Background Maternal satisfaction is one of the most frequently reported outcome measures for quality of care, and it needs to be addressed to improve the quality and efficiency of health care during pregnancy, childbirth, and puerperium to provide quality maternal-friendly services. Objective To find out the maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Method A descriptive, cross-sectional study was conducted in maternity ward of Bheri Zonal Hospital, Nepal. A total of 178 purposively selected postnatal mothers were interviewed face-to-face using semistructured interview schedules. Analysis and interpretation of the findings were done with the help of descriptive and inferential statistics. Results The study shows that majority (89.88%) of the mothers were satisfied with the delivery service. The level of satisfaction was higher in interpersonal and technical aspects (93.82%) of care than in informative aspects (91.57%) and health facility-related statements (91.01%). There was no statistically significant association between sociodemographic and obstetric characteristics and maternal satisfaction. Although insignificant, postnatal mothers who were illiterate were 2.710 times more likely to be satisfied than who were literate (p=0.475; OR = 2.710; CI = 0.343–21.4), also postnatal mothers up to primary level were 2.850 times more likely to be satisfied than secondary level and above (p=0.241; OR-2.850; CI 0.622–13.056). Also, in this study, postnatal mothers who were multiparous were 2.352 times more likely to be satisfied with the delivery service than primiparous (p=0.111; OR = 2.352; CI = 0.801–6.907). Majority (87.1%) of the mothers would like to receive delivery service next time in the same hospital. Conclusion Majority of mothers were satisfied by the delivery service. Care givers need to fully understand the expectations the mothers have and provide care that is consistent with those expectations. The health system should be devised to increase maternal satisfaction in the health institution and provide maternal-friendly service.

Cervical cancer is cancer of the cervix which is caused by sexually-acquired infection with Human Papilloma Virus (HPV). Cervical cancer screening is the systematic application of Pap smear test to identify cervical abnormalities in an asymptomatic population. This paper tries to give an overview of cervical cancer screening practices and barriers in Nepal. During preparation of review paper various published Literature were obtained and reviewed from international journal and local newspaper and analyzed. In case of Nepal cervical cancer screening is still not giving high priority by women. Likewise Vaccine against HPV is not yet easily available in Nepal for early detection of cervical cancer due to lack of financial resources. High incidence of cervical cancer result due lack of awareness and knowledge, Pap test and HPV vaccine. Socio-cultural factors, low fund, less laboratory services, lack of privacy and informed consent pose barriers to have routine screening practices.

Background: Quality of life is an important aspect and high priority of the cancer patient care. The objective of the study was to find out the quality of life of cancer patients attending a Cancer hospital, Lumbini Province, Nepal. Methods: An analytical cross sectional study design based on quantitative approach was used in the study. The study was conducted in Sushil Koirala Prakhar Cancer Hospital, Khajura, Banke which was selected purposively considering only one cancer hospital in province five, Nepal. The entire cancer patients receiving at least one cycle of cancer treatment was included in the study using non probability purposive sampling technique. Semi structured interview based questionnaires was used and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire – C30 (EORTC QLQ- C30) was used for measuring quality of life. The data was collected by the enumerator by face to face interview. The collected data were   analyzed by using descriptive and inferential statistics. Results: The patients with carcinoma (ca) lungs were in highest proportion (24.5%) followed by ca breast. The transform mean and SD score of Global Health/QoL was 35.84 (16.87), functional scale 36.35(15.54), symptoms scale 53.02 (14.61).Occupation was found to be associated with quality of life at statistically significant level in (p= .000) function score. Site of cancer was found to be associated with quality of life at statistically significant levels (p=.0.009) in symptom score. The patients with stage I and   II had high global health score and least in stage IV. There was positive correlation of .610** (p=.000) significant at 0.01 level with functional scales and high negative correlation of -.521(p=-.521**) with symptom scales at (p=.000) level of significance. The overall quality of life of cancer patients was poor. The pain management of cancer patients should be taken into consideration.

Background Coronavirus Disease (COVID-19) is an infectious, pandemic disease affecting many countries globally. The outbreak of a new virus occurred in Wuhan, China, in December 2019. The objective of the study was to find out the knowledge and perceptions of nurses on COVID-19 in a teaching hospital, Banke, Nepal. A quantity web-based cross-sectional survey was conducted at Nepalgunj Medical College, Teaching Hospital, Kohalpur Banke, which was selected purposively.  All the nurses working in different departments who agreed to participate in the study were included in the study.  A self-administered questionnaire in google form was developed by the researchers Data were analyzed by using descriptive and inferential statistics.  Results The study shows that more than half (56%) of the nurses had an adequate level of knowledge and the majority (97%) of nurses had a satisfactory perception regarding COVID-19. There was a statistically significant association between the age of the nurses with the level of knowledge regarding COVID-19 (P=0.009). Those nurses who were up to 25 years had 3.166 times inadequate knowledge than those above 25 years (p=0.009; OR= 3.166; CI=1.315-7.621). There was no statistically significant association between socio-demographic characteristics with the perception of nurses regarding COVID-19. Conclusion The findings conclude that more than half of the nurses had an adequate level of knowledge regarding COVID-19 and the majority of nurses had satisfactory perception regarding COVID-19.  The global threat of COVID-19 continues to emerge, it is critical for improving   the knowledge and perceptions of the nurses in this pandemic situation.

Introduction: Cesarean section (CS) is an operative technique by which a fetus is delivered through an abdominal and uterine incision and is effective in saving maternal and infant lives but caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates. The objective of the study was to find out the indications for caesarean section and its fetal and maternal outcomes in a Teaching Hospital, Province Five, Nepal. Methods: A descriptive, cross-sectional study was conducted in a teaching hospital, Nepal. A total of 150 purposively selected postnatal mothers after caesarean section were interviewed by face to face technique using a structured interview schedule. Analysis and interpretation of the findings were done with the help of descriptive and inferential statistics. Results: The study shows that the majority (93.3%) of mothers had undergone an emergency caesarean section and the majority (92%) had maternal indications for caesarean section. Among them, one third had a previous caesarean section followed by 14.5% obstructed labor. Fetal indications include breach (44.4%), fetal distress (29.6%), big baby (11.1) and twins and triplets (3.7%). Only (10.7%) had an unfavorable fetal outcome which includes the need for Neonatal Intensive Care Unit (NICU) (31.2%) followed by neonatal death (25%). Only three mothers (2%) had an unfavorable maternal outcome which includes Post-Partum Hemorrhage (PPH); need for blood transfusion and fever respectively. There is no statistically significant association between sociodemographic characteristics and type of caesarean section. There is a statistically significant association between the previous history of caesarean section and type of caesarean section (P= .005). Conclusions: Previous caesarean section was the most common indication for caesarean section. Unfavorable outcome after caesarean section was considerably present which needs to be addressed.