Name of Head of Department :

Prof Kesang Diki Bhatso Bista

• Department introduction/description :

Department of OBGYN is one of the major departments of Tribhuvan University Teaching hospital. It is one of the tertiary care centers where high risk obstetric and gynaecology patients are referred from all over the country. The department provides comprehensive womans health care including obstetrics related, infertility, family planning, general gynae and gynae oncology services.

It is the tertiary referral centre for all complicated cases especially obstetric and gynae cases with medical disorders, complicated cases needing multidisciplinary care or needing intensive care. 

The Department also runs a model birthing centre where woman can deliver with the comfort of free movement and family with them without compromising on quality of care. The Mangala Devi Birthing Centre was formaly inaugurated by His Excellency Ambassador of India Mr  Naveen Srivastav  and  Honourable Finance Minister Dr Prakash Sharan Mahat on 7^th November 2023.

• Department vision, mission and goals :

VISION : To uplift the health all Nepalese woman

MISSION : Our mission is to provide comprehensive reproductive healthcare to all woman along with  achievement and maintenance of excellence in education and research

GOALS: Ensure quality service and clinical excellance

              Provide comprehensive care to all woman : specialized services availability

              Foster innovation and  promote research initiatives

            Strengthen competency and efficiency of faculty members of the department

• Department faculty members (Only MMC appointed faculty; Do not include hospital registrars):

S.N.	Full Name	Designation	Full Academic Qualifications	Joined year	Remarks
1	Prof K D  B Bista	Prof Head of Department	MBBS, MD, Fellwoship in Gynae Oncology (Singapore)	2059	Unit III chief
2	Prof P R Pant	Prof	MBBS, MD	2055	Unit  IV Chief
3	Prof Suniti Rawal	Prof	MBBS, MD	2059	Unit II chief
4	Dr Neebha Ojha	Associate Prof	MBBS, MD, Fellowship in Gyne Oncology (NAMS)	2063	Unit I chief
5	Dr Poonam Koirala	Associate Prof	MBBS, FCPS, Fellowship in Infertility (India)	2065	Faculty
6	Dr Sunita Rajbhandary	Assistant Prof	MBBS, MD, Fellowship in infertility (india)	2066	Faculty
7	Dr Suvana Maskey	Assistant Prof	MBBS, MD	2067	Faculty
8	Dr Hima Rijal	Assistant Prof	MBBS, MD	2068	Faculty
9	Dr Pooja Paudel	Assistant Prof	MBBS, MD	2070	Faculty
10	Dr Neeta Katuwal	Assistant Prof	MBBS, MD	2070	Faculty
11	Dr Prezma Shrestha	Assistant Prof	MBBS, MD	2074	Faculty
12	Dr Bishal Khaniya	Assistant Prof	MBBS, MD	2074	Faculty
13	Dr Sanyukta Rajbhandari	Assistant Prof	MBBS, MD	2080	Faculty
14	Dr Rakina Bhansakarya	Assistant Prof	MBBS, MD	2080	Faculty
15	Dr Sunita Pun	Assistant Prof	MBBS, MD	2080	Faculty

• Academic programs and students educated/trained each year / total

Level	S.N.	Program name
Bachelor	1	MBBS	Yes
	2	BAMS	Yes    (4-5 /year)
Masters	3	MD  OBS/GYNAE………	Yes  (21 students)
	4	MDGP………	Yes  (2/year)
Super-specialty	5	Fellowship  in INFERTILITY …	2

• List of hospital clinical services provided and Number of patients served/treated

Total number of beds

Maternity ward	33
Labor room	06
Delivery room	03
Birthing center	22
Female surgical ward	35 + 4 post operative beds + cabins

Services

• Outpatient services (Daily except Saturday and Public holiday Half day)
• Inpatient services (Daily)
• Emergency services (Daily)
• Delivery services (Daily)
• Operative services (5 days a week)
• Family planning and Comprehensive Abortion Care (daily)
• Infertility services (Daily)
• IVF centre started from 1^st Poush 2080
• Onco OPD 3 days a week started from 13^th Falgun 2079
• Tumor board once a week on Tuesday with Radiology, Pathology, gynecology and medical oncology

Outpatient services statistics (2080)

		General OPD	EHS
number of patients
ANC	New	3258	1519
	Old	18567	9149
Total
Gyne	New	17684
	Old	16243
Total		55753	10668

• OPD procedure

	General	EHS
Endometrial biopsy	709	172
Dressing	335	11
Stitch removal	1709	22
Colposcopy
Cervical biopsy, Polypectomy	30 90	9 53
Cryo surgery	2
PMTCT counselling	2022	240

Infertility OPD/IVF clinic                                        

	Total
OPD cases	3207
TVS	625
HSG	148
IUI	44
Ovum pickup	10
Embryo transfer	2

Oncology OPD : 1406 cases

Family Planning services & Comprehensive Abortion Care 2080 shrawan – ashad 2081

S. No.	Method	No. of client	Total
1		New	Old
2	IUCD	134	454	588
3	Depo-Provera	137	266	403
4	Implants	143	423	566
5	Pill	40	35	75
6	Condom			527
7	Minilap			127
8	Vasectomy	34	23	57
9	FP counselling			625
10	CAC (Medical)			181
11	CAC(surgical)			144
12	PAC			32
13	D/E			20
14	CAC counselling			403
	Total			3680

*CAC (medical+surgical+PAC)

Labor room statistics 2080

Total no. of Deliveries	3540
Total no. of Birth	3579
Total IUFD and Still birth	32
Total Live Births	3565
Total Twin sets	41
Total no. of VD	1589 (44.8%)
Total no. of LSCS	1951 (55.1%)
Maternal Death (MM)	12 (249/100000 live births)
Maternal Near Miss (MNM)	24
Instrumental deliveries	67(1.8%)
Births in Birthing Centre	216

GYNAECOLOGY STATISTICS of  year 2080

Total surgeries : 907

Elective : 769 : major 510,  intermediate 88, minor 171

Emergency: 138 : major 106, intermediate 12, minor 20

Routes of surgery  : abdominal  80.5%, vaginal  12.7%, laparoscopic 6.7%

Hysteroscopy

• Research activities of the faculties/department (in 2080)

1. Ojha N Et al. Genitourinary Syndrome of menopause among Postmenopausal woman in a tertiary care centre : a descriptive Cross sectional Study. J Nep Med Ass 2022;126-31
2. Koirala P, Ghimire A, Bista KD.  B Lynch management among patients with PPH in a tertiary centre : a descriptive cross sectional study. J Nep Med assoc 2023;61(258): 145-49
3. Rajbhandari S,Bista K D, Bajracharya S. Primary Solitary Uterine Hydatid Cyst mimicking an intramyometrial cyst: a case report. J Nep Med Assoc.2024;62(272) 272-4
4. Ruptured Corpus Luteum among Women Undergoing Laparotomy for Hemoperitoneum in a Tertiary Care Centre: A Descriptive Cross-sectional Study. Journal of Nepal Medical Association,2023 61(258), 137–140. https://doi.org/10.31729/jnma.7987

• Choriocarcinoma with atypical presentations causing diagnostic dilemma. J Kathmandu Med Coll. 2022;11(3):189-91.
• Tandukar A, Aryal R, Khania B, Maskey S, Ojha N, Chataut D. Pregnancy in an isthmocele: a rare case from Nepal. Clin Case Rep 2023;11:e06875. https://doi.org/10.1002/ccr3.6875
• Ojha BP, Ghimire A, Panta PR, Ojha N. Relation of Antral Follicular  Count and Follicular Stimulating Hormone with Anti-Mullerian Hormone in Determining Ovarian reserve in Infertile Women Presenting in a tertiary Health Centre of Nepal. BJHS 2022;7(3):1845-50.
• Koirala P, Ghimira A, Ojha N, Koirala I. Evaluation of Pregnancy Outcome in Women with Rheumatic Mitral Valve Stenosis. Nepalese Heart Journal 2023;20(1):29-33.
• Regmi A,Ojha N, Singh M, Ghimire A, Khare N. Risk Factors Associated with Surgical Site Infection following Cesarean Section in Tertiary Care Hospital, Nepal. Int. J. Reprod. Med. 2022; Artcle ID 4442453. http://doi.org/10.1155/2022/4442453
• Ojha N, Koirala P, Shrestha S. Menopausal Symptoms in Overweight and Obese Middle Aged Women: A Community Based Study. JIOM 2022;44(1):45-50.
• Shrestha P et al. Pregnancy with heart disease in South Asia:A Systematic Review and meta-analysis of prevalence and outcome. Annals of Medicine and Surgery 2022
• Rijal H, Koirala P. Outcome Analysis of Termination of Pregnancy in Second Trimester. Kathmandu Univ Med J. 2023;
• Koirala P. Postoperative Surgical Site Infection among Patients with Caesarean Delivery in the Department of Obstretrics &Gynaecology.June 2023 · JNMA; journal of the Nepal Medical Association
• Rijal H. Proteinuria among Pregnant Women Admitted to the Department of Obstetrics and Gynaecology of a Tertiary Care Centre.JNMA I VOL 62 I ISSUE 269 I JANUARY 2024
• Parajuli BD, Koirala M, Joshi P , Katuwal N, Shrestha A,  Singh S, and Rawal S. (2024). Knowledge and Attitude about Labor Epidural Analgesia among Pregnant Women Attending Antenatal Clinic. Journal of Nepal Health Research Council (2024)21(4), 623-628.
• Sharma SK, Gurung G, Katuwal N, Joshi PR , Chaurasia H, and  Lamsal S. Prevalence of thyroid dysfunction during first trimester of pregnancy: A descriptive cross‐sectional study. Reproductive, Female and Child Health 2023 2(3), 203-207.
• Maskey S, Rijal H. Maternal and perinatal outcome in woman with COVID 19 , a hospital based case control study.JIOM 2023;45(1):11-16

1. Number of publications by faculties/department

Original articles	Review articles	Case reports	Newspaper	Online news	Total
13	1	3	X	x	17

Training/Workshops/Conferences conducted by department

• Invited Talk Programme by Dr Michael Robsons , from UK , creator of Robsons Ten Classification system for LSCS on Robsons Classification and its use in Obstetrics . 
• On Job Training for Comprehensive Abortion Care for second year residents conducted
• Intra uterine insemination  training worshop  conducted for 9 candidates in Magh 2080 at IVF centre . Dr Sunita Pun and  Dr Bishal from the Department also attended.
• CME conducted by Department at Woodland Hotel on : HRT from evidence to practice by Dr Sanyukta Rajbhandari on Kartik 12^th 2080
• Dr Neebha  Ojha was Scientific Chair for the Nepal Society of Obs Gynae International Conference conducted in Chaitra 2080.

• Achievements/Grants/Awards received by faculties/department
• Dr Poonam Koirala completed 3 months fellowship in advanced Infertility at Delhi IVF Centre
• Dr Ashmita Ghimire received SAFOG  Young Gynaecologist Award and attended SAFOG Conference held in Mumbai , India on 4-10^th ASOJ, 2080 
• Dr Rakina Bansakar received the AOFOG Young Gynaecologist award  for 2024.
• Dr Ashmita Ghimire received NESOG award for best paper at National conference of NESOG
• Our MD Resident , Dr Suman Verma won Best poster Award at NESOG conference held in Chaitra 2080
• Dr Poonam Koirala and Dr Sunita Rajbhandary are undergoing Non residential fellowship in Infertility in Garbha Gudi Institute of reproductive Health and Research , Bengaluru,Karnataka  from 1^st Oct 2023- Sep 30^th 2024.