Browsing by Author "Saha, Rachana"
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Publication Herlyn Werner Wunderlich Syndrome with Hydrocolpos: A Case Report(Nepal Medical Association, 2024) Oli, Saurav Sen; Sapkota, Shova; Bajagain, Rupa; Saha, Rachana; Paudel, SumanAbstract Herlyn-Werner-Wunderlich Syndrome is a very rare congenital malformation of the urogenital tract involving both the Mullerian and Wolffian ducts characterized by the triad uterine diadelphys, obstructed vagina, and unilateral renal agenesis. If not diagnosed on time it may progress to adverse gynecological complications making timely diagnosis and treatment crucial. We hereby present a 14-year girl with right flank pain diagnosed as Herlyn-Werner-Wunderlich Syndrome by ultrasound scan which was managed surgically with drainage of hydrocolpos and marsupialization of vaginal septum. On two weeks follow up patient had symptomatic improvement with no any complications.Publication Multiple Pregnancy among Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Bajagain, Rupa; Karki, Chandrima; Mahato, Shilpi; Saha, Rachana; Saha, NituAbstract Introduction: Multiple pregnancy is associated with increased obstetric complications as well as poor perinatal outcomes in developing countries because of the increased risk to both mother and baby. So better understanding of the risk factors is required to improve the quality of perinatal care. The aim of the study was to find out the prevalence of multiple pregnancies among deliveries in a tertiary care centre. Methods: A descriptive cross-sectional study was done among total deliveries in the Department of Obstetrics and Gynaecology of a tertiary care centre from inpatient records starting from 15 August 2020 to 15 February 2021 after obtaining ethical approval from the Institutional Review Committee (Reference number: 1208202005). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Out of 4400 deliveries, multiple pregnancy was seen in 35 (0.79%) (0.53-1.06, 95% Confidence Interval). Conclusions: The prevalence of multiple pregnancies was similar to the studies done in similar settings.Publication Scar Rupture in Early Puerperium: A Case Report(Nepal Medical Association, 2022) Dahal, Jyoti; Saha, RachanaAbstract Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. Here we report a case of a 25 years old female who presented with puerperal pyrexia. Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley’s catheter and a gonadotropin-releasing hormone agonist.Publication Scar Rupture in Early Puerperium: A Case Report(Nepal Medical Association, 2022) Dahal, Jyoti; Saha, RachanaAbstract Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. Here we report a case of a 25 years old female who presented with puerperal pyrexia. Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley’s catheter and a gonadotropin-releasing hormone agonist.