scholarly journals Tackling gynecological health problems in adolescent girls of rural India: need of the hour

2021 ◽  
Vol 10 (6) ◽  
pp. 2326
Author(s):  
Barkha A. Bafna ◽  
Amit N. Bafna
Keyword(s):  
Adolescent Girls ◽  
Prospective Observational Study ◽  
Surgical Intervention ◽  
Treatment Options ◽  
Hormonal Treatment ◽  
Breast Diseases ◽  
Health Issues ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Genital Trauma

Background: Adolescence is a transient and dynamic period characterised by several changes in the child’s body and mind. Onset of menarche is major physiological milestone in adolescent girls which is often associated with menstrual irregularities and other hormonal events. Aim of the present study was to evaluate the profile of adolescent girls attending the outpatient clinic.Methods: This hospital based cross-sectional, prospective, observational study was conducted at Bafna hospital from January 2019 to December 2020. We analysed 220 consecutive adolescent girls with gynaecological health issues. The data was collected and analysed using pre-designed questionnaire.Results: Menstrual disorders (64.5%) were most common followed by teenage pregnancies (20.9%). Other complaints included vulvar disorders, breast diseases, genital trauma, hirsuitism, UTI and psychological problems. Anemia (28.1%) and PCOS (30.9%) were also diagnosed. Hormonal treatment was offered to 59.5% girls whereas surgical intervention done in 4% for various indications.Conclusions: Menstrual disorders, teenage pregnancies, PCOS and anemia were the most common issues seen. Adolescent gynaecological problems are unique and specific regarding presentation, diagnosis and treatment options. It is important to tackle them on top priority due to its impact on future reproductive health.

scholarly journals Impact of parenting style and upbringing on menstrual stress in adolescent South Indian girls

2020 ◽  
Vol 9 (9) ◽  
pp. 3688
Author(s):  
Christy Vijay ◽  
Naveen Ramesh ◽  
Kavita Peter Gonsalves
Keyword(s):  
Adolescent Girls ◽  
Parenting Style ◽  
Gender Discrimination ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Menstrual Period ◽  
Health Issues ◽  
Cross Sectional ◽  
South Indian ◽  
Menstrual Health

Background: School absenteeism because of major symptoms like dysmenorrhea has ranged from 14% to 51% and this has affected the participation of school going girls in school related activities. In developing countries, adolescent girls face health issues due to socio-economic, environmental conditions and gender discrimination. The parenting style has been explained by Baumrind, which harbours a particular coping mechanism. This study aimed to determine the level of stress in adolescent girls during menstruation using one of these standardised scales. Objective of this study was to assess stress levels during menstrual period among adolescent girls, problems faced during menstrual period and parenting skill effect on menstrual stress.Methods: This was a cross sectional study done on adolescent girls 13 to 19 years of age. The tool used in this study included demographic details, parenting style, (PSDQ scale), prevalence of stress (PSS). All the adolescent girls aged 13-19 years.Results: The study participants 54 (24.9%) felt stressed during the days of the menstrual period, 186 (85.7%) regarded their mother as the major source for menstruation related health issues, 112 (49.3%) did not get support from their family during the time of the menstrual period. Girls with parents who are very authoritarian 28 (31.5%) and very involved 34 (34%), had stress during the menstrual period.Conclusions: Parents play a very important role during the growing phase of an adolescent girl. The communication between parents and children related to menstrual health issues is dependent on educational status of the parents and their knowledge about menstrual health.

Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria

2014 ◽  
Vol 26 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Eyitope O. Amu ◽  
James O. Bamidele
Keyword(s):  
Adolescent Girls ◽  
Sampling Technique ◽  
Age At Menarche ◽  
Sources Of Information ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
The Social ◽  
Cross Sectional Design ◽  
Multistage Sampling ◽  
Academic Lives

Abstract Background: Menstrual disorders are common sources of morbidity among adolescent girls and often cause anxiety for these girls and their families. Objective: This paper aims to determine the patterns of menstruation as well as the prevalence of menstrual disorders and their consequences among adolescent girls in Osogbo, South Western Nigeria. Subjects: Adolescent school girls aged 10–19 years comprised the sample. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self administered, semi-structured questionnaire was used to elicit information from 402 adolescents selected from private secondary schools in the Osogbo Local Government Area (LGA) of Osun State, using a multistage sampling technique. Data were analyzed using SPSS version 15. Results: A total of 391 (97.8%) respondents had heard about menstruation before, with the three most important sources of information being their mothers (81.8%), teachers (7.4%), and peer groups (6.1%). The mean age at menarche was 12.5±1.0 years. Menstrual bleeding lasted between 2–7 days in 81.1% and cycle length lasted for 21–35 days in 81.6% of the respondents. The three most important menstrual disorders they experienced were dysmenorrhea (77.8%), menorrhagia (57.4%) and metrorrhagia (18.6%), among others. Menstrual disorders, especially dysmenorrhea, interfered with the daily activities of the respondents. Conclusion: The prevalence of menstrual disorders among adolescents in the Osogbo LGA is high. Measures should be undertaken to educate the adolescents and their mothers about menstrual disorders and to mitigate their effects on the social and academic lives of these adolescents.

scholarly journals Menstrual Patterns and Disorders Among Adolescent Girls in Bandar Abbas, Iran

2020 ◽  
Vol 9 (4) ◽  
pp. 148-152
Author(s):  
Sajjad Shamloo ◽  
Azin Alavi ◽  
Koorosh Nematpour ◽  
Zahra Mirshekari ◽  
Abolfazl Taheri
Keyword(s):  
Adolescent Girls ◽  
Significant Relationship ◽  
Cross Sectional Study ◽  
Incidence Rates ◽  
Cluster Sampling ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Multi Stage ◽  
The Mean ◽  
Bandar Abbas

Background: Menstrual cycle is one of the important factors to protect women’s sexual health, and it is affected by various factors in different individuals. Disrupting the balance of this cycle imposes numerous impacts on women’s health. The present study aimed to investigate the incidence rate and factors associated with menstrual disorders among high school girls in Bandar Abbas, Iran. Materials and Methods: The population of current cross-sectional study was selected through a multi-stage cluster sampling method. Data were collected through a questionnaire. We entered the data of 370 individuals into SPSS software (version 23, SPSS Inc., Chicago, IL, USA) and analyzed them using descriptive statistics and Mann-Whitney U test. The significant level was considered as 0.05. Results: The mean age of the subjects was 16.29 ± 0.89 years. In addition, the mean menarche age and BMI were 12.82 ± 1.09 years and 20.67 ± 4.17. The incidence rates of hypomenorrhea, hypermenorrhea, amenorrhea, oligomenorrhea, and polymenorrhea were 24.6%, 8.4%, 9.7%, 5.7%, and 13.0%, respectively. There was a significant relationship between age trend with disorders like amenorrhea, oligomenorrhea, and polymenorrhea. However, there was no significant relationship between age trend with hypomenorrhea and hypermenorrhea. Generally, the prevalence of menstrual disorders increased with the increase in BMI, though this relationship was not significant. Conclusion: Due to the relatively high incidence of menstrual disorders in the present study and since numerous major illnesses such as infertility originate from these disorders, we suggest that effective measures be taken to promote the culture of menstrual health among adolescent girls and correct the misconceptions of families.

scholarly journals Socio-demographic correlates of menstrual problems among school going adolescent girls in a rural block of Haryana

2021 ◽  
Vol 8 (4) ◽  
pp. 1680
Author(s):  
Vinod Chayal ◽  
Garima Shivhare ◽  
Ramesh Verma ◽  
Meenakshi Kalhan ◽  
Rohit Dhaka ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Rural Women ◽  
Sampling Technique ◽  
Structured Interview ◽  
Human Reproduction ◽  
School Level ◽  
Significant Shift ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Demographic Correlates

Background: In the last few years, there has been a significant shift on the subject of human reproduction from mainly a ‘demographic issue’ to a broader ‘women’s health and development issue.’ Malnutrition, infection, early and repeated child bearing play an important role in determining menstrual problems of females in India. The other risk factors among women are the existing socio-economic and cultural environmental conditions. The present study was undertaken to know the prevalence of menstrual disorders and its various determinants in rural women of Haryana (Block Beri).Methods: The study was of descriptive type, undertaken on 252 adolescent girls (14-18 years) in a rural block of Haryana (Block Beri), the field practice area attached to department of community medicine Pt. B.D. Sharma PGIMS, Rohtak. Design used was cross-sectional. The subjects were selected by systematic random sampling technique. Informed verbal consent was taken. A semi-structured interview schedule was used. The data was analyzed by using percentages, proportions.Results: 48.8% of adolescent girls in the study group were suffering from menstrual problems. No statistically significant association of menstrual disorders was observed with type of family, age group, caste and literacy status. Income and mother’s education were statistically significantly associated with menstrual problems.Conclusions: It can be concluded from the study that even though menstrual problems are widely prevalent in the adolescent girls they are not addressed properly. Moreover, there is a need to generate awareness about menstruation at school level.

scholarly journals Menstrual pattern amongst adolescent girls: a cross sectional study from Raichur, Karnataka

2021 ◽  
Vol 10 (12) ◽  
pp. 4429
Author(s):  
Pavani M. ◽  
Monisha Deepika R. ◽  
Lavanya B. ◽  
Anant A. Takalkar
Keyword(s):  
Adolescent Girls ◽  
Cycle Length ◽  
Cross Sectional Study ◽  
Adult Women ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Premenstrual Symptoms ◽  
Normal Cycle ◽  
Girls School ◽  
Age Of Menarche

Background: Menstrual disorders in adolescent age are quite different than in adult women, both for diagnostic and therapeutic management. We need to take into account the problems in normal initiation of menarche, hematological problems, general endocrine problems, and fragile emotional status at this tender age. The objective of the study was to study the patterns of menstrual disorders in adolescent girls.Methods: Cross sectional observational study was carried out in 200 adolescent girls, aged 12 to 19 years, among the students of S.R.P.S PU college and the district government Girls’ school in Raichur during the period of January 2017 to December 2017. A pre-structured questionnaire was used and data was analysed using Statistical package for social sciences (SPSS) 23.0 version.Results: Majority of the girls in our study were from 17-18 years age group (55%). The mean age of menarche was 13.2±0.9 years. Cycle length of <21 days was found in 4 (2%) of cases, 143 (71.5%) had 21-35 days cycle and 10 (5%) had >35 days cycle length. Majority had normal cycle length. Dysmenorrhea was found in 84 (42%) students. Premenstrual symptoms like tiredness were noted in 14 (7%) of cases, pain in the legs in 10 (5%), irritability in 8 (4%), lack of interest in work and play in 7 (3.5%), low back pain in 6 (3%), low/depressed mood in 6 (3%), anger in 4 (2%), anxiety in 4 (2%), difficulty in concentrating in 2 (1%), nausea\vomiting were noted in 2 (1%).Conclusions: Prevalence of dysmenorrhea was 42%. Premenstrual symptoms like tiredness were noted in majority of the girls 7%, pain in the legs in 5%, irritability in 4%.

Patients’ informed consent to medical services in Georgia

2019 ◽  
Vol 87 (4) ◽  
pp. 188-192
Author(s):  
Tengiz Verulava ◽  
Revaz Jorbenadze ◽  
Vakhtang Surguladze
Keyword(s):  
Informed Consent ◽  
Surgical Intervention ◽  
Treatment Options ◽  
Medical Personnel ◽  
Cross Sectional Study ◽  
Sufficient Information ◽  
Cross Sectional ◽  
Potential Risks ◽  
Effectiveness Of Care ◽  
Methods Of Treatment

Informed consent requires that a patient understands the purpose, benefits and potential risks of a medical or surgical intervention and then agrees to it. It is important not only ethically and legally but for the effectiveness of care. Studies show that, in some cases, patients have no real information on the medical service to be provided so their informed consent is just a formality. This study aims to determine problems arising from a patient’s informed consent. As part of a cross-sectional study, surgical patients were interviewed using a semi-structured questionnaire. 34% of patients (n = 68) did not know what the surgical intervention was; 57% (n = 114) received sufficient information on their diagnosis and methods of treatment; however, 26% (n = 52) agreed with it only partially; 62% (n = 124) of patients knew they needed surgery; 66% (n = 132) were adequately informed on risks and benefits of alternative ways of treatment; 58% (n = 116) were informed of potential risks during surgery. The study demonstrated patients need to be better informed about different treatment options, consequences of treatment refusal. Doctors have to provide information to patients in a manner understandable to them. Medical personnel need to be educated as to what constitutes informed consent and the importance of adhering to such requirements.

Speech Production Skills in Children With Cleft Palate Who Were Internationally Adopted

2018 ◽  
Vol 55 (9) ◽  
pp. 1225-1235 ◽  
Author(s):  
Amy Morgan ◽  
Mary O’Gara ◽  
Claudia Crilly Bellucci ◽  
Sebastian Linde ◽  
Meredith Albert ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Prospective Observational Study ◽  
Outcome Measure ◽  
International Adoption ◽  
Surgical Intervention ◽  
Standard Score ◽  
Cross Sectional ◽  
The Impact ◽  
Hospital Clinic

Objective: The objective of this study was to investigate the impact of international adoption (IA), age at palatoplasty (PR age), and velopharyngeal sufficiency (VPS) on articulation outcomes. Design: This was a cross-sectional, prospective, observational study. Setting: Outpatient hospital clinic. Participants: Fifty-one IA and 65 not-adopted (NA) children between the ages of 3 and 9 with nonsyndromic cleft palate with or without cleft lip. Main Outcome Measure(s): The Goldman-Fristoe Test of Articulation—2nd Edition (GFTA-2) standard score and cleft-related articulation errors (CREs). Results: Articulation impairment was observed for 40% to 76% of NA children and 71% to 92% IA children, depending on age. PR age mean IA = 2.07 (0.86) years; NA = 1.23 (0.71) years. Children who were IA had poorer performance on the GFTA-2 ( B = −13.82, P = .015). Children who were IA were not significantly more likely to make CRE; rather, age at the time of assessment ( B = −.10, P = .002) and VPS ( B = .24, P = .021) were associated with CRE. Conclusions: Children who were IA demonstrated poorer articulation skills. Although primary palatoplasty was accomplished later among children who were IA, age at assessment and VP status (not PR age) were significantly correlated with articulation outcomes. Implications for timing of surgical intervention are discussed.

scholarly journals Prevalence and Predictors of Dysmenorrhea, its Effects and Coping Mechanism among Adolescent

2021 ◽  
Vol 15 (8) ◽  
pp. 2472-2476
Author(s):  
Nadia Khan Jawad ◽  
Zulfiqar Ali ◽  
Shumaila Khawaja Khail ◽  
Aasia Fozia ◽  
Nadia Pervaiz ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Management Practices ◽  
Statistical Significance ◽  
Treatment Options ◽  
Cross Sectional Study ◽  
Common Symptom ◽  
Management Options ◽  
Cross Sectional ◽  
Menstrual Symptoms ◽  
Significant Difference

Background and Aim: Dysmenorrhea is one of the most common gynecological disorders in the world. The current study aims to know the prevalence of dysmenorrhea and its management practices among adolescent girls. The study also aim to assess predictors of dysmenorrhea treatment options. Materials and Methods: This institutional-based cross-sectional study was carried out at Obstetrics & Gynaecology department of Mardan Women Hospital, Sheikh Maltoon Town Mardan and Jinnah International Hospital, Abbottabad from June 2020 to November 2020. Pretested self-administrated and a semi-structured questionnaire was used for data collection from volunteer adolescent girls to take part in this study. The outcome and exposure variables association was evaluated through a multi regression model and chi-square test. Dysmenorrhea risk was reported by taking the odds ratio at a confidence interval of 95%. SPSS version 20 was used for data analysis and statistical significance was considered at p<0.05. Results: Of the total 680 questionnaires, 601 (88.4%) were completed. The response rate and dysmenorrhea prevalence were 88.4% and 53.3% respectively. The mean age of the adolescents was 16.3 ± 1.92. While mean age for Menarche was 12.41 ± 1.62. A significant difference (t= 5.78, p< 0.001) between dysmenorrhea and non-dysmenorrhea age girls was (16.81 ±1.98) and (12.56 ± 1.65) respectively. The common symptom of waist pain among participants was (345, 57.4%). The prevalence of participants taking Over-the-counter (OTC) drugs for menstrual symptoms was 191 (31.8%). Dysmenorrhea’s severity and age were the two significant predictors for the prospect of taking a dysmenorrhea pharmacological agent. Conclusion: Our study concluded that a higher prevalence of dysmenorrhea was observed among adolescents compared to Menarche which adversely affects the routine major activities. A significant association between self-reported dysmenorrhea and the abnormal menstrual cycle was found. Adolescents must be educated early on about the safety and efficacy of various dysmenorrhea management options. Keywords: Dysmenorrhea, Adolescence, Menarche

scholarly journals Determination of the prevalence and pattern of menstrual disorders in college going adolescent girls in rural Haryana

2021 ◽  
Vol 10 (7) ◽  
pp. 2729
Author(s):  
Vaishali Verma ◽  
Das Banashree ◽  
Nath Jayathi
Keyword(s):  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Transitional Period ◽  
North India ◽  
Menstrual Bleeding ◽  
Late Adolescent ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Social And Emotional ◽  
College Going

Background: Adolescence is the transitional period from puberty to adulthood, causing rapid physical, cognitive, social and emotional changes. Any deviation of normal menstrual pattern is one of the reasons of severe stress and academic losses on many. The aim of the study was to determine prevalence and pattern of menstrual disorders in college going adolescent girls.Methods: A descriptive cross-sectional study was conducted in a medical college of Gurugram district of Haryana, North India. A semi-structured, pretested questionnaire was used to ask about the characteristics of girl’s menstruation: age of menarche; regularity/irregularity of menstruation, interval and duration; presence of amenorrhoea; amount of blood loss; degree of pain during menstruation; activity during menstruation and BMI.Results: All the girls were in the age group 17 to 19 years i.e.; in the late adolescent period with the mean age of 18.2±0.7 3 years. 81.66% girls attained menarche between 12 to 14 years of age. 3.66% girls attained early menarche and 0.33% girls attained menarche late. 19 had scanty menstrual bleeding and 7 suffered from secondary amenorrhea. 27 girls suffered from heavy menstrual bleeding. 78.3% adolescent girls had various degrees of dysmenorrhea with 8.66% had severe dysmenorrhea. 17.66% girls had high BMI and 11% girls for underweight.Conclusions: There was a high prevalence of menstrual disorders among adolescent girls which affects their social and academic lives. Thus, more attention should be paid to identify and treat these menstrual morbidities.

scholarly journals Common menstrual disorders in adolescent girls attending a tertiary care center

2020 ◽  
Vol 9 (3) ◽  
pp. 1164
Author(s):  
Hibina K. P. ◽  
Nishi Roshini K. ◽  
Andrews M. A.
Keyword(s):  
Adolescent Girls ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Tertiary Care Center ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Medical College ◽  
Medical Disorders

Background: Menstrual disorders are an important cause of concern among adolescent girls. Most problems are physiological but few have underlying pathology which has adverse effect on the future reproductive health Aim of the study was to know the prevalence and to evaluate the underlying cause of the menstrual problems in adolescent girls seeking medical care.Methods: This is a cross sectional study conducted in in 215 adolescent girls aged 13-19 years who sought medical care over a period of 12 months for menstrual complaints from the department of obstetrics and gynecology, Govt. Medical College, Thrissur, a tertiary care center in middle of Kerala, South India. Data was analyzed by SPSS software and p value <0.05 was taken statistically significant.Results: Dysmenorrhea was the most common problem (57.5%), followed by scanty menstruation (35.35%) and 25.2% of girls suffered from premenstrual symptoms. Hypothyroidism was seen in 2.4% of girls 40% were anemic. Statistically significant association was found between hypothyroidism and features of hyperandrogenemia with cycle irregularity. Ultrasonographic evidence of polycystic ovarian morphology was identified among 61.9% girls with irregular cycles.Conclusions: Even though majority of menstrual issues are self-limiting proper evaluation and follow up for medical disorders like hypothyroidism and anemia are important and appropriate intervention is crucial for future reproductive and general health of adolescents presenting with Menstrual disorders.

Sign in / Sign up

Export Citation Format

Share Document