Publications by authors named "Rachana Saha"
Herlyn Werner Wunderlich Syndrome with Hydrocolpos: A Case Report.
JNMA J Nepal Med Assoc
February 2024
Article Synopsis
- Herlyn-Werner-Wunderlich Syndrome is a rare birth defect affecting the urogenital system, marked by three main issues: a divided uterus, blocked vagina, and absence of one kidney.
- Timely diagnosis is essential to prevent serious gynecological complications, as seen in a 14-year-old girl who was treated after being diagnosed with the syndrome.
- She underwent surgical procedures to relieve complications from the condition and reported improvement without any complications during her two-week follow-up.
Multiple Pregnancy among Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study.
JNMA J Nepal Med Assoc
November 2022
Article Synopsis
- Multiple pregnancies increase the risk of complications for both mothers and babies, particularly in developing countries, highlighting the need for better perinatal care.
- A descriptive cross-sectional study analyzed 4,400 deliveries at a tertiary care center from August 2020 to February 2021, revealing a prevalence of 0.79% for multiple pregnancies.
- The findings align with similar studies, indicating that the prevalence of multiple pregnancies in this setting is consistent with existing data.
Unlabelled: 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.
View Article and Find Full Text PDFUterocutaneous fistula is a rare complication that occurs after cesarean section and other pelvic operations. Here we report a case of a 27 years woman presented to our department with a mass and pus-like discharge coming from her previous Pfannenstiel incision for 1 month. The definitive treatment of such cases is hysterectomy but the case was managed by fistulectomy along with gonadotropin-releasing hormone agonist.
View Article and Find Full Text PDFArticle Synopsis
- Vitamin-D deficiency in pregnant women is linked to complications like pre-eclampsia and preterm birth, influenced by factors such as ethnicity, skin coverage, and lifestyle.
- A descriptive cross-sectional study was conducted to assess Vitamin-D deficiency among pregnant women at a tertiary hospital from September to November 2020, with ethical approval obtained.
- The study found that 44.6% of the 47 pregnant women tested had Vitamin-D deficiency, aligning with findings from similar research.
Introduction: Caesarean delivery on maternal request in absence of any maternal and fetal indications and has become a concerning issue among obstetricians. It seems to be one of the contributory factors of increased cesarean rate all over the world. This study aims to find out the prevalence of cesarean delivery on maternal request among cesarean deliveries in a tertiary care hospital.
View Article and Find Full Text PDFLeiomyomas are common benign tumors of the uterus, affecting 20-30% of women of reproductive age group. But vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. The first case was described in 1733.
View Article and Find Full Text PDFIntroduction: COVID-19 is a beta coronavirus that is transmitted by physical interaction or close contact. This Coronavirus Pandemic has also created stress and anxiety among pregnant women all over the world. The disease was first identified in Wuhan city, China, in late December 2019 and was declared pandemic by the World Health Organization on 11th March 2020.
View Article and Find Full Text PDFCesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of Caesarean Scar Pregnancy among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.
View Article and Find Full Text PDFArticle Synopsis
- There has been a significant increase in the rate of caesarean sections worldwide over the last thirty years, prompting the need for deeper investigation into this trend.
- A study conducted between June 2015 and January 2016 at Kathmandu Medical College included 1,172 deliveries, with 537 (45.81%) being caesarean sections, predominantly among women aged 25-29 and first-time mothers.
- The findings revealed that most procedures were emergency caesareans, with the leading reasons being fetal distress, failed induction, and previous caesarean sections, indicating rates that exceed the WHO recommendation of 10-15%.
Introduction: Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome.
Methods: A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal.
Comparison of laparoscopy and laparotomy in the surgical management of ectopic pregnancy.
J Coll Physicians Surg Pak
December 2012
Objective: To compare the operative findings, operative procedure and complications, postoperative complications and hospital stay in patients with ectopic pregnancy managed by laparoscopy and conventional laparotomy.
Study Design: A cross-sectional, observational study.
Place And Duration Of Study: Department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal, from October 2009 to October 2010.