scholarly journals CLINICAL PROFILE OF ADOLESCENT GIRLS WITH GYNAECOLOGICAL PROBLEMS IN RURAL SOUTH INDIA

Author(s):  
NULAKATHATI VANI ◽  
NISHADHAM SRAVANI ◽  
THIPPESWAMY RAMYA ◽  
MOHANRAJ RATHINAVELU ◽  
MEKALA JYOTHI SUCHITRA

Objective: The purpose of the six months observational study is to evaluate the gynaecological problems of the adolescent girls, attending the gynaecological outpatient department of a secondary care referral healthcare facility in rural south India. Methods: After ethical clearance, adolescent girls in the age group of 10-19 y having gynaecological problems, who had experienced at least 3 consecutive menstrual cycles, and who showed willingness towards study were included; and adolescent girls in 10-19 y age group having a pregnancy and its complications were excluded. Results: Out of 161 adolescent girls, 46.01% belong to late adolescence with more distribution of gynaecological problems. The gynaecological problems majorly observed were menstrual disorder 59.63%, abdominal pain (11.18%), white discharge per vagina (9.94%), and 8.07% of heavy menstrual bleeding. The menstrual disorder complained with amenorrhea 40.63%, polymenorrhea 18.75%, and menorrhagia 16.67%. In our study, 26.09% and 32.3% of adolescent girls were anaemic and underweight, respectively. Conclusion: In conclusion, our study showcased evidently that young adolescent girls are at higher risk of both gynaecological problems and menses disorders in the rural setting; for whom more amount of awareness to be parented and education of menstrual hygiene and hemodynamic effects has to be culminated through health education, for a future healthier nation.

Author(s):  
Thamineni Rajavardhana ◽  
L. Reddanna ◽  
J. T. Rudra ◽  
M. G. Rajanandh ◽  
V. Sreedhar

Menstrual hygiene is defined as the principle of maintaining the cleanliness of the body during menstrual flow. It requires basic facilities such as appropriate clothes, soakage material, water, soap, and toilet facilities with privacy. Many studies have revealed that most adolescent girls had incomplete and inaccurate information about menstrual hygiene and physiology. It also revealed that mothers, television, friends, teachers, and relatives were the main sources that provided information on menstruation to adolescent girls. In our study, most of the girls belong to the age group of 15 – 17 that is 448 participants are from that age group which comprises about 89% and they mostly belong to intermediate which is around 442 students (88.4%). 90.6% of the girls knew that menstruation occurs only in females and 88% of the girls aware that the best sanitary products are pads and only 39.6% of girls knew about menstruation before menarche. It was observed that only 37.2% of girls knew that infection would occur if they don’t clean their vagina regularly during their menstruation. Maximum that is 304 (60.8%) girls responded for dysmenorrhoea in the present study. The majority of these responses were in the age group of 13–15 years. the knowledge on menstruation and menstrual hygiene was found to be unsatisfactory although the practices were noted to be good. The majority of girls attained menarche in the study. Menstrual hygiene is an issue that needs to be addressed at all levels. In our study majority of the mothers were found to be illiterates, as mothers are the first informant to the majority of adolescent girls the health education actives can be extended to the mothers to improve awareness.


Author(s):  
Harikala Thapa ◽  
Madan Kumar Oli ◽  
Saroj Adhikari

Background: Adolescence is a significant period in the life of a woman. The beginning of menstruation represents the girls' mild stone of pubertal development or maturity. Good menstrual hygiene is crucial for health. Lack of proper menstrual hygiene in adolescent period can have an effect on their health. (Abisola Monisola Oladimeji, 2014) Menstrual health issue has remained in dark for a longer period of time in Nepal. Lack of proper education and socio cultural barriers has led to knowledge gap on menstrual hygiene and health amongst adolescent female in Nepal. Objective: The main objective of the study was to assess the knowledge on menstrual hygiene among adolescent girls studying in grade 8 to 10. Methodology: This study was conducted in Nayaran Municipality, Dailekh. Study design was descriptive cross-sectional study. The study population was adolescent girls studying in grades 8 to 10 in selected private schools of Dailekh district, Nepal. The sample size in this study was 173 subjects. Data was taken by self-administered questionnaires. Data analysis was done by SPSS, version 21.0. Major Finding: Only 40.6% of respondents had good knowledge on ideal time to change absorbent. 75.8 % respondents were aware of the importance of bathing during menstruation. Around 83.9 % respondents had good knowledge on significance of using clean clothes during menstruation and more than 88 % respondents had good knowledge on menstrual blood. 40% responded that menstrual blood is unhygienic. Out of five menstrual hygiene related questions, good knowledge was found among 48 % respondents while 52 % had poor knowledge. 10-19 age-group girls had good knowledge on menstrual hygiene than 10-15 years age group. Students of grade 10 had better knowledge among the respondents. Hindu girls had more knowledge than girls of other religion. Similarly, respondents from nuclear family had better knowledge than those of joint family. Higher the monthly income of family, better the knowledge about menstrual hygiene was observed. Girls of parents having higher secondary level education had better knowledge on menstrual hygiene than illiterate, primary and secondary level educated parents.


2021 ◽  
Vol 9 (5) ◽  
pp. 162-168
Author(s):  
P. Yasotha ◽  
◽  
P. Kiruthika ◽  

Sanitary napkin is an important aspect of the menstrual management for women and adolescent girls between menarche and menopause. It is an important issue concerning women and girls in the menstruating age group, access to menstrual hygiene products. A questionnaire was prepared focusing on sanitary napkin usage method, problems faced and future product preference on the brands that are available in the market. The colleges going teen age girls having the age between 17 to 25 were selected as the respondents. The prepared questionnaire was transformed into Google form to facilitate the online survey. These forms where shared from the Goole drive and the responses were recorded as result.


Author(s):  
Kumar Chinta ◽  
Sasikala P. ◽  
Chandrasekhar V. ◽  
Jayanth C. ◽  
Geethanjali A.

Background: Menstruation is described as the periodic vaginal bleeding that occurs with the shedding of the uterine mucosa. Issues associated with menstruation are never discussed openly and the silence surrounding menstruation burdens young girls by keeping them ignorant of this biological function. The taboo surrounding menstruation in society prevents girls from articulating their needs and problems of poor menstrual hygiene management have been ignored or misunderstood. Implications of ignoring this issue of menstruation are serious and at times life threatening.Methods: This study is a cross-sectional observational study conducted among 217 adolescent girls studying in government high schools located in the field practice area of rural health training centre attached to the department of community medicine, Narayana Medical College, Nellore.Results: Out of 169 girls who have attained menarche, 154 (91.12%) were having periods at regular intervals. Among 154 girls with regular menstrual cycle majority (55.2%) had 28-31 day cycle. Out of 169 girls who had attained menarche at the time of study 76.9% reported that they use sanitary napkins for absorption of blood during menstruation. The most common method of disposal of material used for absorption of blood during menstruation was burning (91.7%) and 65.7% were using soap for washing private parts.Conclusions: The study concludes that majority of adolescent girls had regular menstrual cycles and majority of the respondents were using sanitary napkins.


Author(s):  
Savita Kumari ◽  
Poonam Sheoran ◽  
Adiba Siddiqui

Background: In India menstruation is generally considered as unclean. Orphanage girls are vulnerable group in our society. The unfailing support and a constant check of orphan girls during menstruation are usually absent. The objective of the study was to assess the knowledge and practices regarding menstrual hygiene among adolescent girls residing in selected orphanages of Haryana.Methods: A descriptive survey was conducted on 150 adolescent girls residing in selected orphanages of Haryana. Purposive sampling technique was used to select the adolescent girls for study. The data was obtained by structured knowledge questionnaire and structured practice questionnaire.Results: SPSS version 20 was used for statistical analysis. The result of the study indicated that more than half of adolescent girls (62.7%) were in age group of 12-15 year. Half  (50.7%) of adolescent girls had age of menarche at 12 year. Only 16% adolescent girls had good knowledge regarding menstrual hygiene. 95.3% were using sanitary pad during menstruation.Conclusions: The present study concluded that adolescent girls had poor knowledge of menstruation and menstrual hygiene.


2018 ◽  
Vol 56 (1) ◽  
pp. 24-47 ◽  
Author(s):  
April Mazzuca ◽  
Dawood Nagarchi ◽  
Satyanarayana Ramanaik ◽  
T Raghavendra ◽  
Prakash Javalkar ◽  
...  

Adolescent girls vulnerable to early marriage and school dropout in rural India may be at elevated risk of psychosocial problems. However, few screening instruments have been culturally adapted and validated to measure this risk. This paper describes the process by which the Primary Health Questionnaire PHQ-9, a screening instrument for depression, was tested for cultural validity as part of the Samata evaluation – an intervention to support low caste adolescent girls in rural south India to attend and complete secondary school and to delay marriage until adulthood. Three focus groups discussions (FGDs) were held with 20 adolescent girls and six outreach workers of the Samata programme in rural north Karnataka, south India. The FGDs were used to explore local expressions of psychosocial problems and to understand the acceptability and appropriateness of PHQ-9 items. A thematic content analysis was conducted on the transcripts of the FGDs. Descriptions of local expressions of psychosocial problems generally matched the items on the PHQ-9. However, not all representations of psychological symptoms were captured by this tool. Persistent worry, loneliness and isolation, and externalised behaviours were also described by participants as common expressions of psychosocial distress. Based on the limitations of translation methods, local stakeholders must be involved in evaluating the cultural appropriateness of mental health screening tools. The current research demonstrates a strategy by which to assess the cultural validity of Western psychiatric instruments with key stakeholders in low- and middle-income settings.


2021 ◽  
Vol 7 (3) ◽  
pp. 145-154
Author(s):  
Geetanjli Kalyan ◽  
Amandeep Kaur Walia ◽  
Manpreet Kaur ◽  
Amandeep Kaler ◽  
Amandeep Kaur Bajwa ◽  
...  

:  Menarche, among Adolescence girls, signifies the adaptation to womanhood as it is associated with pubertal changes and beginning of the capacity to reproduce. This is a period of gonadal development and growth spurt. Menstrual hygiene is crucial to healthy reproductive system and in return to good physical health and wellbeing. Therefore, enhanced awareness regarding menstruation and related hygiene, right from adolescence may escalate safe practices that are helpful in alleviating the distress of millions of women.: To assess the knowledge and practices related to menstruation and menstrual hygiene among adolescent girls of selected schools of District Ambala, HaryanaA descriptive cross sectional study was conducted in selected schools of Mullana and Barara District Ambala, Haryana. Total enumeration sampling technique was used to enroll 192 adolescent girls from class 9 to class 12 from selected schools after obtaining written informed consent from parents and verbal consent from girls. Ethical clearance was obtained from Institute Ethics committee. Doubts of the participants were cleared after data collection.Among 192 girls, nearly half girls were aware of menstrual hygiene and reported use of sanitary nepkins and 40.1% girls were aware of the symptoms of poor menstrual hygiene. . There is a need to implement an education program for adolescent girls on menstruation and menstrual hygiene to ensure healthy menstrual practices.


Author(s):  
Hasna H. Pervin ◽  
Rezaul K. Kazal ◽  
Tabassum Parveen ◽  
Kaniz Fatema ◽  
Saima A. Chowdhury

Background: Adolescent is a stage of development tangent, like a bridge of childhood and adulthood. It is the healthiest age group of our society which is almost 20% of our total population. World health organization (WHO) defines adolescents are in the 10-19 year in age group. One of the major physiological changes that take place in adolescent girls is the onset of menarche, which is often associated with problems of irregular menstruation, excessive bleeding and dysmenorrhea.Methods: This cross-sectional observational study was carried out in 668 female adolescent aged 10-19 years irrespective of their marital status visiting the OPD of obstetrics and gynecology department of BSMMU. All data was analyzed using SPSS program version 22.0.Results: Results were expressed in frequencies or percentages. Of the 668 adolescent girls, 418 (62.6%) had different type of menstrual disorder. Of these 418 cases about 127 (30.38%) of them were a case of puberty menorrhagia, 109 (26.07%) cases were oligomenorrhoea and 91 (21.77%) were amenorrhea. Other presentations were pre-vaginal discharge, vulval itching, lower abdominal pain, dysuria, feeling lump in lower abdomen, mastalgia, feeling lump in the breast, discharge from breast, acne, hirsutism.Conclusions: This study shows more than half of adolescent girls are having menstrual disorder. Adolescent gynecology needs increased awareness and greater attention to improve the quality of their life. Setting up a separate adolescent clinic is necessary for efficient management of adolescent problem.


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