Obstetric complications and cesarean delivery in Nepal
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...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Elsevier Ltd
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/19042 |
| _version_ | 1848749920731791360 |
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| author | Karkee, Rajendra Lee, Andy Khanal, Vishnu Pokharel, P. Binns, Colin |
| author_facet | Karkee, Rajendra Lee, Andy Khanal, Vishnu Pokharel, P. Binns, Colin |
| author_sort | Karkee, Rajendra |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:28:36Z |
| format | Journal Article |
| id | curtin-20.500.11937-19042 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:28:36Z |
| publishDate | 2014 |
| publisher | Elsevier Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-190422017-10-02T02:28:04Z Obstetric complications and cesarean delivery in Nepal Karkee, Rajendra Lee, Andy Khanal, Vishnu Pokharel, P. Binns, Colin Cesarean delivery Pregnancy outcomes Stillbirth Obstetric complications Nepal 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. 2014 Journal Article http://hdl.handle.net/20.500.11937/19042 10.1016/j.ijgo.2013.09.033 Elsevier Ltd restricted |
| spellingShingle | Cesarean delivery Pregnancy outcomes Stillbirth Obstetric complications Nepal Karkee, Rajendra Lee, Andy Khanal, Vishnu Pokharel, P. Binns, Colin Obstetric complications and cesarean delivery in Nepal |
| title | Obstetric complications and cesarean delivery in Nepal |
| title_full | Obstetric complications and cesarean delivery in Nepal |
| title_fullStr | Obstetric complications and cesarean delivery in Nepal |
| title_full_unstemmed | Obstetric complications and cesarean delivery in Nepal |
| title_short | Obstetric complications and cesarean delivery in Nepal |
| title_sort | obstetric complications and cesarean delivery in nepal |
| topic | Cesarean delivery Pregnancy outcomes Stillbirth Obstetric complications Nepal |
| url | http://hdl.handle.net/20.500.11937/19042 |