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

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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Reproductive Health and Nutritional Status of Girl Students in an Urban Area of Bangladesh

Ibrahim Medical College Journal ◽

10.3329/imcj.v2i1.2924 ◽

1970 ◽

Vol 2 (1) ◽

pp. 9-11

Author(s):

Tahera Parvin ◽

Seikh Farid Uddin Akter ◽

Sharmin Akhtar ◽

MA Jabbar ◽

AM Miah

Keyword(s):

Reproductive Health ◽

Nutritional Status ◽

Urban Area ◽

Adolescent Girls ◽

Health Problems ◽

Age At Menarche ◽

Cross Sectional ◽

Protective Measures ◽

Face To Face ◽

Health And Nutrition

Objectives: To assess status of reproductive health and nutrition amongst girls attending high school in an urban area of Bangladesh. Methods: This cross sectional descriptive study was conducted in four selected girl's high schools. A structured pre-tested questionnaire and a checklist were used to collect data through face-to-face interview and anthropometry. Results: A total of 360 adolescents girls were interviewed. The mean age at menarche of the respondents was found to be 12.4 years. More than half (54.2%) of the respondents were malnourished (BMI < 18.5). More than four-fifths (83%) were found to be suffering from reproductive health problems during or after menstruation. The most common complain (60%) disclosed by the adolescent girls was dysmenorrhoea. Majority (300) of the respondents acknowledged practicing unhygienic protective measures during menstruation. Conclusion: More than half of the adolescents were malnourished, practiced unhygienic protective measures during menstruation and disclosed different types of reproductive health complaints. Findings of the study strongly recommend that adolescent girls of urban Bangladesh need proper and appropriate management of their reproductive health problems. Ibrahim Med. Coll. J. 2008; 2(1): 9-11 Key words: Nutritional Status, Reproductive Health, Adolescence. doi: 10.3329/imcj.v2i1.2924

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Mothers' Knowledge about the Reproductive Health Needs of their Adolescent Girls

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v6i2.7266 ◽

1970 ◽

Vol 6 (2) ◽

pp. 9-12

Author(s):

B Zaman ◽

RM Shampa ◽

MA Rahman

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Risk Behaviour ◽

Cross Sectional Study ◽

Health Needs ◽

Safe Motherhood ◽

Good Knowledge ◽

Cross Sectional ◽

Sexually Transmitted ◽

Adolescent Reproductive Health

Introduction: Adolescent is an important segment of life while a child undergoes biological transformation.Objective: The study was conducted to assess the level of knowledge of mothers about reproductive health needs of their adolescent girls. Methods: This descriptive cross sectional study was conducted on the mothers having adolescent girls. Data was collected by face to face interview with a semi structured questionnaire and analyzed with SPSS. The knowledge of mothers was assessed by Likert scale.Place of study: The study was conducted at 5 schools of Dhaka city on 118 respondents over a period of four months.Results: It was revealed from the findings that among 118 mothers the mean age of respondents were 40.71 years with standard deviation ± 3.707 years. Majority (70%) of respondents were undergraduate qualified and rest were post graduats. Among the respondents, 64% of mothers did not want to provide information on reproductive health to their daughters. Seventy two percent of the respondents had average knowledge about puberty. Among the respondents, 47% had average knowledge regarding adolescent reproductive health problems and 77% of respondents had average knowledge about safe motherhood. Regarding the complication of unsafe abortion, 73% had average knowledge and 70% had average knowledge about consequence of early pregnancy. Fifty seven percent of the respondents had good knowledge about Sexually Transmitted Diseases. Sixty one percent of the respondents had good knowledge regarding the high risk behaviour of the adolescents. Significant statistical association was found between knowledge and education, knowledge and occupation, and knowledge and source of information of reproductive health (p<0.05).Conclusion: The study findings may be helpful for baseline information and would be beneficial to the policymakers and programme planners to sophisticate further strategy to increase mothers' knowledge about the reproductive health needs of their adolescent girls.Key words: Knowledge; adolescent; reproductive health needs DOI: 10.3329/jafmc.v6i2.7266JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.9-12

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Abnormal uterine bleeding in perimenopausal age group women: a study on clinicopathological evaluation and management

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175844 ◽

2017 ◽

Vol 7 (1) ◽

pp. 192

Author(s):

Sreelakshmi U. ◽

Tushara Bindu V. ◽

Subhashini T.

Keyword(s):

Age Groups ◽

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Endometrial Tissue ◽

Heavy Menstrual Bleeding ◽

Menstrual Bleeding ◽

Age Group ◽

Histopathological Findings ◽

Number Of Patients ◽

Perimenopausal Women

Background: Abnormal uterine bleeding is the most common and frequent presenting complaint in Gynaecology Outpatient Department in all age groups, especially in perimenopausal women. Objective of present study was clinicopathological evaluation and management of abnormal uterine bleeding in perimenopausal age group women.Methods: The present study was prospective analytical study conducted at Mallareddy Narayana Multi-speciality Hospital, reputed teaching hospital, in Obstetrics and gynaecology department in association with department of pathology from January 2015 to December 2016. Perimenopausal women in age group 45-55 years included in this study. Other age groups with abnormal uterine bleeding, isolated cervical or vaginal pathology, bleeding diathesis, and pregnancy related causes of bleeding excluded from this study. Endometrial tissue collected by sampling procedure such as dilatation and curettage. Proper counselling about management was given to all women related to medical and surgical interventional approaches.Results: A total of 135 women with abnormal uterine bleeding in perimenopausal age were examined after fulfilling criteria during study period of 2 years. The age of participants in mean±SD was 46.68±2.03 years (min 45 years and max 55 years). Maximum number of patients with abnormal uterine bleeding presented in age group of 45-50 years. The most common symptoms were heavy menstrual bleeding (83.7%), followed by frequent menstrual bleeding (26.6%). Proliferative endometrium was the most common histopathological (30.3%) study followed by secretory endometrium (27.4%). Surgical management was given to 94 patients.Conclusions: Heavy menstrual bleeding and frequent menstrual bleeding were mostly correlated with abnormal endometrial histopathological findings in this study. Gynaecologists should pay attention towards these abnormal bleeding patterns along with the evaluation of endometrial tissue for histopathological findings, which will help us to plan for successful management.

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The implications of early marriage for HIV/AIDS policy

10.31899/pgy22.1000 ◽

2004 ◽

Author(s):

Judith Bruce ◽

Shelley Clark

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Safe Motherhood ◽

Early Marriage ◽

Economic Disadvantage ◽

Aids Policy ◽

Health Vulnerability ◽

Health Programming ◽

Adolescent Reproductive Health ◽

Hiv Aids

This brief is based on a background paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents, held in Geneva, Switzerland, December 9–12, 2003. The final paper is entitled “Including married adolescents in adolescent reproductive health and HIV/AIDS policy.” The consultation brought together experts from the United Nations, donors, and nongovernmental agencies to consider the evidence regarding married adolescent girls’ reproductive health, vulnerability to HIV infection, social and economic disadvantage, and rights. The relationships to major policy initiatives—including safe motherhood, HIV, adolescent sexual and reproductive health, and reproductive rights—were explored, and emerging findings from the still relatively rare programs that are directed at this population were discussed. Married adolescent girls are outside the conventionally defined research interests, policy diagnosis, and basic interventions that have underpinned adolescent reproductive health programming and many HIV/AIDS prevention activities. They are an isolated, often numerically large, and extremely vulnerable segment of the population, largely untouched by current intervention strategies. As stated in this brief, promoting later marriage, to at least age 18, and shoring up protection options within marriage may be essential means of stemming the epidemic.

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Kecukupan zat gizi makro, status gizi, stres, dan siklus menstruasi pada remaja

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.17867 ◽

2017 ◽

Vol 13 (3) ◽

pp. 121 ◽

Cited By ~ 1

Author(s):

Laras Sitoayu ◽

Dewi Ayu Pertiwi ◽

Erry Yudhya Mulyani

Keyword(s):

Menstrual Cycle ◽

Reproductive Health ◽

Nutritional Status ◽

Design Research ◽

Transition Period ◽

Health Problems ◽

The Body ◽

Dominant Factor ◽

Food Ingredient ◽

Cross Sectional

Background: Adolescence is the transition period from children to adults which is characterized by the occurrence of changes in the body that allowed it to reproductive health problems. One of reproductive health problems is menstrual cycle disorders. Menstrual cycle disorder due to several factors including food intake, nutritional status, and stress.Objective: This research supposed to know the association the sufficient of macro-nutrients, nutritional status and stress with the menstrual cycle on adolescent at SMA Negeri Jakarta 21, 2016.Method: This design research is observation analytic with cross sectional approach. Sampling technique used proportionate random sampling and obtained 83 respondents adolescent. The technique of data collection used menstrual cycle questionnaire, DASS 14, food recall 3x24 hours (2 weekdays and 1 weekend), standardized food ingredient photos, and nutrisurvey.Results: There is 68.7% of respondents have an abnormal menstrual cycle. Based on statistical analysis of Chi-Square test, there is a significant relation between sufficient intake of carbohydrates (p=0.030), sufficient intake of protein (p=0.001), sufficient intake of fat (p=0.003), nutritional status (p=0,004), stress (p=0.000) and menstrual cycle. Based on logistic regression test results obtained the factors that most influence the menstrual cycle i.e. nutritional status (OR=20.16).Conclusion: Sufficient intake of macronutrients, nutritional status, and stress can affect menstrual cycle on adolescent, and nutritional status is the dominant factor that can affect the menstrual cycle.

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

Journal of Pediatric and Adolescent Gynecology ◽

10.1016/j.jpag.2019.12.007 ◽

2020 ◽

Vol 33 (3) ◽

pp. 271-277 ◽

Cited By ~ 3

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

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Heavy Menstrual Bleeding in Adolescent Girls

Pediatric Annals ◽

10.3928/19382359-20200321-01 ◽

2020 ◽

Vol 49 (4) ◽

pp. e163-e169

Author(s):

Jennifer Davila ◽

Elizabeth M. Alderman

Keyword(s):

Adolescent Girls ◽

Heavy Menstrual Bleeding ◽

Menstrual Bleeding

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REPRODUCTIVE HEALTH PROBLEMS, REPRODUCTIVE HEALTH SEEKING BEHAVIOUR AND BARRIERS OF REPRODUCTIVE HEALTH SEEKING BEHAVIOUR AMONG TRIBAL ADOLESCENT GIRLS.

10.36106/ijar/1311508 ◽

2021 ◽

pp. 71-73

Author(s):

Sindhu. K

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Maximum Growth ◽

Health Problems ◽

Growth Spurt ◽

Tribal Community ◽

Health Seeking Behaviour ◽

Health Seeking ◽

Health Checkup ◽

Rural And Urban

BACKGROUND: Adolescence is the age between 10 to 19 years. This is the period with maximum growth spurt, shifting from childhood to adulthood .In India, poor reproductive health exists across all socio economic groups and in both rural and urban settings. The tribal community is one of the most vulnerable sectors of the population of a country, in terms of social development. Isolated dwelling places in difcult terrain, rigid customs and beliefs, Illiteracy and separation from the non tribal population expose them to many health and social issue. of the study were to assess OBJECTIVES the reproductive health problems, reproductive health seeking behaviour and its barriers among tribal adolescent girls studying in selected tribal schools of Kerala. A descriptive cross METHODS: th sectional study was conducted among 69 adolescent girls studying in 10 standard of two model residential schools in Kerala. The data collection was done during January 2021. The data collected were analyzed using descriptive statistics. RESULTS: Study found that (78%) of the adolescent girls had moderate symptoms, (12%) with mild symptoms and (10%) had severe symptoms of reproductive health problems. The reproductive health seeking behaviour was good among (41%) of the sample, satisfactory among (55%) and (4%) had poor reproductive health seeking behaviour. No adolescent clinics and absence of regular health checkup at school were the barriers of reproductive health seeking behaviour reported by (100%) of the sample and among them (64%) were not aware about the adolescent clinics. The CONCLUSION: reproductive health problems were highly prevalent among adolescent girls and the reproductive health seeking behaviour needs to be improved.

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