A cross sectional study has been done over a period of one year to find out the total number of youngpeople, adolescents and youth attending at general gynaecological OPD and special adolescent clinic andto analyse them in terms of their sex, ethnicity, address, marital status, education, occupation and theirhealth problems in a teaching hospital at Kathmandu.Of the total 2480 patients 31.29% were young people, 18.34% of them were adolescents and 30.52% ofthem were youth. Male attendance was insignificant. Majority (91%) of the young people were Brahmins,Newars and Chhetriyas. Most (91%) of them were from Kathmandu valley, 73% were already married and60% had experienced pregnancy. Approximately 12% of these people were illiterate, 24.85% of them hadnot completed the primary level education. Only 19%of them had completed the SLC examination Lackof education, trend of early marriage has been reflected on to their occupation. 64% of them are engagedin routine household work as housewives. Few (4.3%) of these young people were not doing anything at all.Majority (59%) of them presented with pregnancy related problems and rest of them came for problemslike Pelvic infection, urinary tract infection, sub fertility, breast problems and others.This study conclude that good number of young people from different parts of the country attend specialadolescent clinic with different needs. Therefore adolescent friendly services in the hospital need to bestrengthened to provide special care for them.Key words: Young people, adolescents, youth, substance abuse, illiterate

Original Research Article -------------------------------------------ABSTRACT:Objective: To compare the outcome of induction of labour with titrated dose of oxytocin with or without pre induction cervical ripening using prostaglandin E2. Methods: This is a prospective study. Sixty women with prelabour rupture of membranes (PROM) and Bishops score of less than six were randomly assigned to either immediate induction with intravenous oxytocin drip or induction with intravenous oxytocin drip preceded by cervical priming with prostaglandin E2 (PGE2) gel 0.5mg instilled intracervically. These two groups were compared regarding the mode of delivery, induction to delivery interval and maternal and neonatal morbidities. Results: Cervical priming with PGE2 resulted in lesser number of caesarean section (5 Vs. 12) and lower incidence of meconium stained liquor (n=6 Vs. n=2). Induction to vaginal delivery interval was shorter when cervical priming was done (5.4 hrs Vs 7.9 hrs). The maternal morbidity was negligible (<1%) in both the groups. The number of neonates with birth asphyxia (n=2) and the need for their resuscitation (n=2) was more in the oxytocin group but the need of antibiotics for the neonates was more in PGE2 group (5% Vs. 3%). Conclusion: Induction of labor with oxytocin, with or without cervical priming with vaginal PGE2 gel, are both reasonable options in cases of PROM, since they result in statistically non significant rates of maternal and neonatal morbidities and caesarean section. Cervical priming with prostaglandin results in higher rate of vaginal delivery and shorter induction to vaginal delivery interval and this is viewed as an advantage to the mother. Keywords: induced labor • premature rupture • oxytocin • prostaglandin • cervical ripening -------------------------------------------

Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 1-4 DOI: http://dx.doi.org/10.3126/njog.v7i1.8824