Browsing by Author "Prasai, S"
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Publication Consequences of Teenage Pregnancy in Kathmandu Valley(Institute of Medicine, 2017) Prasai, S; K.C., NAbstract Introduction: Teenage pregnancy has emerged as one of the major public health problem in Nepal. The aim of this study was to explore the consequences of teenage pregnancy in Kathmandu Valley. Methods: A Descriptive Cross-Sectional study was adopted. The population of the study were Teenage and non-teenage (20-25 years) postnatal mothers admitted in Paropakar Maternity and Women's Hospital (PMWH).Non-probability purposive sampling was used for the selection of mothers. Hundred postnatal mothers were included. Ethical approval was taken from the research committee NINE and from concerned authorities of PMWH, Thapathali. Formal permission was taken from hospital administrator of PMWH for data collection. Thorough out the study precautions were taken to safeguards the rights of the mother. Informed verbal consent was obtained from all the participants. Liberty was given them to discontinue the study at any time if they wished. SPSS version 16 was used and chi-square test value was applied for statistical analysis. P value < 0.005 was considered in statistically significant. Results: This study showed no association between teenage pregnancy and accessibility and utilization of health services, many of the maternal outcomes studied viz. eclampsia, preterm labor, premature rupture of membranes, prolonged labor, obstructed labor and post-partum hemorrhage and all of the fetal outcomes viz. preterm birth, low APGAR score and low birth weight (p>0.05). However, this study showed significant association of teenage pregnancy with occupation, educational level of the women, use of contraceptive devices, type of contraceptive devices used, gestational hypertension, anemia and type of delivery (p<0.05). Conclusion: Teenage pregnancy is less likely to have adverse fetal outcomes while adverse maternal outcomes like anemia and pre-eclampsia are more likely to be faced by them. And, teenage women are more likely to have vaginal delivery with episiotomy. Keywords: Fetal outcomes, Maternal outcomes, Teenage pregnancyPublication Lived Experience of Mothers with Duchenne Muscular Dystrophy Children, Kathmandu(Institute of Medicine, 2015) Prasai, S; Uprety, SAbstract Introduction: Duchenne Muscular Dystrophy (DMD) is a genetic neuromuscular disorder with functional disability. In Nepal, eight hundred cases have been registered in Muscular Dystrophy Foundation (MDF). The Survival age of child with Duchene Muscular Dystrophy (DMD) is not more than twenty four years of life. (MDF-Nepal). The purpose of this study was to explore the lived experiences of mothers who are taking care of children with muscular dystrophy. Methods: Using a phenomenological design, nine mothers having DMD children were selected. Data was gathered using In-depth interview method. Respondent’s verbal as well as nonverbal clues were recorded during observation. Two to three in-depth interviews were carried out with each respondent along with audio tape recording and field notes. Results: Almost all of the respondents perceived DMD as a progressive fatal form of neuromuscular disease making the child unable to walk by 7-8 years of age. Majority of the respondents had suffered from psychosocial problems as well. The initial reaction of mothers regarding children’s diagnosis was a feeling of mixed emotion. Majority of the mothers relieved their anxiety to some extent by sharing their feelings with others, assuring themselves and accepting their reality of their child’s illness. Clusters of themes were identified: perception regarding disease, treatment modality, physical mobility of child, and coping mechanisms. Conclusion: Mothers of DMD children are facing a huge array of problems which has decreases the quality of life of mothers. It is recommended to provide, social security, free supply of medicine, health facility and Palliative care for DMD child so that parents may face fewer problems. Keywords: Duchenne Muscular Dystrophy, child, Physical disability