scholarly journals Patterns and problems of menstruation among the adolescent school girls of Delhi: a cross-sectional study

Author(s):  
Monika Singh ◽  
Om Prakash Rajoura ◽  
Raghavendra A. Honnakamble

Background: Adolescence is the period of rapid physical growth, psychological and social changes. This period is marked by the onset of menarche in the girls. Menstruation is a natural biological process experienced by all adolescent girls and women in reproductive age. The menstrual cycle is characterized by variability in volume, pattern and regularity. Conversely, variability in menstrual cycle characteristics and menstrual disorders are common among adolescent girls. The objectives of the study were to determine patterns of menstruation, prevalence of menstrual disorders and hygienic practices during menstruation in the adolescent school girls.Methods: A cross-sectional study was conducted among 210 adolescent school girls of Delhi.Results: The mean age at menarche in the study subjects was 13.47±0.87 years. Average menstrual interval was days. Dysmenorrhea was reported by 76.1% of the girls, body ache was experienced by 64 (30.4%). Majority of girls 174 (82.8%) used sanitary pads as absorbent during cycle.Conclusions: Menstrual problems are frequent among adolescent girls. Dysmenorrhoea was the commonest problem among the adolescents. Adolescent girls withstand their pain and think it as a normal phenomenon. Educating students about menstrual health by health professionals and teachers can help in reducing their psychological and physical stress.

Author(s):  
Afzal Hakim ◽  
Rizwana Shaheen ◽  
Manisha . ◽  
Himani Tak

Background: Young girls up to 20 years of age comprise a quarter of Indian female population. A vast majority of adolescent girls in India are affected by reproductive health issues and menstrual problems are one of them. These problems arise mostly due to false beliefs & poor awareness regarding menstrual cycle. The objective of the study was to assess knowledge, attitude and practices towards menstrual cycle and its problems among school girls. Methods: A cross sectional study among 250 girls (age 13-19 years) each from government and non-government schools of Jodhpur City was carried out by interviewing them with predesigned & pretested questionnaire. Results: Most of the girls of non-government schools considered menarche as a different experience of life (34.8%) and unhygienic (27.6%) while 41.6% of government school girls were scared due to menarche and 30% considered it as unhygienic. 59.6% of non-government school girls knew about menstrual cycle before menarche while 48.8% of government school girls had such knowledge. Mother was the commonest channel of information in both study groups. 12-14 years was the most common age groups in which menarche occurred in both study groups. About 2/3 of non-government school girls were using sanitary pads while only ¼ of government school girls had such practice. High cost was the major reason for not using sanitary pads in Govt. school girls. Pain Abdomen was the commonest complaint faced during menstrual cycle followed by backache. About 4/5th of non-government school girls and about 2/3rd of government school girls attended school during menstrual cycle. All subjects faced some kind of domestic restriction due to disbelief in relation to menstrual cycle. Irritability was reported as most common psychological problem during menstrual cycleConclusions: There is a need for adolescent girls to have accurate and adequate information about menstruation appropriate sanitary and hygienic management. 


Author(s):  
Susmita Ghosh ◽  
Md Ruhul Kabir ◽  
Mohammad Rahanur Alam ◽  
Akibul Islam Chowdhury ◽  
Md Abdullah Al Mamun

AbstractObjectivesAdolescence, a crucial period for growth velocity including sexual maturation, is an important period of life and young adolescent girls need to have proper knowledge, positive attitudes and practice of balanced diet to achieve optimum growth and development. Considering its importance this study attempts to assess the knowledge, attitude and practice (KAP) of balanced diets among adolescent schoolgirls in Noakhali district, Bangladesh.MethodsA descriptive cross-sectional study was conducted in three secondary schools in Noakhali district, Bangladesh. A multistage sampling techniques was used to select schools and study participants. A total of 485 adolescent school girls participated and a pre-designed, validated and structured questionnaire was used for data collection. In addition to descriptive statistics, chi-square test and logistic regression were employed for analysis.ResultsThe results from the study revealed that more than half of the students did not have good knowledge about a balanced diet, 42.8% had a positive attitude, whereas the practice of consuming a balanced diet was rather low (only 4.5%). Students studying in government schools had better knowledge and attitudes than non-government school students. Moreover, 41.1% of students were underweight; more than 60% of respondent’s mothers did not have an education higher than secondary school and were mostly unemployed housewives. Parent’s education, mother’s occupation, and types of school have a strong association with KAP; however, father’s education and occupation showed an association of varying degrees. Being knowledgeable was related to positive attitudes, and students with good knowledge had (OR: 1.828; 95% CI: 1.270–2.631) more likely to have positive attitudes towards a balanced diet.ConclusionsThus, proper knowledge about a balanced diet should be introduced with basic nutritional knowledge to all levels of public education. Interventions and programs can be designed to improve knowledge, attitude, and more specifically the practice at the household level so that adolescent girls can have a proper diet during their sexual maturation phase.


2020 ◽  
Vol 30 (11) ◽  
pp. 4505-4509
Author(s):  
Anna Różańska-Walędziak ◽  
Paweł Bartnik ◽  
Joanna Kacperczyk-Bartnik ◽  
Krzysztof Czajkowski ◽  
Maciej Walędziak

Abstract Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use. Materials and Methods It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion. Results Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3; p < .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (p < .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration; p < 0.46). Conclusion Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.


2021 ◽  
Author(s):  
Nurul Asikin

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.


2019 ◽  
Author(s):  
Azmera Tamrat ◽  
Yigizie Yeshaw ◽  
Abel Fekadu

Abstract Introduction: Stunting in adolescent have an effect on physical growth, intellectual capacity, educational achievement, work capacity and more importantly it maintains an intergenerational malnutrition burden. Stunting has been considered as a problem of children’s at early age and adolescent girls of tomorrow mothers have been neglected and studies conducted on this area are very scarce. Methods: we conducted a school based cross-sectional study to assess the prevalence and determinant factors of stunting among early adolescent school girls (age 10-14 years) of Gondar town. A multi stage sampling method was used to select a sample of 662 adolescent girls in selected primary schools in Gondar Town. Pre-tested structured interviewer administered questionnaire was used to collect the required data. We used SPSS Version 20.0 and WHO Anthro-plus software to analyze the data. Bi-variable and multivariable logistic regression analyses were run to identify factors associated with adolescent stunting. Adjusted odds ratio with its 95% confidence interval and a P- value ≤ 0.05 was used to declare a statistical significant. Results: We estimated a prevalence of stunting to be 27.5% [95% CI: 25.5% - 29.5%]. The odds of stunting in adolescent girls was found to be higher among those in grade 5 [AOR; 95%CI: 1.90; 1.13 - 3.20], had a meal frequency of less than or equal to three times per day [AOR; 95%CI: 2.37; 1.60-3.50], and those who are from food insecure families [AOR; 95%CI: 2.52; 1.70 - 3.73]. On the other side, adolescent girls whose their mothers’ were government employees [AOR; 95%CI: 0.48; 0.26 – 0.89] and merchants [AOR; 95%CI: 0.43; 0.28 – 0.67] were less stunted as compared to adolescent girls who had a mother who were housewife’s. Conclusion: we found that stunting in early adolescent school girls become a significant public health problem and much needs to be done to improve nutritional status of girls in the first 1000 days of perinatal period to reduce a burden of stunting during adolescent period.


Author(s):  
Sreeshma Pavithran ◽  
D. D. Bant

Background: Adolescence is a period with rapid growth drive and demands higher nutrition. Improving Nutritional status of rural adolescent girls becomes the cornerstone of community’s nutritional status and target intervention for breaking intergeneration cycle of nutritional deficiencies. The objective of the study was to determine nutritional status and study the demographic factors affecting nutritional status of rural adolescent girls in Dharwad district.Methods: A cross-sectional study was carried out among 350 adolescent school girls studying in eight high schools in rural area of Dharwad district during July – September 2017. Demographic profile and dietary pattern was obtained. Anthropometric measurement and clinical examination was done. Statistical analysis was done using SSPS package.Results: Study found 14.9% of rural adolescent girls were under- weight for their age. Based on BMI, 25.2% of girls were under-nourished and 3.7% were over nourished. Significant relation with age, type of diet and age of menarche was found at p value <0.05.Conclusions: There is high prevalence of under nutrition among adolescent girls and is under nutrition is associated with micronutrient deficiencies like anaemia. There is need to create awareness to improve the nutritional needs of adolescent girls in rural areas.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zelalem Belayneh ◽  
Birhanie Mekuriaw

Abstract Background Menstruation is a normal physiological process of females at their reproductive age. However, it is surrounded with social taboos and supernatural beliefs. The poor knowledge and understanding of menstruation may lead to unsafe hygienic practice that intern increases the risk of reproductive and genito-urinary tract infections, cervical cancer, school drop-out, poor academic performance and overall poor quality of life. Despite such clinical and academic effects, the knowledge and hygienic practice of adolescent girls towards menstruation is not well addressed in Ethiopia, particularly among school adolescent girls. Therefore, the main objective of this study was to assess the knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia. Methods This was an institutional based cross-sectional study conducted at Gedeo zone high schools among 791 randomly selected adolescent girls using multi stage sampling technique. Data were collected using interviewer administered questionnaire. The collected data were entered to EPI-INFO (soft ware) and exported to SPSS version 20 for analysis. Bivariable and multivariable logistics analyses were computed to identify factors associated with the poor menstrual hygienic practice. During bi-variable analysis, variables with P-values of less than 0.25 were entered to multivariable model for further analysis. In the final model, P-value of less than 0.05 was used as a base to identify factors having a statistically significant association with poor menstrual hygiene practice at corresponding 95% confidence interval. Result From a total of 791 adolescent girls participated in this study, 68.3% had poor knowledge of menstruation. About 48.1% of school girls used absorbent materials, and 69.5% clean their external genitalia. Generally, 60.3% of girls had poor menstrual hygienic practice. Age less than 15 years [OR = 1.71:95% CI (1.22, 2.39)], longer days of menstrual flow [OR = 2.51:95% CI (1.66, 3.80)] and poor knowledge of menses [OR = 1.48:95% CI (1.04, 2.1)] had a significantly associated with poor menstrual hygiene practice. Conclusion Majority of adolescent school girls had poor knowledge regarding menstruation and their hygienic practices are incorrect. This demonstrates a need to design acceptable awareness creation and advocacy programs to improve the knowledge and promote safe hygienic practice of adolescent school girls during menstruation.


2021 ◽  
Author(s):  
Muh Isral Marlis

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.Keywords: Menarche, adolescent, nutritional status.


Author(s):  
Sasmita Pradhan ◽  
Krishna Kar ◽  
Barada Prasanna Samal ◽  
Jagannath Pradhan

Background: In the life of a female, menarche denotes the beginning of her reproductive capacity. Menstrual hygiene is an issue that every girl has to deal with in her life, but there is lack of awareness on the process of menstruation, the physical and psychological changes associated with puberty and proper requirement for managing menstruation.Methods: A cross-sectional study was conducted from October 2016 to December 2016 in the urban field practice area of SCB Medical College. One government high school and one private high school were selected purposively. A purposeful convenience sampling was done to select the girls who were studying in 8th, 9th and 10th standard. Data collected from 165 adolescent school girls using a predesigned, pretested and structured questionnaire. The objective of the present study is to assess the knowledge and practices regarding menstrual hygiene among school going adolescent girls and to know about the restrictions imposed upon them during menstruation.Results: Most of the adolescent girls (61.82%) had attained menarche between 13-15 years of age. 59.39% girls were aware about menstruation before menarche. The source of information about menstruation was the mother or elder sister in most of the girls (81.21 %), followed by teachers/friends in case of 18.79 % girls. 84.85% of the girls used only sanitary pad, 4.24% used only cloth and the rest 10.91% used both sanitary pad and cloth during menstruation.Conclusions: Maintenance of menstrual hygiene was better in private school girls as compared to government school girls. Health education sessions about menstrual hygiene should be conducted in the schools for spreading awareness regarding menstruation and menstrual hygiene.


Sign in / Sign up

Export Citation Format

Share Document