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Article ; Online: An insight into two decades of Skilled Birth Attendants in Nepal.

Aryal, Shreyashi / Nepal, Samata

Frontiers in global women's health

2022 Volume 3, Page(s) 899010

Language	English
Publishing date	2022-08-12
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-5059
ISSN (online)	2673-5059
DOI	10.3389/fgwh.2022.899010
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Integration of Physical and Mental Health

Shreyashi Aryal

Journal of Lumbini Medical College, Vol 6, Iss

A Reproductive Health Necessity

2019 Volume 2

Keywords	mental health ; reproductive health ; Medicine (General) ; R5-920
Language	English
Publishing date	2019-02-01T00:00:00Z
Publisher	Lumbini Medical College
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: History taking in gynecology revisited.

Aryal, Shreyashi / Atreya, Alok

Acta bio-medica : Atenei Parmensis

2022 Volume 92, Issue 6, Page(s) e2021554

Abstract: Nepal is one of the first South Asian countries to include anti discrimination laws against LGBTQ community, yet they face disparity in all sectors, including health. This group has special reproductive and sexual health needs, which has to be assessed ... ...

Abstract	Nepal is one of the first South Asian countries to include anti discrimination laws against LGBTQ community, yet they face disparity in all sectors, including health. This group has special reproductive and sexual health needs, which has to be assessed and treated on an individual level. Most gynecologist in Nepal have not been trained to care for this vulnerable group and thus are not comfortable having them in clinical settings. History taking is essential to reach to an accurate diagnosis however, since the first year of medical school, history taking has been based on heteronormativity. To end disparities in reproductive health, learning modules for history taking for LGBTQ community is necessary for medical students, residents and for gynecologists. This would help display confidence and openness towards them and focus on individualized care.
MeSH term(s)	Gynecology ; Humans ; Medical History Taking ; Schools, Medical ; Students, Medical
Language	English
Publishing date	2022-01-19
Publishing country	Italy
Document type	Letter
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v92i6.11940
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Article ; Online: Does eating earthworms increase breast milk?

Atreya, Alok / Aryal, Shreyashi

Journal of gynecology obstetrics and human reproduction

2021 Volume 50, Issue 9, Page(s) 102170

MeSH term(s)	Adult ; Animals ; Breast Feeding/methods ; Breast Feeding/trends ; Feeding Behavior/physiology ; Feeding Behavior/psychology ; Female ; Humans ; Milk, Human/metabolism ; Oligochaeta
Language	English
Publishing date	2021-05-24
Publishing country	France
Document type	Letter
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2021.102170
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Article ; Online: Maternal mental health in Nepal and its prioritization during COVID-19 pandemic: Missing the obvious.

Aryal, Shreyashi / Pant, Sagun Ballav

Asian journal of psychiatry

2020 Volume 54, Page(s) 102281

MeSH term(s)	Adolescent ; Adult ; COVID-19 ; Depression, Postpartum/therapy ; Female ; Humans ; Maternal Health Services/standards ; Mental Health Services/standards ; Middle Aged ; Nepal ; Pregnancy ; Pregnancy Complications ; Stress, Psychological/therapy ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-07-04
Publishing country	Netherlands
Document type	Letter
ZDB-ID	2456678-0
ISSN	1876-2026 ; 1876-2018
ISSN (online)	1876-2026
ISSN	1876-2018
DOI	10.1016/j.ajp.2020.102281
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Article ; Online: Adverse Pregnancy Outcomes in Overweight and Obese Pregnant Women in a Tertiary Care Center of Western Nepal

Deepak Shrestha / Kritina Singh / Shreyashi Aryal

Journal of Lumbini Medical College, Vol 9, Iss

A Prospective Cohort Study

2022 Volume 2

Abstract: Introduction: Maternal obesity is an established risk factor for various adverse pregnancy outcomes. Increased chances of labour induction, prolonged labour, instrumental and cesarean deliveries, medical disorders of pregnancy, post partum haemorrhage, ... ...

Abstract	Introduction: Maternal obesity is an established risk factor for various adverse pregnancy outcomes. Increased chances of labour induction, prolonged labour, instrumental and cesarean deliveries, medical disorders of pregnancy, post partum haemorrhage, preterm deliveries, macrosomia, low Apgar score etc. are well recognised risks of maternal obesity. This study aimed to evaluate these maternal and fetal outcomes in relation to the body mass index (BMI) of parturients. Methods: A prospective cohort study involving 115 overweight and obese women was conducted. Various maternal and fetal outcomes were studied and compared with those of 115 postpartum women with normal BMI. Statistical analysis was done using student's t-test and Chi square test. Binomial logistic regression analysis was carried out to examine the magnitude and significance of the independent effect of BMI. Results: The three groups were comparable in terms of maternal age and gestational age at delivery. The total blood loss was significantly higher in the obese group as compared to the normal BMI (p=0.001) or overweight groups (p=0.005). Vaginal delivery was 69% less common in obese group in comparison to normal BMI group. The prevalence of meconium stained liquor, labour induction, preterm labour, and admission to neonatal intensive care unit were not significantly different across the three groups. Conclusion: This study highlighted the increased risk of total blood loss and birth weight >3500 grams with increasing BMI of pregnant women. A multicentric prospective study with larger sample size would shed further light on the strength of association between maternal BMI and various outcomes.
Keywords	Body mass index ; Obesity ; Overweight ; Pregnancy outcomes ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Lumbini Medical College
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Abnormal Uterine Bleeding among Women Visiting Gynecology Out- patient Department of a Tertiary Care Hospital: A Descriptive Cross- sectional Study.

Shrestha, Deepak / Aryal, Shreyashi / Tiwari, Archana / Sharma, Rupesh

JNMA; journal of the Nepal Medical Association

2022 Volume 60, Issue 246, Page(s) 121–125

Abstract: Introduction: Abnormal uterine bleeding accounts for more than 70% of complaints in peri- and post-menopausal women. The main purpose of investigating them is to rule out premalignant and malignant endometrial lesions. This study aimed to find out the ... ...

Abstract	Introduction: Abnormal uterine bleeding accounts for more than 70% of complaints in peri- and post-menopausal women. The main purpose of investigating them is to rule out premalignant and malignant endometrial lesions. This study aimed to find out the prevalence of abnormal uterine bleeding among out-patients visiting the gynecology department of a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care center from August 1, 2020 to April 23, 2021. Ethical approval was obtained from the Institutional Review Committee of the same institution (IRC-LMC 07-C/020). A total of 2680 women visiting gynecology outpatient departments were included by convenience sampling technique. Women with abnormal uterine bleeding were evaluated by endometrial thickness measurement and endometrial biopsies. Statistical Package for the Social Sciences version 16 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean and standard deviation. Results: Among 2680 women visiting the gynecology outpatient department, the prevalence of abnormal uterine bleeding was 240 (8.9%) (7.82-9.98 at 95% Confidence Interval). The mean endometrial thickness was 10.15±6.63mm. Majority of patients 104 (43.3%) had endometrial thickness >10mm. Sixty-six (27.8%) patients had disordered proliferative endometrium while endometrial carcinoma was noted in three (1.2%) patients. Atrophic endometrium was observed in 17 (7.2%) and endometrial hyperplasia in nine (3.8%) patients. Conclusions: The prevalence of abnormal uterine bleeding was found to be higher in comparison to other studies. Disordered proliferative endometrium was the most common histopathological finding followed by secretory phase endometrium.
MeSH term(s)	Cross-Sectional Studies ; Female ; Gynecology ; Humans ; Outpatients ; Pregnancy ; Tertiary Care Centers ; Uterine Hemorrhage/epidemiology
Language	English
Publishing date	2022-02-15
Publishing country	Nepal
Document type	Journal Article
ZDB-ID	2209910-4
ISSN	1815-672X ; 0028-2715
ISSN (online)	1815-672X
ISSN	0028-2715
DOI	10.31729/jnma.6954
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Article ; Online: Abnormal Uterine Bleeding among Women Visiting Gynecology Out- patient Department of a Tertiary Care Hospital

Deepak Shrestha / Shreyashi Aryal / Archana Tiwari / Rupesh Sharma

Journal of Nepal Medical Association, Vol 60, Iss

A Descriptive Cross- sectional Study

2022 Volume 246

Abstract	Introduction: Abnormal uterine bleeding accounts for more than 70% of complaints in peri- and post-menopausal women. The main purpose of investigating them is to rule out premalignant and malignant endometrial lesions. This study aimed to find out the prevalence of abnormal uterine bleeding among out-patients visiting the gynecology department of a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care center from August 1, 2020 to April 23, 2021. Ethical approval was obtained from the Institutional Review Committee of the same institution (IRC-LMC 07-C/020). A total of 2680 women visiting gynecology outpatient departments were included by convenience sampling technique. Women with abnormal uterine bleeding were evaluated by endometrial thickness measurement and endometrial biopsies. Statistical Package for the Social Sciences version 16 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean and standard deviation. Results: Among 2680 women visiting the gynecology outpatient department, the prevalence of abnormal uterine bleeding was 240 (8.9%) (7.82-9.98 at 95% Confidence Interval). The mean endometrial thickness was 10.15±6.63mm. Majority of patients 104 (43.3%) had endometrial thickness >10mm. Sixty-six (27.8%) patients had disordered proliferative endometrium while endometrial carcinoma was noted in three (1.2%) patients. Atrophic endometrium was observed in 17 (7.2%) and endometrial hyperplasia in nine (3.8%) patients. Conclusions: The prevalence of abnormal uterine bleeding was found to be higher in comparison to other studies. Disordered proliferative endometrium was the most common histopathological finding followed by secretory phase endometrium.
Keywords	biopsy ; endometrial hyperplasia ; postmenopausal women ; uterine bleeding ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	Nepal Medical Association
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Abnormal Uterine Bleeding among Women Visiting Gynecology Out- patient Department of a Tertiary Care Hospital

Deepak Shrestha / Shreyashi Aryal / Archana Tiwari / Rupesh Sharma

Journal of Nepal Medical Association, Vol 60, Iss

A Descriptive Cross- sectional Study

2022 Volume 246

Abstract	Introduction: Abnormal uterine bleeding accounts for more than 70% of complaints in peri- and post-menopausal women. The main purpose of investigating them is to rule out premalignant and malignant endometrial lesions. This study aimed to find out the prevalence of abnormal uterine bleeding among out-patients visiting the gynecology department of a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care center from August 1, 2020 to April 23, 2021. Ethical approval was obtained from the Institutional Review Committee of the same institution (IRC-LMC 07-C/020). A total of 2680 women visiting gynecology outpatient departments were included by convenience sampling technique. Women with abnormal uterine bleeding were evaluated by endometrial thickness measurement and endometrial biopsies. Statistical Package for the Social Sciences version 16 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean and standard deviation. Results: Among 2680 women visiting the gynecology outpatient department, the prevalence of abnormal uterine bleeding was 240 (8.9%) (7.82-9.98 at 95% Confidence Interval). The mean endometrial thickness was 10.15±6.63mm. Majority of patients 104 (43.3%) had endometrial thickness >10mm. Sixty-six (27.8%) patients had disordered proliferative endometrium while endometrial carcinoma was noted in three (1.2%) patients. Atrophic endometrium was observed in 17 (7.2%) and endometrial hyperplasia in nine (3.8%) patients. Conclusions: The prevalence of abnormal uterine bleeding was found to be higher in comparison to other studies. Disordered proliferative endometrium was the most common histopathological finding followed by secretory phase endometrium.
Keywords	biopsy ; endometrial hyperplasia ; postmenopausal women ; uterine bleeding ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	Nepal Medical Association
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Safe abortion services during the COVID -19 pandemic: a cross-sectional study from a tertiary center in Nepal.

Aryal, Shreyashi / Nepal, Samata / Ballav Pant, Sagun

F1000Research

2021 Volume 10, Page(s) 112

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Abortion, Induced ; COVID-19 ; Communicable Disease Control ; Cross-Sectional Studies ; Female ; Humans ; Nepal/epidemiology ; Pandemics ; Pregnancy ; SARS-CoV-2
Language	English
Publishing date	2021-02-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2699932-8
ISSN	2046-1402 ; 2046-1402
ISSN (online)	2046-1402
ISSN	2046-1402
DOI	10.12688/f1000research.50977.1
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