Reproductive Parameters in Upper Mustang: A Camp Based Pilot Study

Abstract

Introduction: Published medical information on Upper Mustang is very scarce as no specific studies have been done due to its remoteness. This was the first multidisciplinary medical health camp, done to benefit the people of Upper Mustang who have limited access to health services and also to get some basic information on reproductive parameters of woman living there.

Methods: This was a camp based prospective study done between 3-8th October 2015, in Upper Mustang among women who attended the camps for various obstetrical and gynecological problems. A fixed questionnaire was utilized after taking proper verbal consent from patients. Results were analyzed and expressed in mean and averages.

Results: Out of total 614 patients, 180 woman who attended the Obs & Gyne clinic were studied. All 7 villages of Upper Mustang were represented. Most woman ie 36% were with parity 2-4 and 72% of the woman were illiterate. Mean age of the woman was 36.8yrs with maximum between 31-40 yrs age group. Contraceptive related problems was the most common presenting problem followed by pervaginal discharge. Depo contraceptive was the most common contraceptive, used by 50% of the population. About 83 (46.1%) woman experienced death of an infant or child under 5.

Conclusion: Illiteracy was high among the woman who attended the Gyne & Obs clinic. Infant mortality was found in almost 50% of the mothers with most not knowing specific cause. Depo injection was the most common contraceptive used by the woman.