Chanda Karki

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BACKGROUND Maternal mortality traditionally has been the indicator of maternal health all over the world. More recently review of the cases with near miss obstetric events has been found to be useful to investigate maternal mortality. Cases of near- miss are those in which women present with potentially fatal complication during pregnancy, delivery or the(More)
The under 5 child mortality rate in Nepal is on track to achieve the target of 54 per 1000 live births by 2015 compared with 158 per 1000 live births in 1991. The maternal mortality rate also looks set to drop to its target of 134 per 100,000 live births by 2015 from 539 per 100,000 live births in 1991. A 3-year interim plan (2008-11) was established to(More)
OBJECTIVE To study the incidence and indications for labour induction and study the predictors of failed induction. MATERIAL AND METHOD A hospital based prospective study done over a 12 month period between 1st November 2007 to 30th October 2008. SELECTION CRITERIA Singleton pregnancies beyond 37 weeks with vertex presentation and unscarred uterus(More)
OBJECTIVE To test the feasibility and acceptability of a simplified mifepristone-misoprostol regimen for early abortion in 2 tertiary teaching hospitals and 2 family planning clinics in Nepal. METHODS Consenting pregnant women (n=400) with amenorrhea of 56 days or less seeking termination of pregnancy received 200 mg of oral mifepristone followed 48 hours(More)
Adolescents are the individuals between the ages of 10 and 19 years and the youth are those between the ages of 15 to 24 years. World Health Organisation has therefore defined young people as individuals between the age group of 10 to 24 years. In our country Adolescents comprise more than one fifth (22%) of the total population. Therefore Family Health(More)
OBJECTIVE To assess the uptake and acceptability of self-administration of mifepristone at home for medical abortion in Nepal. METHODS A prospective, comparative, non-randomized, open-label study was conducted at two hospitals in Kathmandu, Nepal, between November 11, 2009, and January 15, 2011. All women in good health and aged 18 years or older who(More)
Voluntary surgical contraception (VSC) is said to be one of the most popular, safe, effective and long term methods of birth control not only in Nepal but also in the world One of the very frequently suspected complication or effect of voluntary sterilization (female) is "post tubal sterilization syndrome". The term post tubal sterilization syndrome has(More)
Among 236 in-patients in one hospital for the mentally handicapped, there was a significant relationship between the amount of motor disorder (rated using a comprehensive check-list) and the severity of mental handicap, the presence of associated psychiatric disorder and the use of neuroleptic medication. The population was fairly evenly divided between(More)
BACKGROUND Accurate determination of fetal weight prior to delivery can have a significant bearing on the management decision in labour, thereby markedly improving perinatal outcome. OBJECTIVE To determine the accuracy of prediction of birth weight by fetal ultrasound. METHODS This is the retrospective observational hospital based study done at(More)