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Papers by Jyotsna Yadav

PubMed, May 9, 2019

Introduction: Labour is the process where uterine contractions lead to expulsion of product of co... more Introduction: Labour is the process where uterine contractions lead to expulsion of product of conception through the vagina into the outer world. Labour pain is one of the most severe pains which has ever been evaluated and its fear is one of the reasons women wouldn't go for natural delivery. Delivery is a painful experience for all of the women except a few of them. The labor pain results from some physiological-psychological causes. Different pharmacological and non-pharmacological methods have been tried for pain relief in labour. The objective of this study is to see the effect of butorphanol injection in labour pain. Methods: It is a descriptive cross-sectional study conducted in B.P. Koirala institute of health sciences. We observed 200 pregnant women meeting the inclusion criteria and giving the informed consent who were on 1 mg butorphanol i.m. at the onset of active stage of labour every 4 hourly and on demand. Pain assessment was done by Numerical Pain analogue scale measured from 1 to 10. Fetal heart rate monitoring was done according to the hospital protocol. Caesarean section was performed for obstetrical indication. Neonatal outcome was evaluated by on duty pediatrician and APGAR score were noted at 1 and 5 min. Results: The pain scores in first, second, third, fourth hour were (8.83±0.773), (9.84±0.544), (9.94±0.338), (9.6±0.298) respectively, where 1st and 2nd hour is statistically significant. Conclusions: Butorphanol is an effective labour analgesia without significant adverse effects on women and the neonatal outcome.

International journal of reproduction, contraception, obstetrics and gynecology, Mar 14, 2023

Cesarean section (CS) is a common surgical procedure performed in obstetrics. Its rate has been i... more Cesarean section (CS) is a common surgical procedure performed in obstetrics. Its rate has been increasing over the years. The rate of rise of CS can be attributed to the increase in safety of the procedure, enhanced surgical techniques, improved antibiotics, increase in number of women requesting for CSs, decrease in the rate of instrumental vaginal deliveries, improved anesthesia amongst others. 1 Despite the improvement of safety of CS over the years, there are still various complications arising from this procedure which may cause maternal/fetal morbidity and mortality. In general, caesarean delivery is associated with more severe maternal complications compared to vaginal deliveries. 2,3 The stage of labour at which CS is undertaken has been shown to influence the

Journal of Nepal Medical Association, 2021

Interstitial pregnancy is a rare type of ectopic pregnancy with a high risk of massive hemorrhage... more Interstitial pregnancy is a rare type of ectopic pregnancy with a high risk of massive hemorrhage on rupture as compared to ectopic on other sites. The mortality rate for the ruptured interstitial pregnancy is high. Therefore, early diagnosis of such pregnancy before the rupture occurs facilitates appropriate management and avoids life-threatening complications. With the advancement in diagnostic imaging modalities, early diagnosis and more conservative management for interstitial pregnancy have become possible. Here, we report a case of primigravida diagnosed with interstitial pregnancy with ultrasonography and successfully managed with a single dose of methotrexate.

Fertility and Sterility, 2007

Endometrial polyps are commonly found on the posterior wall of the uterus; however, excision of p... more Endometrial polyps are commonly found on the posterior wall of the uterus; however, excision of polyps located at the utero-tubal junction significantly improved the pregnancy rate. Endometrial polyps should be categorized for both size and location.