Exploring the Unmet Needs of Parents of Adolescent Girls with Heavy Menstrual Bleeding and Dysmenorrhea: A Qualitative Study

2020 ◽  
Vol 33 (3) ◽  
pp. 271-277 ◽  
Author(s):  
Emily K. Bellis ◽  
Anna D. Li ◽  
Yasmin L. Jayasinghe ◽  
Jane E. Girling ◽  
Sonia R. Grover ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Adolescent Girls ◽  
Unmet Needs ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding

Unmet Needs and Experiences of Adolescent Girls with Heavy Menstrual Bleeding and Dysmenorrhea: A Qualitative Study

2020 ◽  
Vol 33 (3) ◽  
pp. 278-284 ◽  
Author(s):  
Anna D. Li ◽  
Emily K. Bellis ◽  
Jane E. Girling ◽  
Yasmin L. Jayasinghe ◽  
Sonia R. Grover ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Adolescent Girls ◽  
Unmet Needs ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding

Heavy Menstrual Bleeding in Adolescent Girls

2020 ◽  
Vol 49 (4) ◽  
pp. e163-e169
Author(s):  
Jennifer Davila ◽  
Elizabeth M. Alderman
Keyword(s):  
Adolescent Girls ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding

Hematologic Considerations and Management of Adolescent Girls with Heavy Menstrual Bleeding and Anemia in US Children's Hospitals

2018 ◽  
Vol 31 (5) ◽  
pp. 446-450 ◽  
Author(s):  
Jacquelyn M. Powers ◽  
Joseph R. Stanek ◽  
Lakshmi Srivaths ◽  
Fareeda W. Haamid ◽  
Sarah H. O'Brien
Keyword(s):  
Adolescent Girls ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Children's Hospitals ◽  
Children’S Hospitals

scholarly journals Prospective Evaluation of ISTH-BAT As a Predictor of Bleeding Disorder in Adolescent Girls with Heavy Menstrual Bleeding

Blood ◽  
2016 ◽  
Vol 128 (22) ◽  
pp. 1402-1402
Author(s):  
Shilpa Jain ◽  
Ravi Sarode ◽  
Janna M. Journeycake ◽  
Ayesha Zia
Keyword(s):  
Diagnostic Accuracy ◽  
Adolescent Girls ◽  
Roc Analysis ◽  
Assessment Tools ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Study Cohort ◽  
Operating Characteristics ◽  
The Mean ◽  
Bleeding Score

Background. Heavy menstrual bleeding (HMB) is a frequent complaint in adolescence and is often multifactorial. Of the possible causes, anovulation is likely to be the most common reason but there is mounting evidence that bleeding disorders (BDs) are often an unidentified cause of HMB. Wide ranges of reported prevalence, difficulty in discerning normal from excessive menstrual bleeding and the semi-empiric use of hormonal therapy makes identifying BDs in adolescents challenging. Bleeding assessment tools (BATs) have been developed- primarily in the adults - to improve diagnostic accuracy, predict bleeding phenotype and describe symptoms. The International Society of Haemostasis and Thrombosis (ISTH) BAT was specifically designed to quantify bleeding symptoms that are pediatric specific. An ISTH-BAT score of > 3 for children is considered abnormal. The ISTH BAT has not yet been specifically tested in adolescents presenting with HMB. The objective of this study was to examine the diagnostic utility of ISTH-BAT bleeding score (BS) of > 3 as a predictor of BDs in adolescents with HMB. Methods. We prospectively analyzed clinical data on 70 adolescents without a known BD, referred for HMB, to the Adolescent, Gynecology and multidisciplinary Young Women's Blood Disorders Clinics at University of Texas Southwestern Medical Center from July 2014 to June 2016. This cohort is part of an ongoing prospective study investigating the incidence of BDs in adolescents with HMB (planned n=200). All subjects underwent a standardized comprehensive diagnostic approach, including the ISTH BAT to quantify bleeding symptoms accurately. The ISTH-BAT was applied by two trained investigators and any discrepancy in scores was settled by discussion. As per National Heart, Lung, and Blood Institute guidelines, VWF:Ag and/or VWF:RCo<30 IU/dL were labeled "definite von Willebrand disease (VWD)" while 30-50 IU/dL were labeled as "low VWF levels" which were grouped together to represent vWD. Receiver operating characteristics (ROC) of ISTH-BAT were determined to assess its value for predicting BD in our cohort. Results. The mean age of study participants was 14.4+1.8 years (range: 11-18 years). Twenty-eight out of 70 patients (40%) were found to have a BD; 8 met criteria for VWD, 12 had low VWF levels, 2 were hemophilia A carriers, 5 were diagnosed with inherited platelet dysfunction and 1 had inherited thrombocytopenia. The mean BS was higher in subjects with VWD (N=20) as compared to those without a BD (N=42) (4.5 +1.6, vs. 3.6+ 1.0, p= 0.02). At least one other bleeding symptom was present in 8 (40%) of the 20 girls with vWD. The most commonly reported bleeding symptoms were epistaxis (35%), oral (15%), cutaneous (10%) and post-surgical (5%). There was no difference in patterns of menstrual bleeding (anovulatory vs. ovulatory) between girls with and without a BD (55% ovulatory vs. 41% ovulatory, p-=0.28). ROC analysis of the ISTH-BAT bleeding scores showed that at a BS of > 3, the sensitivity of the ISTH BAT was 100% but specificity was only marginal at 2.4% with an accuracy of 41%, whereas at a BS of > 5, sensitivity, specificity and accuracy were 30%, 88.10% and 69%, respectively. ROC analysis showed area under the curve of 0.66 (CI: 0.52-0.80) indicating poor discrimination for the ISTH-BAT score in determining BD in girls with HMB. Conclusion. Our study is the first attempt to prospectively examine the applicability of using ISTH-BAT score as a screening tool to exclude the presence of BD in adolescent girls presenting with HMB. In this study cohort, ISTH-BAT bleeding score of > 3 demonstrated poor diagnostic accuracy in ruling out vWD. A score of > 5 had high specificity which can decrease false positive diagnosis and repetitive testing. Future data from the ongoing study will help understand how a combination of BATs and a laboratory testing algorithm can unravel hemostatic defects in adolescents with HMB. Disclosures Jain: Bayer: Membership on an entity's Board of Directors or advisory committees; Biogen: Speakers Bureau; Novo Nordisk: Honoraria. Sarode:CSL Behring: Consultancy, Honoraria. Journeycake:CSL: Consultancy; Biogen: Consultancy; Baxalta/Shire: Consultancy. Zia:NHLBI K23: Research Funding.

scholarly journals Study of menstrual disorder in adolescent girls at tertiary care centre in rural area

2018 ◽  
Vol 7 (5) ◽  
pp. 1979
Author(s):  
Anubhuti Yadav ◽  
Deepa L. Masand
Keyword(s):  
Rural Area ◽  
Adolescent Girls ◽  
Total Population ◽  
Tertiary Care ◽  
Adolescent Females ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
World Population ◽  
Menstrual Hygiene ◽  
Tract Infections

Background: Total adolescent world population is 16%.  Adolescents (10-19 years) constitute 21.3% i.e. nearly 1/5th of total population of India. 19% of the total population-faces a series of serious challenges not only affecting their growth and development but also their livelihood as adults. The objective of the current study was to observe the menstrual disorders among adolescent females and to observe the demographic profile and assess hygiene practices during menstruation and grade of anemia due to menstrual morbidity.  Methods: A random selection of adolescent’s females were done from gynaecology outpatient department at a tertiary care hospital in rural area. Study done on 180 adolescent girls from January 01, 2016 to June 31st, 2017, it is a descriptive type of observational study. Counseling done of adolescent females on menstrual hygiene and nutrition. Results: Most common menstrual morbidity seen in this study is dysmenorrhea (41.66%) followed by heavy menstrual bleeding i.e 25% and irregular menstrual bleeding (13.33%) subsequently. All these problems are associated with their practices used during menstruation. Poor menstrual hygiene was seen associated with 30 to 35% of abdominal cramps and mood swings, heavy menstrual bleeding and nutritional deficiency leads to moderate anemia (7 to10 gm%) in 83%.Conclusions: Due to unhygienic practices and lack of education and awareness about hygiene many of the girls were suffering from reproductive tract infections and poor nutrition leads to anemia. So, we all need to educate them about hygiene and spread awareness about the various services provided by the government like supplying of sanitary napkins to overcome infections.

scholarly journals Study of reproductive health problems in adolescent girls at ESIC PGIMSR, MGM Hospital, Parel, Mumbai: a retrospective study

2017 ◽  
Vol 6 (10) ◽  
pp. 4285
Author(s):  
Jaya K. Gedam
Keyword(s):  
Retrospective Study ◽  
Reproductive Health ◽  
Nutritional Status ◽  
Adolescent Girls ◽  
Health Problems ◽  
Heavy Menstrual Bleeding ◽  
Safe Motherhood ◽  
Menstrual Bleeding ◽  
Nutritional Deficiencies ◽  
Age Group

Background: There are almost 200 million adolescents in India. It is estimated that the adolescent group constitutes about one fifth of India’s population and it is estimated that this age group will grow to over 214 million by 2020. The period of adolescence for a girl is a period of physical and psychological preparation for safe motherhood. Several factors contribute to the adolescents' growth. A vast majority of adolescent girls in India are suffering from menstrual problems, reproductive morbidities and nutritional deficiencies such as dysmenorrhoea, pre-menstrual syndrome, irregular menses, heavy menstrual bleeding, amenorrhoea, white discharge per vagina, UTI, anaemia etc. So, the present study was carried out to assess menstrual problems, reproductive health problems and nutritional status of adolescent girls coming to our hospital.Methods: It is a Retrospective study to find about the menstrual problems, reproductive health problems and nutritional status among the adolescent girls of 10-19 years age group who attended O.P.D. for various health problems. Data was collected retrospectively for two years from December 2015.Results: Mean age of adolescent girls were 14.38 Mean age to attain menarche was 12.93. About 386 (96.34%) adolescent girls were literate. 62.04% and 29.58% of adolescent girls belonged to class IV and Class V respectively. 62.56% of them live in poor housing and environmental status. The source of health information for the majority 123 (32.2%) was from mass media. Frequency and percentages of common menstrual problems like dysmenorrhea, premenstrual syndrome, heavy menstrual bleeding, intermenstrual bleeding and primary amenorrhoea were 29.58%, 26.39%, 16.49%, 24.34 and 1.57% respectively. Other Reproductive health problems white discharge per vagina, itching in private parts, pain in lower abdomen, backache, urinary tract infection, lump in abdomen and others (boils, ulcers, warts etc.) 26.7%, 8.11%, 18.06%, 12.3%, 7.32%, 4.97% and 1.57%. Under weight were 21.98%. Anemia was observed in 57.84% of adolescent girls.Conclusions: Present study concluded that most of the adolescent girls suffer from various types of menstrual problems, reproductive morbidities and nutritional problems. The findings of the present study recommend that awareness should be created among the adolescent girls, so that they will be able to take appropriate decision on medical care and treatment.

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