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


  • Arbin Joshi General practitioner, Okhaldunga Community hospital, Currently Bir Hospital NAMS Katmandu
  • Pankaj Awale Anandaban Hospital
  • Eric Bohler Consultant Pediatrician, Okhaldhunga Community Hospital


Obstetric care, general practitioners, rural setting


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.

DOI: 10.3126/njog.v4i1.3330

Nepal Journal of Obstetrics and Gynaecology June-July 2009; 4(1): 38-41


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How to Cite

Joshi, A., Awale, P., & Bohler, E. (2010). General practitioner and obstetric service in rural Nepal: A way forward. Nepal Journal of Obstetrics and Gynaecology, 4(1), 38–41. Retrieved from



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