Browsing by Author "Lamichhane, Basant"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Publication Advancing Research Excellence: Announcing the Establishment of the Journal of Rapti Academy of Health Sciences(Rapti Academy of Health Sciences (RAHS), 2024) Lamsal, Dinesh Kumar; Lamichhane, Basant; Bhandari, Hira Lal; Kandel, RameshAbstract: It is with great pleasure that we present the first edition of the Journal of Rapti Academy of Health Sciences (JRAHS). As members of the editorial board, we are committed to advancing the research activities at Rapti Academy of Health Sciences. As Mark Twain aptly stated, “The secret of making progress is to get started,” the publication of this inaugural edition of JRAHS marks a significant step forward in the realm of research and scientific writing at RAHS. This milestone is the culmination of various progressive endeavors, including the publication of numerous souvenirs, the establishment of an Institutional Review Committee (IRC), and a series of training sessions and workshops. Today, we are delighted to present the first edition of JRAHS as a testament to our collective efforts in promoting research at RAHS. As the institution continues its steady academic growth with the commencement of undergraduate programs (MBBS, BNS, BSc Nursing Programs) and postgraduate programs (MD/MS), we believe this initiative will greatly encourage all of you to engage in and explore more scientific work and research. While we must always stay abreast of evidence-based practices, our scientific writings and research papers will serve as exemplary models of effective practices in resource-limited settings like ours. In this issue, we have included valuable articles from various disciplines, ranging from original research papers to intriguing case reports. We extend our heartfelt gratitude to all authors, reviewers, and editorial staff who have dedicated their expertise to ensuring the high quality of this journal. Thank you for your contribution and readership of JRAHS. We look forward to your feedback and contributions in future editions.Publication 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, StutiAbstract: 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.Publication Pattern of Childbirth in Tertiary Hospital in Dang; A Retrospective Study(Rapti Academy of Health Sciences (RAHS), 2025) Tiwari, Shikha; Lamichhane, Basant; Kunwar, Shishir; Gurung, Prashansa; R.C, Jharana; Poudel, RakeshAbstract: Background: Childbirth itself is a complicated process. Conduction of delivery is challenging task. Spontaneous vaginal delivery as well as operative delivery, both requires skilled clinician, well-equipped hospital setting with the services of anesthesiology as well as neonatology. In past few decades, there is increasing trend of cesarean section and decreasing trend of instrumental as well as spontaneous vaginal delivery. Methods: This descriptive retrospective study was conducted in the department of Obstetrics and Gynaecology in Rapti Academy of Health Sciences. Hospital based medical records from 2023 May 1st to 204 April 30th were retrieved. Data regarding demography, characteristics of delivery of newborn, maternal and fetal morbidity associated with all the deliveries were collected. Result: The frequency of vaginal delivery was found to be 62.16% whereas cesarean section comprised 37.84%. Out of 62.16% vaginal delivery, 4.11% were the cases of instrumental vaginal delivery. Common age group was 20 to 24 years and 93.1% cases were delivered at term.Most common maternal complication was 2nd degree tear (4.95%) , primary PPH (1.41%), paraurethral tear ,cervical tear, shoulder dystocia.2% of the total cases received blood transfusion. 2 cases underwent peripartum hysterectomy. 2 cases of maternal mortality were recorded. Fetal complications includes perinatal asphyxia(2.13% in single born and 6.12% in twins),early onset neonatal sepsis (1.63% in single born and 12.24% in twins), neonatal jaundice( 1.26%), meconium aspiration syndrome(0.79%),late onset neonatal sepsis(0.2% ),fresh still birth(0.24% ),HIE( 0.2%). Conclusion: This study focuses the existing pattern of childbirth in the tertiary hospital of Dang showing the significant trends of mode of delivery, maternal demographics, maternal comorbidity and associated fetomaternal outcomes. The findings emphasizes the need for necessary interventions to ensure maternal and neonatal care.Publication 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, BishalAbstract: 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