Browsing by Author "Mahotra, Narayan"
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Publication Effects of Maternal Age on Fetus and Perinatal Outcomes in a Tertiary Care Center: An Observational Study(Nepal Medical Association, 2024) Chaudhary, Sonam; Mahotra, Narayan; Paudyal, PoojaAbstract Introduction: The early and late pregnancy both can be hazardous for mother and child. The study aims to explore the maternal age group among Nepalese women who delivered in Tribhuvan University Teaching Hospital and its effects on perinatal outcomes. Methods: An observational cross-section study was carried out from February to September, 2023 with the records of maternity cases at a tertiary care hospital after receiving ethical approval from the Institutional Review Committee [Reference number: 130(6-11) E2-2 079/080]. The records of maternity cases of four years duration from April, 2018 onwards were included. Data was entered in Microsoft Excel 2016 and descriptive analysis was done. Results: Out of 13062 maternity cases, the prevalence of pregnancy in normal reproductive age was 12035 (92.13%). A total of 882 (6.67%) maternity cases were in advanced age and 145 (1.11%) were in teen age. The alive newborns which were more in normal reproductive age was 12008 (99.77%) and stillbirth which was more in teen age pregnancy was 4 (2.75%). The low-birth-weight newborns distributed more in teen age pregnancy was 44 (30.34%) and high birth weight newborns distributed more in advanced age pregnancy was 18 (2.04%). Conclusions: The abnormal birth weight and stillbirths were common in teen age and advanced age pregnancy.Publication Pre-eclampsia among Pregnant Women Admitted to the Department of Obstetrics and Gynaecology of a Tertiary Care Centre(Nepal Medical Association, 2023) Mahotra, Narayan; Chaudhary, Sonam; Poudyal, PoojaAbstract Introduction: Pre-eclampsia is a pregnancy-related hypertensive disorder with maternal and neonatal complications. Many studies are done regarding the prevalence of pre-eclampsia in Nepal but ascertaining the maternal risk factors and fetal outcomes are important. The aim of this study was to find out the prevalence of pre-eclampsia among pregnant women admitted to the Department of Obstetrics and Gynaecology of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among pregnant women admitted to the Department of Obstetrics and Gynaecology of a tertiary care hospital from 13 July 2023 to 29 September 2023 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. Point estimate was calculated at a 95% Confidence Interval. Results: Among 5065 patient, pre-eclampsia was seen in 44 (0.87%) (0.61-1.13, 95% Confidence Interval). A total of 16 (36.36%) cases of pre-eclampsia were in the age group 25-29 years and 30 (68.18%) of them were nulliparous. A total of 38 (86.36%) of the newborns of the pre-eclamptic cases had low birth weight. The APGAR score of newborns at the 1 minute after birth was 26 (59.09%) followed by the newborns who needed re-evaluation 16 (36.36%). The APGAR score recorded at 5 minutes showed maximum newborns with normal APGAR score 40 (90.90%). Conclusions: The prevalence of pre-eclampsia among pregnant women was found to be lower than other studies done in similar settings.Publication Risk Factors of Primary Dysmenorrhea among Undergraduate Students of a Medical Institution of Nepal(Central Department of Public Health, 2025) Malla, Neha; Mahotra, Narayan; Shrestha, Sushan Man; Chaudhary, SonamBackground: Primary dysmenorrhea (PD) has significant impact on life of young females. This study aimed to find various risk factors of primary dysmenorrhea and its impact on daily life. Methods: A cross-sectional study was done in 165 female undergraduate students (age ≤24 years) of Institute of Medicine by convenience sampling method. It was a questionnaire-based study. Anthropometric measurements were taken for Body Mass Index (BMI), waist circumference and waist hip ratio. Results: The study showed presence of PD in 98.2% participants among whom 20.6% had mild, 32.6% had moderate and 44.8% had severe PD. Pre-menstrual symptoms (PMS) was significantly associated with severity of PD (p <0.001, OR: 3.603, CI: 1.675-7.752). However, there was no statistically significant correlation seen with early age of menarche (p = 0.932) and family history of dysmenorrhea (p value= 0.70). No association was seen between severity of PD with BMI (p = 0.720), waist circumference (p = 0.850) and waist hip ratio (p = 0.858). Severity of PD was associated with limitations in daily activity (p value<0.001, OR:6.302, CI: 2.855-13.911), behavioral changes (p =0.001, OR: 2.638, CI: 1.186-5.864) and skipping of college (p < 0.001, OR: 10.00, CI: 2.922-34.227). Conclusions: The prevalence of primary dysmenorrhea was very high in young females. Institutional and social support system, plans and policies to support and create easy accessibility to treatment is needed. Only then young women will be able to achieve their full potential and hence social equity will be achieved.