Browsing by Author "Shrestha, Bandana"
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Publication Clinical Patterns and Outcome of Low Birth Weight Babies Admitted in NICU Tertiary Hospital of Western Nepal(Nepal Paediatric Society (JNPS), 2022) Shrestha, Bandana; Subedi, Nabraj; Thapa, Namrata KC; Bhattarai, ArjunAbstract: Introduction: Low birth weight (LBW) is one of the major determinants of neonatal morbidity and mortality. The survival and outcomes of LBW infants varied from hospital to hospital within a country. The objective of the study is to identify the clinical patterns and hospital outcome of LBW babies in a Tertiary care centre, Pokhara. Methods: A descriptive cross-sectional study conducted in a tertiary hospital after taking ethical approval from the institutional review board. Data on all the LBW babies admitted in Neonatal Intensive Care Unit from 15th May 2019 to 16th October 2020 were retrospectively reviewed. Data entered in excel and descriptive analysis were done in SPSS version 25. Results: Of 198 LBW babies, 120 (60.6%) were males and 78 (39.4%) females. Mean birth weight was 1.67 kg (± 0.42 SD), median 1.7 kg, ranging from 0.6 kg to 2.4 kg. Mean gestational age was 32.86 weeks (± 2.72 SD) and median was 33 weeks. 187 (94.4%) were preterm and 11 (5.6%) term. By birth weight, 17 (8.6%) were found to be ELBW, 53 (26.8%) VLBW and 128 (64.6%) LBW. 143 (72.2%) were AGA, 54(27.2%) SGA and one was LGA. Hyperbilirubinemia, neonatal sepsis and hypoglycemia were common problems encountered in NICU. Inadequate ANC, premature rupture of membrane, and low hemoglobin were the common maternal factors for LBW babies. Conclusions: Prematurity was the major cause of LBW and majority were male babies. LBW babies had relatively more problems in NICU.Publication Febrile Seizure in Children Attending a Tertiary Care Centre in Western Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shrestha, Bandana; Bhattarai, Arjun; Subedi, Nabraj; Shrestha, NirmalaAbstract: Introduction: Understanding a child with any episode of febrile seizure is important so that special attention could be given. The objective of this study was to find the prevalence of febrile seizure in children attending a tertiary centre in western Nepal. Methods: A descriptive cross-sectional study was performed in a tertiary care centre at the department of Pediatrics after taking approval from the Institutional Review Committee. Study was conducted among the children presented with febrile seizure from 18th October 2017 to 12th April 2020. Patient files were retrospectively reviewed. Convenience sampling method was used. Data and descriptive analysis were done using Statistical Package for the Social Sciences version 25. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Of the total 4701 admitted children during a study period, 217 (4.61%) (3.41-5.81 at 95% Confidence Interval) children had febrile seizure. Out of them, 154 (70.9%) male and 63 (29.1%) female with 168 (77.4%) simple and 49 (22.6%) complex febrile seizure. The mean age of presentation was at 23.2±13.61 months whereas mean age for male and female were 22.99±13.86 months and 23.73±13.09 months respectively. Recurrent febrile seizure noted in 68 (31.3%) children and fever in half the cases 110 (50.7%) was caused by Upper Respiratory Tract Infection. Conclusions: Simple febrile seizure was more common and the peak age of presentation was in the second year of life and more commonly in male. One third of febrile seizures were recurrent and half the children had upper respiratory tract infection as the most common etiology of fever.Publication Nutritional Status of Under-Five Children in Western Nepal(Nepal Paediatric Society (JNPS), 2014) Shrestha, BandanaAbstract: Introduction: Undernutrition is a major health problem in developing countries which may have adverse effects on growth and development of an individual. The objectives of this study were to assess the prevalence and grades of malnutrition in children below 60 months of age, attending outpatient department at Gandaki Medical College teaching hospital. Materials and Methods: A prospective study was conducted among 556 children below 60 months of age from August to December 2013. Weight and length/height were measured using standard technique and were plotted on WHO centiles curves and severity determined based on WHO classification. The prevalence of underweight, stunting and wasting were determined by anthropometry. Results: Based on WHO classification, out of 556 children, 20.2% were underweight, 34% were stunted and 15.1% were wasted respectively. Of them, severe underweight were 4.7%, severe stunted were 14.1% and severe wasted were 7.2% respectively. Conclusion: A high prevalence of undernutrition exists in under- five children attending a tertiary hospital in a western region of Nepal.