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    Obstetric complications and cesarean delivery in Nepal

    Access Status
    Fulltext not available
    Authors
    Karkee, Rajendra
    Lee, Andy
    Khanal, Vishnu
    Pokharel, P.
    Binns, Colin
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Karkee, R. and Lee, A. and Khanal, V. and Pokharel, P. and Binns, C. 2014. Obstetric complications and cesarean delivery in Nepal. International Journal of Gynecology and Obstetrics. 125 (1): pp. 33-36.
    Source Title
    International Journal of Gynecology and Obstetrics
    DOI
    10.1016/j.ijgo.2013.09.033
    ISSN
    00207292
    URI
    http://hdl.handle.net/20.500.11937/19042
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To determine the incidence of obstetric complications, the stillbirth rate, and the factors associated with cesarean delivery in central Nepal. Methods: A community-based prospective cohort study was undertaken in the Kaski district during 2011–2012. In total, 701 women who were at least 5 months pregnant were recruited and interviewed. Participants were followed-up and interviewed again within 45 days after delivery. Results: Of the 658 women who remained in the cohort after 43 were lost to follow-up, 12 (1.8%) had stillbirths. Cesareans accounted for 13.3% of the total deliveries. Age, urban residency, college-level education, and particularly presence of intrapartum symptoms significantly increased the likelihood of cesarean delivery. Prepartum, intrapartum, and postpartum symptoms were reported by 21.1%, 24.4%, and 10.2% of women, respectively. Common danger signs included prolonged labor, severe abdominal pain, swollen hand and body, and heavy bleeding. Conclusion: Obstetric complications and stillbirth rates were relatively high in central Nepal. Cesarean delivery appeared to meet obstetric need and was performed with medical indication, particularly after the onset of labor.

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