Browsing by Author "Katuwal, Neeta"
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Publication COVID-19 among Pregnant Women Delivering in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Paudyal, Pooja; Katuwal, Neeta; Rawal, SunitiAbstract: Introduction: Coronavirus Disease 2019 pandemic is raging across the world and has affected pregnant women as well. There is limited information regarding COVID-19 in pregnant women. The study aimed to find the prevalence of COVID-19 among all pregnant women who delivered during the study period in a tertiary care center. Methods: This was a descriptive cross-sectional study conducted in a tertiary care center from 16th August to 15th November 2020 after obtaining ethical clearance from the Institutional Review Committee of a tertiary care center. All the women who delivered in the hospital during the study period were enrolled and they were subjected to COVID-19 Reverse Transcriptase Polymerase Chain Reaction test. A total of 667 samples were taken using convenience sampling technique. Data were analyzed using the Statistical Package for the Social Sciences version 24 software. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 667 pregnant women, the prevalence of COVID-19 was 47 (7.05%) (5.10-8.99 at 95% Confidence Interval). Though the majority of women were asymptomatic 40 (85.1%), 5 (10.64%) developed mild disease, 1 (2.12%) each had severe and critical COVID-19 pneumonia. Conclusions: The prevalence of COVID-19 among pregnant women delivering in our center is similar to other studies done in similar settings. In our study, we found that the majority of women had been asymptomatic and were diagnosed on routine testing. Hence, it is important to test all pregnant women before delivery for Coronavirus Disease 2019 irrespective of the presence or absence of symptoms.Publication Genitourinary Syndrome of Menopause among Postmenopausal Women in a Tertiary Care Centre: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2022) Ojha, Neebha; Bista, Kesang Diki; Bajracharya, Sunita; Katuwal, NeetaAbstract: Introduction: Genitourinary syndrome of menopause incorporates vulvovaginal and lower urinary tract symptoms related to estrogen deficiency which affects more than half of postmenopausal women. This study aimed to find out the prevalence of genitourinary syndrome of menopause among postmenopausal women attending a tertiary care center. Methods: A descriptive cross-sectional study was conducted at the Department of Obstetrics and Gynaecology of tertiary care hospital from October 2019 to April 2021 after obtaining ethical approval from the Institutional Review Committee (Reference number: 452 6-11). A convenience sampling method was used among postmenopausal women aged 40-75 years attending gynaecology outpatient departments. The information was obtained by interview and examination. Analysis was done using the Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among the 385 postmenopausal women, 285 (74.02%) (69.63-78.40 at 95% Confidence Interval) had a diagnosis of genitourinary syndrome of menopause. The mean age of menopause was 48.2±3.6years. The most common symptom and sign were vaginal dryness in 223 (78.2%) and decreased moisture 200 (70.2%). Regarding the impact of genitourinary syndrome of menopause on quality of life, it least affected the activities of daily living and mostly on sexual functioning. Conclusions: The study showed three-fourth of postmenopausal women suffered from genitourinary syndrome of menopause which is similar to the previous studies done in other countries, in postmenopausal women. Therefore, understanding genitourinary syndrome of menopause is vital, and assuring women those treatments are available to relieve symptoms may improve their quality of life.Publication Impact of COVID-19 Pandemic on Pregnant Mothers(Institute of Medicine, 2022) Kapali, Gayetri Darshandhari; Koirala, Manisa; Katuwal, Neeta; Thapa, Sangita; Adhikari, Anuradha; Gachhadar, Rashmi; Neupane, Sharmila; Panta, GangaABSTRACT Introduction: The COVID pandemic has detrimental impact on physical and psychological wellbeing of expectant mothers. Fear and worry during pregnancy amplifies risks and can have negative physical and psychological consequences for mother and newborn outcomes. So this study intended to assess the impact of COVID-19 pandemic on pregnant mothers during pregnancy. Methods: Descriptive cross-sectional study design was applied among 123 pregnant mothers who visited antenatal OPD of Tribhuvan University Teaching Hospital. Data were collected through non-probability purposive sampling technique by using interview schedule. Descriptive statistic and inferential statistics were used to analyze the collected data. Results: Pregnant mothers faced difficulties to maintain physical wellbeing, 84 (68.3%) did not perform any physical exercise, 96 (78%) were physically inactive, 107(87%) stated absence of sound sleep during pregnancy. Majority i.e. 111 (90.2%) of pregnant mothers perceived fear on outcome of newborn. Likewise, 11(8.9%) had severe impact on their psychological wellbeing during COVID-19 pandemic. Place of residence, number of children and trimester of pregnancy were found to be the strong predictors of psychological impact among pregnant women. Conclusion: The impact was seen on exercise, sleep, physical wellbeing whereas pregnant mothers seemed more attentive on healthy diet. They expressed more fear on obstetric or newborn outcome and uncertainty on mode of delivery with this panic situation. Keywords: COVID-19, impact, mothers, pandemic, pregnancyPublication Knowledge and Attitude about Labor Epidural Analgesia among Pregnant Women Attending Antenatal Clinic(Nepal Health Research Council, 2023) Parajuli, Bashu Dev; Koirala, Megha; Joshi, Pankaj; Katuwal, Neeta; Shrestha, Amit; Singh, Shreejana; Rawal, Suniti; Shrestha, AnilAbstract Background: Labour pain is one of the most painful experiences that a woman faces in her lifetime. There are various options for labour pain management. Epidural analgesia is the gold standard method for pain management during labour. In developing and under-developed countries there are many challenges to provide this service, a very important one being knowledge about epidural analgesia among the parturients and the physicians. Methods: A prospective cross-sectional study was carried out among 384 pregnant women attending Antenatal clinic of a tertiary level teaching hospital using pretested structured questionnaire prepared by a team of anaesthesiologists and obstetricians. Non-probability purposive sampling technique was used. The data was analysed by using SPSS version 20.0. Descriptive and inferential statistical methods were used for analysis. Results: Of the 384 pregnant women, only 29.4% had knowledge about some form of labour analgesia techniques and only 16% of the participants were aware of labour epidural analgesia. Also, only 6.2% were aware that epidural service is available at our hospital. Regarding acceptance, only 42.4% were willing to use epidural analgesia in their present pregnancy. Conclusions: The present study findings revealed that a significant number of participants had very limited knowledge about labour epidural analgesia and were also unaware of the availability of the service in our hospital. Educational programs need to be provided to all the pregnant women for enhancement of knowledge and awareness about epidural labour analgesia to increase its acceptability among them. Keywords: Acceptance; awareness; knowledge; labour analgesia.