General practitioner and obstetric service in rural Nepal: A way forward

  • Arbin Joshi, Pankaj Awale, Eric Bohler


Aims: To review different types of obstetric services provided by the general practitioners with a back-up of
para-medical staffs in a rural Nepal to analyze obstacles faced in providing qualitative care.
Methods: Retrospective analysis of all deliveries conducted at Okhaldhunga Community Hospital in one
year duration (December 2005 to December 2006).
Results: In the study period, 123 deliveries took place with 126 births due to the result of three sets of twin.
Caesarean were done in 28(22.7%) and most of them being performed as emergency basis (92.8%). Of the
95 vaginal deliveries, instrumental delivery was 7.3%. One (0.8%) underwent vaginal birth after previous
caesarean section (VBAC) and the episiotomy rate was 20.3%. The perinatal mortality rate was 95.23 per
1000 births.
Conclusion: Obstetric service in rural Nepal can be enhanced by incorporating general practioners.

Key words: Obstetric care; general practitioners; rural setting.
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