was taken from the Institutional Review Committee (IRC) of Institute of Medicine, and written informed consent was obtain from respondent. Data analysis was performed in Statistical Package for the Social Sciences (SPSS). Results: Study shows that municipality has 81.9% of institutional delivery. Among them more than 50% of institutional delivery occurs outside of municipality. Factors like age, type of family, occupation of husband, education of women and husband, parity of women, knowledge and practice of ANC services and time distance from health facility were establish significantly associated at p value <0.05 with place of child birth. Conclusions: As per the study, ANC and delivery practice of women was good. Study also conclude that joint family, formal schooling of women, husband’s occupation, experience of danger signs during delivery and time distance of 60 minutes or more have significant association with place of child birth.
Pulmonary Tuberculosis and its Associated Factors among HIV Positive Individuals attending Antiretroviral Therapy Clinic of Tertiary Care hospital in Ghorahi, Dang
(Rapti Academy of Health Sciences (RAHS), 2025) Lamichhane, Bikash; Darlami, Radha; Bhattarai, Stuti
Abstract: Introduction: Human immunodeficiency virus (HIV) weakens the immune system by targeting CD4 cells. Pulmonary tuberculosis (PTB) is a bacteriologically confirmed or clinically diagnosed tuberculosis infection of the lung parenchyma or tracheobronchial tree. Prevalence of PTB is significantly high among HIV positive individuals. This study assessed the Pulmonary Tuberculosis and its associated factors among HIV positive individuals. Methods: A descriptive cross-sectional study was conducted at ART clinic of Rapti Academy of Health Sciences (RAHS). After obtaining ethical approval from the Institutional Review Committee of RAHS, records of 299 HIV positive individuals attending the ART clinic from January to December 2024 were consecutively sampled and retrieved. Data analysis was performed using the Statistical Package for the Social Sciences version 16. Results: Out of 299 HIV positive individuals, the majority (53.5%) were aged 40–59 years, with a median age of 41 years, and near-equal gender distribution. Most were Janajati (39.1%), married (69.6%), literate (73.6%), and unemployed (77.6%), with spouses of migrants (40.1%) and migrants (20.4%) being the key risk groups. Clinically, over half (51.2%) were in Stage I HIV, 94.3% had viral load testing, and 98.2% of those tested showed viral suppression. Pulmonary tuberculosis (PTB) was prevalent in 7.4% of HIV positive individuals. Among 47 individuals with other associated diseases, infections (29.7%) were most common. Conclusion: This study highlights the ongoing challenge of PTB associated with HIV infection in Nepal, necessitating targeted interventions and integrated services. Further multi-center research is recommended to explore socioeconomic and clinical determinants of PTB among HIV-positive individuals.
Trend of Teenage Pregnancy and its Adverse Outcome at Rapti Academy of Health Sciences, Dang District, Lumbini Province
(Rapti Academy of Health Sciences (RAHS), 2024) Lamichhane, Bikash; Lamichhane, Basant; Darlami, Radha; Kunwar, Shishir; Bhattarai, Stuti; Gautam, Ajaya Raj; Pokhrel, Bishal
Abstract: Introduction: Teenage pregnancy is defined as a pregnancy in a girl who is 10-19 years of age. In Nepal, adolescents aged 10 to 19 comprise 6.4 million of the population. The most common maternal complications in teenage pregnancy were hypertensive disorders, preterm birth and low birth weight. Teenage pregnancy has negative effects on the health outcomes of both the mother and the newborn. So, this study was conducted to describing the trend of teenage pregnancy and its outcome at a tertiary care hospital in the Dang district. Methods: A retrospective, cross-sectional study was conducted at Rapti Academy of Health Sciences (RAHS). Ethical approval was taken from the Nepal Health Research Council (NHRC). Data was retrieved from January 2018 to December 2022 from the hospital Central Admission Register and maternity register record. The total 1097 records of teenage deliveries were taken as a whole sampling. Data entry was done in Microsoft Excel and point estimate at 95% CI was calculated along with frequency and percentage. Results: Total 1097 teenage deliveries were conducted in five years where maximum teenage deliveries were of 19 years (41.2%). Among teenage delivery, live birth delivery was 89.9%. Significant tear was found in 264 teenage deliveries (95.0%) as a maternal complication. Conclusion: The trend of teenage pregnancy was in decreasing trend over five years in RAHS, Dang. Preterm delivery, Perineal tear, and Spontaneous abortion were common complications seen in pregnancy. Further awareness and health education programs helps to reduce the teenage pregnancy

Browsing by Author "Darlami, Radha"

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