Background: Hyperemesis gravidarum is the most severe form of nausea and vomiting in pregnancy. It is one of the most common cause of early pregnancy admissions and associated with various maternal risk factors . Very few studies have been conducted among Nepalese women with hyperemesis gravidarum. This study aims to identify various maternal risk factors among Nepalese women and its severity using pregnancy unique quantification of emesis scoring. Methods: This is a cross sectional observational study conducted at Paropakar Maternity and Women’s Hospital. Total duration of the study period was for one year from February 2018 to Janurary 2019. A total of 144 patients meeting the inclusion criteria were included in the study.The severity of the hyperemesis gravidarum was assessed and classified using pregnancy unique quantification of emesis scoring. Various maternal demographic, obstetric and personal factors were studied in relation to the incidence and severity of hyperemesis gravidarum.Results: Moderate (49.30%) to severe(50.69%) hyperemesis gravidarum were admitted in the hospital. Most women were nulliparous from 20-24 years age group. Among all categories of BMI, underweight had more severe hyperemesis gravidarum (63.63%) and overweight patient had increased incidence of moderate hyperemesis gravidarum (66.66%). Women with previous dysmenorrhea had severe hyperemesis gravidarum (54.05%) and non-smoker had severe hyperemesis gravidarum (52.03%) while smoker had moderate hyperemesis gravidarum (57.14%).Conclusions: Pregnant women of age group of 20-24 years, nulliparity and underweight were associated with severe hyperemesis gravidarum. Keywords: Hyperemesis gravidarum; maternal factors ; pregnancy unique quantification of emesis.
A chiropteran inventory of Himachal Pradesh, northwestern India is presented. Based on field observation and the study of museum collections and published literature, the occurrence of 28 species within 14 genera and five families is affirmed. The study also provides observations on ecology and biology of selected species, and ecological, zoogeographical and conservation aspects of the chiropteran fauna of Himachal Pradesh are also discussed. Considering the lack of studies on the bat fauna of Himachal Pradesh, it is expected that systematic and intensive field surveys will refine significantly our knowledge of diversity and distribution of Chiroptera in the state.
Categorization of species under different threat classes is a pre-requisite for planning, management and monitoring of any species conservation programme. However, data availability, particularly at the population level, has been a major bottleneck in the correct categorization of threatened species. Till date, threat assessments have been mostly based on expert opinion and/or herbarium records. The availability of primary data on distribution of species and their population attributes is limited in India because of inadequate field survey, which has been ascribed to resource constraints and inaccessibility. In this study, we demonstrate that ecological niche modelling (ENM) can be an economical and effective tool to guide surveys overcoming the above two constraints leading to the discovery of new populations of threatened species. Such data lead to improved threat assessment and more accurate categorization. We selected 14 threatened plants comprising 5 trees (Acer hookeri Miq., Bhesa robusta (Roxb.) Ding Hou, Gynocardia odorata Roxb., Ilex venulosa Hook. f. and Lagerstroemia minu-
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