@article{Joshi_Awale_Bohler_2010, title={General practitioner and obstetric service in rural Nepal: A way forward}, volume={4}, url={https://www.nepjol.info/index.php/NJOG/article/view/3330}, abstractNote={<strong>Aims:</strong> To review different types of obstetric services provided by the general practitioners with a back-up of<br />para-medical staffs in a rural Nepal to analyze obstacles faced in providing qualitative care.<br /><strong>Methods:</strong> Retrospective analysis of all deliveries conducted at Okhaldhunga Community Hospital in one<br />year duration (December 2005 to December 2006).<br /><strong>Results:</strong> In the study period, 123 deliveries took place with 126 births due to the result of three sets of twin.<br />Caesarean were done in 28(22.7%) and most of them being performed as emergency basis (92.8%). Of the<br />95 vaginal deliveries, instrumental delivery was 7.3%. One (0.8%) underwent vaginal birth after previous<br />caesarean section (VBAC) and the episiotomy rate was 20.3%. The perinatal mortality rate was 95.23 per<br />1000 births.<br /><em>Conclusion:</em> Obstetric service in rural Nepal can be enhanced by incorporating general practioners.<br /><br /><strong>Key words: </strong>Obstetric care; general practitioners; rural setting.<br /><br />DOI: 10.3126/njog.v4i1.3330<br /><br /><em>Nepal Journal of Obstetrics and Gynaecology</em> June-July 2009; 4(1): 38-41}, number={1}, journal={Nepal Journal of Obstetrics and Gynaecology}, author={Joshi, Arbin and Awale, Pankaj and Bohler, Eric}, year={2010}, month={Jun.}, pages={38–41} }