Browsing by Author "Uprety, DK"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Publication Cesarean Section without Urethral Catheterization: A Randomized Control Trial(Kathmandu university, 2012) Acharya, S; Uprety, DK; Pokharel, HP; Amatya, R; Rai, RABSTRACT Background Urethral catheterization is done as a routine procedure in cesarean section. It is associated with high incidence of urinary tract infections, discomfort, delayed ambulation and longer hospital stay Objective To determine the feasibility and safety of cesarean section without urethral catheterization. Methods A prospective, randomized controlled trial was carried out from April 2008 to March 2009, in the Department of Obstetrics and Gynecology, B. P. Koirala Institute of Health Sciences. Among 150 patients who had undergone cesarean section 75 were catheterized and 75 were uncatheterized. Results First void discomfort was significantly associated with the use of indwelling catheter (OR 6.95, CI 95 %, 3.74 to 12.95; P< 0.001).Significant number of patients with indwelling catheter had signs and symptoms of urinary tract infection (OR 6,CI 95%, 2.59 to 13. 86; P < 0.001). Positive urinalysis for urinary tract infection was high in catheterized group (P <0.001). Hospital stay was shorter in patients without catheter (p < 0.05). None of the patients had bladder injury. There were no significant differences in duration of surgery and ambulation time between two groups of patients. Conclusions Cesarean section can be done safely without urethral catheterization with reduced morbidities. KEY WORDS Cesarean section, urethral catheterization, Urinary tract infectionPublication Effectiveness of structured teaching program in improving knowledge and attitude of school going adolescents on reproductive health(Kathmandu University, 2005) Dhital, AD; Badhu, BP; Paudel, RK; Uprety, DKIntroduction: Development of knowledge and attitude takes place during the adolescent period, which can have lifelong effects on the individual, family and society. Proper education in this age group is important for prevention of untoward social and health related problems. Objective: To find out the effectiveness of structured teaching program in improving knowledge and attitude of school going adolescents on reproductive health. Materials and methods: An experimental study with pretest – posttest control group design was carried out in four selected schools with similar settings in Dharan town of Nepal. All the subjects were divided into two groups: experimental and control, each comprising of two subgroups of 50 boys and 50 girls. Structured teaching program consisting of information on human reproductive system was used as a tool of investigation for the experimental group, whereas conventional teaching method was used for the control group. Results: A total of 200 Adolescent school students were included in this study. The mean (±SD) pretest score of the experimental group on knowledge of reproductive health was 39.83 (± 16.89) and of the control group was 39.47(± 0.08). The same of experimental group after administration of the structured teaching program (84.60±10.60) and of the control group with conventional teaching method (43.93±10.08) was statistically significant (p<0.001). Similarly, the post-test scores of knowledge of the groups on responsible sexual behaviour and their attitude towards reproductive health were better in the experimental group than in the control group (p<0.001). Conclusion: The knowledge of adolescent school students on reproductive health is inadequate. The use of structured teaching program is effective in improving knowledge and attitude of the adolescents on reproductive health. Keywords: reproductive health; adolescentsPublication Metallic vaginal ring pessary: A rare entity(Kathmandu University, 2008) Uprety, DK; Regmi, MC; Budhathoki, B; Tiwari, RR; Subedi, S; Chhetri, SAbstract Vaginal pessaries still have role in the management of uterovaginal prolapse especially in elderly women, un t for surgery and as a temporary relief for women waiting for surgery. Forgotten vaginal pessaries may cause serious complications. We here by present a case wtih metallic vaginal ring pessary for 16 years without signi cant symtoms. Key words: Prolapse, Ring pessary, Metallic pessary