Reducing morbidity from uterovaginal prolapse in Nepalese women through surgical camps: an ambitious approach

doi:10.3126/njog.v1i2.1485 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 1 - 3 Nov-Dec 2006</jats:p

EDITORIAL Women’s health issues and safe abortion service for unwanted pregnancies.

Although the contraceptive prevalence rate in Nepal has increased to 49 % with reduced total fertility rate of 3%, there are many women who happen to run a doubtful risk of pregnancy from unprotected sex. Therefore the use of progestin only pill (Postinor-2), a derivative of the progestin hormone and levonorgestrel containing 0.75 mg (750 micrograms), total 2 tablets, each tablet given 12 hours apart within five days of unprotected sex has successfully assisted in reducing unintended pregnancy and abortion rates. This has been accepted as an emergency contraceptive pill (ECP) and has been made formally available in Nepal without a physician’s prescription. Surgical abortion for unwanted pregnancy up to 12 weeks gestation has been made possible throughou

Living With Huge Rectal Prolapse and Rectocele: A Sad Story of a Rural Nepalese Woman

A postmenopausal multiparous woman with defecation difficulty for over three and half years upon clinical examination was diagnosed as a case of huge rectal prolapse with rectocele during a health camp organized by Perinatal Society of Nepal in Sindhupalchok. She was referred to a tertiary care center so that she could undergo combined corrective surgery in the same sitting: rectal prolapse by Surgeons and rectocele by Gynecologists. Unfortunately, she was returned home with a scheduled elective operative appointment a few months later, which she failed to make owing to the long distance from home to hospital. Her case could not be followed, as the contact number she left was unreachable. This case represents an example for many women who have to live with suffering, their problems overlooked by both families and institutions, a situation in dire need of a solution. </jats:p

Women’s health issues and safe abortion service for unwanted pregnancies

DOI: 10.3126/njog.v4i1.3323Nepal Journal of Obstetrics and Gynaecology June-July 2009; 4(1): 1-2</jats:p

Juvenile nulliparous uterine prolapse in an unmarried 17-year-old adolescent

In a peripheral health camp, a 17-year-old juvenile nullipara who presented with the history of something coming out per vagina was clinically diagnosed as third-degree pelvic organ prolapse (POP) Stage III, acknowledged as a rarity concerning patient wellbeing and reproductive future.</jats:p

EDITORIAL Reducing

morbidity from uterovaginal prolapse in Nepalese women through surgical camps: an ambitious approach

Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

Aims: To find out the uterovaginal anomalies associated with congenital genital tract obstruction and successes achieved in its management.&#x0D; Methods: This was a descriptive study done at department of Obs/Gyn at Tribhuvan University Teaching Hospital from April 2014 to April 2018. Types of genital tract obstruction, surgical treatment, success of management and surgical complications were studied.&#x0D; Results: Of 35 cases 16 (46%) consisted of adolescents aged 11-15 yrs. Majority cases of GTO was due to vaginal septum 12(34%): longitudinal 4(33%), mostly transverse vaginal septum (TVS) 8(67%): upper TVS 4 and lower TVS 4,one among each associated with concurrent Imperforate hymen (IH). Other GTO consisted of only IH cases 9 (26%), vaginal agenesis 7 (21%), non- communicating rudimentary horn 4 , non-communicating right cornua 1and cervical stenosis 1(3%). Resection of septum performed in 12 cases of vaginal septum. hymenectomy in 8 and rudimentary horn excision in 4 cases. Restenosis was common complication in six cases.&#x0D; Conclusions: Adolescent age of 11-15 years is the common age of presentation of genital tract anomaly with vaginal septum the most common. Pre-surgical assessment is the key to successful surgical outcome.&#x0D; Keywords: adolescent, congenital, genital tract obstruction, resection</jats:p