scholarly journals Knowledge and practices regarding menstruation among school going adolescents of rural Nepal

2014 ◽  
Vol 2 (3) ◽  
pp. 122-128 ◽  
Author(s):  
D Sapkota ◽  
D Sharma ◽  
H P Pokharel ◽  
Shyam Sundar Budhathoki ◽  
Vijay Kumar Khanal

Background: Adolescence is a transition period from childhood to adult life during which pubertal development and sexual maturation take place, thus making physiological development a challenge adolescents have to face. There is a substantial lacuna in the knowledge towards menstruation among adolescent girls. Menstrual hygiene and management is an issue that is insufficiently acknowledged and has not received adequate attention. Objective: This study was done to assess the knowledge and practices regarding menstruation among school going adolescents. Methods: A descriptive study was done among sixty-one female adolescents of Shree Himali Secondary School, Panchkanya, Sunsari, where data were collected from the adolescents meeting the inclusion criteria. Results: It was found that 36.1% correctly reported about menstruation where most common informant was mother (39.3%). Dysmenorrhoea was the commonest problem faced during menstruation (78.7%) followed by back pain and excessive blood loss. More than half of respondents (54.1%) used sanitary pads and frequency of changing pads twice a day was highest (50.8%). Initial reaction was of fear/apprehension at menarche by 36.1% of girls whereas 44.3% perceived it as an expectant process. Girls still faced different types of restrictions like not being allowed to visit holy places, not being allowed to cook and touch male family member etc. Conclusion: Traditional beliefs regarding menstruation still persist and menstrual hygiene among the adolescents was found to be unsatisfactory. It highlights the need of targeted interventions to raise awareness and provision of family health education package to all girls. Menstrual hygiene is an issue that needs to be addressed at all levels.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: 117-121DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9962Uploaded date : 3/4/2014

2017 ◽  
Vol 5 (1) ◽  
pp. 23-27
Author(s):  
Puspa Parajuli ◽  
Narayani Paudel ◽  
Santoshi Shrestha

Background: Adolescence is a transition period from childhood to adult life during which pubertal development and sexual maturation takes place, thus adolescents have to face physiological development challenges. Adolescent girls often lack knowledge regarding reproductive health including menstrual hygiene which can be due to socio-cultural barriers in which they are grown up.Objective: To assess the knowledge and practices regarding menstrual hygiene among adolescent girls.Methods: A descriptive study was done among one hundred and two adolescent girls of Shree Jansewa Higher Secondary School, Bayarban-8, Morang, where data was collected from the adolescent girls meeting the inclusion criteria.Results: It was found that majority (83.3%) of girls knew that menstruation is a physiological process, 52% knew that it is caused by hormone. More than half of the respondents (53.9%) were taught about menstruation by their mother. Only 33.3% of the respondents used sanitary pad during menstruation. Adolescent girls still have different type of restrictions during menstruation like not being allowed to cook food, not being allowed to visit holy places and sleep in own house during menarche.Conclusion: Socio–cultural restrictions regarding menstruation still persist and knowledge regarding menstrual hygiene among adolescent girls was found to be unsatisfactory. So, the girls should be educated about the process of menstruation, use of proper pads for absorbents and its proper disposal. This can be achieved by giving them proper training and health education by teachers, family members, health educators, and media so that there won’t be any misconception to the adolescent girls regarding menstrual hygiene.Journal of Kathmandu Medical College Vol. 5, No. 1, Issue 15, Jan.-Mar., 2016, page: 23-27


Author(s):  
Preeti Gupta ◽  
Jini Gupta ◽  
Govind Singhal ◽  
Bharat Meharda

Background: To achieve the goal of Millennium Development Goal 2 (universal education), 3 (gender equality and women empowerment) and, 5 (improving maternal health), it is important that there is effective menstrual hygiene and knowledge among adolescent girls since it has direct and indirect effects both to achieve the MDG and to promote the reproductive health. A study was carried out among the school going adolescents in UHTC (Urban Health Training centre) and RHTC (Rural Health Training centre) area of Department of Community Medicine, Government Medical College, Kota, Rajasthan with the following aims and objectives, Status of knowledge of school going adolescent girls about menstruation and their practice during menstruation. The objective of the study was to assess the knowledge and practices regarding menstruation among school going adolescents.Methods: It was a school based descriptive cross sectional study conducted from November 2016 to March 2017. The school was selected randomly in RHTC and UHTC area of GMC, Kota. A pretested and structured questionnaire was used. Data was entered, processed and analyzed using SPSS version 20. Results: In this study there were 300 girl students (150 each from RHTC and UHTC area schools), of which 55.33% had menarche at the age of 13 years, 66.00% of girls were aware about menstruation before the menarche whereas 91.67% of girls heard about the sanitary napkins, most of the girls (81.00%) had got the knowledge about menses from their mother, 62.67% of girls heard about the menstrual hygiene and for practices observed, 65.67% girls were using sterilized sanitary napkins and 42.00% of girls burn the waste material. Conclusions: Traditional beliefs regarding menstruation still persist and menstrual hygiene among the adolescents was found to be unsatisfactory. It highlights the need of targeted interventions to raise awareness and provision of family health education package to all girls. Menstrual hygiene is an issue that needs to be addressed at all levels. 


2021 ◽  
pp. 42-43
Author(s):  
J. C. Kavitha Latha ◽  
R. Varalakshmi

Adolescents are dened as the young people between the age groups of 10 and 19 years as per the WHO records. Adolescence is a transition period from childhood to adult life as it is regarded as the intermediate period between the childhood age and the adult age. Menstruation occurs every month periodically except during pregnancy. The maintenance of menstrual hygienic methods is a very challenging task to the adolescent girls. Social prohibitions and traditional beliefs blocked the access to get the right kind of information to adolescent girls that led to poor hygiene practices. Menstruation has often been dealt with secrecy in many cultures. Aim: Attitude towards myths and misconceptions among adolescent girls during the menstruation. To assess the attitude regarding myths Objective: and misconceptions among adolescent girls during the menstruation. To examine the level of attitude of adolescent girls towards Myths and Misconceptions Tool: The Tool used for the present study was self structured questionnaire which was developed by the researcher. Results: Many of number of adolescent girls is having low attitude i.e., having many myths and misconceptions towards menstruation and very few sample is having high attitude which is indicating that minimal sample is not having negative attitude towards the myths and misconceptions. Sample: Sample of the present study consists of 300 adolescent girls from government vocational colleges in Chittoor District of Andhra Pradesh State. There are signicant differences between age, religion, educational quali Conclusion: cations of mother's, type of family and mode of communication among adolescent girls with regard to their attitude towards myths and misconceptions during the menstruation. There is low level of attitude towards the myths and misconceptions among adolescent girls during the menstruation


2018 ◽  
Vol 5 (3) ◽  
pp. 1019
Author(s):  
Mohandas Nair ◽  
Gireesh S. ◽  
Rubeena Yakoob ◽  
Cheriyan N. C.

Background: Low birth weight is the major determinant of mortality, morbidity and disability in infancy and childhood and has a long-term impact on health outcome in adult life. The objectives of this study were to study the relationship between maternal anemia and birth weight of babies and to study anthropometric measures of babies born to anemic and non-anemic mothers and to correlate the timing of anemia with birth weight of babies.Methods: Term babies born in Institute of Maternal and Child Health, Government Medical College, Kozhikode from November 2014 to October 2016 fulfilling the criteria were divided into 2 groups, cases (term babies with birth weight <2500g) and controls (term babies with weight >2500g) and studied and their maternal hemoglobin values were compared.Results: Maternal anaemia in all three trimesters was found to be more in cases compared to controls. Mean 1st trimester hemoglobin of cases was 10.68 g/dl which was significantly lower when compared to controls. Mean 2nd trimester hemoglobin of cases was 10.36 g/dl compared to 11.47 g/dl in controls. Mean 3rd trimester hemoglobin of cases was 10.42 g/dl which was also significantly lower compared to 11.32 g/dl in controls. SGA babies were also found to be more in cases, 89%, compared to 18% in controls. The difference in head circumference between two groups was not statistically significant. Mean length of babies were higher in controls compared to cases. Mothers with anemia at any time during pregnancy was found to have 4.3 times higher risk of giving birth to low birth weight babies compared to non-anemic mothersConclusion: Anemia during pregnancy is a risk factor for low birth weight and SGA, independent of the trimester. Length of babies born to anaemic mothers is also low. But it does not have a significant effect on head circumference of babies.


2021 ◽  
pp. 77-79
Author(s):  
Hari Charan Ray ◽  
Himadri Nayek ◽  
Jonge Lollen ◽  
Sankar Nath Mitra ◽  
Debarshi Jana

INTRODUCTION:Caesarean delivery rate rose from 4.5 percent in 1970 to 32.9 percent in 2009. And then the rate has trended slightly downward, and it was 32 percent in 2015 in the USA. More than 85 percent of these operations are performed only for four reasons- prior caesarean delivery, dystocia, fetal jeopardy, or abnormal fetal presentation. As per the latest data (National Family Health Survey 2015-16 (NFHS-4), the caesarean rates at population level in India seems to be 17.2%. In 1985 WHO stated: ―There is no justication for any region to have Caesarean section rates higher than 10-15%. AIMS AND OBJECTIVES:The efcacy of two suture materials polyglactin 910 (Vicryl 2.0) and polyamide monolament (Ethilon 2.0) in terms of pain, tenderness, swelling, induration, discharge, cosmesis and wound healing, suture materials with least complications. MATERIALS AND METHODS:This was a prospective, observational, comparative study conducted in the Department of Obstetrics and Gynecology, in a tertiary medical college in Paschim Medinipur, for 18 months after getting approval from the Institutional Ethical Committee. 18 months; 1st April 2019 to 30th September 2020. Randomly selected term pregnant women admitted in the Department Of Obstetrics and Gynecology, Midnapore Medical College and Hospital during the study period and fullling the eligibility criteria (according to inclusion and exclusion criteria). RESULTS AND ANALYSIS:It is clear that the parameters, pain and tenderness (p value = 0.3710), swelling and induration (p value = 1) and wound dehiscence (p value =0) in both the groups are statistically insignicant and the other parameters are signicant in both the groups; discomfort (p value = 0.0114) and wound dehiscence (p value = 0.0254347). SUMMARY & CONCLUSION: Multilament sutures also induce a more intense inammatory response and contribute to larger knot volumes than monolaments of equal sizes. Multilament sutures demonstrate enhanced capillarity with a resultant increase in the transport and spread of microorganisms. There are multiple factors which cause surgical site complications that have not been analyzed in this study and need an additional evaluation in further studies and there is lack of previous research studies on the same topi


Author(s):  
Manimegalai R. ◽  
Suganthi R.

Background: NFHS (National Family Health Survey) 2005-2006 in India revealed that the contraceptive prevalence rate is 53.5%. 10% of all pregnancies are mistimed and 11% of all pregnancies are unwanted in India. Objective of present study was to compare the benefits and complications of postpartum IUCD insertion (PPIUCD) over interval IUCD insertion in a tertiary care hospital.Methods: It is a retrospective study conducted in the Department of Obstetrics and Gynecology, Govt. Mohan Kumaramangalam Medical College, Salem from 2009-2014. The cases of interval IUCD for the year 2009-2014 and PPIUCD cases for the year 2012-2014 both vaginal insertion and intracaesarean insertion were taken for study. Complications, benefits and reasons for removal were compared between the two groups.Results: The total number of cases of IUCD insertion significantly increased after the introduction of PPIUCD programme in 2012. The acceptance of IUCD insertion was steadily increasing after the introduction of PPIUCD even though the follow up of PPIUCD cases was less (32%). The rate of removal in patients who came for follow up was less in PPIUCD group (18%) compared to interval IUCD cases (57%) when the reason was menorrhagia. The most common reason for removal was menorrhagia in interval IUCD patients. Abdominal pain was the most common reason for removal in PPIUCD patients. The rate of expulsion was higher in PPIUCD (6%) compared to interval IUCD patients (<1%). No cases of perforation and no cases of pregnancy in situ were reported in PPIUCD cases during the study period. Even though the rate of infection and missing strings were higher in PPIUCD patients when compared to interval IUCD patients who came for follow up the number of women with infection in PPIUCD patients is less and easily managed with appropriate antibiotics.Conclusions: In India PPIUCD insertion soon after delivery is a safe, effective, reversible and reliable method of long term contraception. Both vaginal and intracaesarean insertions are safe, efficacious and convenient even though there are few complications which are easily manageable. There are no incidences of perforations, pregnancy in situ, ectopic pregnancy and low rates of infection. Hence PPIUCD is a promising approach to decrease the fertility rate in the field of family planning.


2019 ◽  
Vol 7 (1) ◽  
pp. 8-13
Author(s):  
Bishal Pokhrel ◽  
Sunita Mahat ◽  
Kritri Parajuli

Background and Objectives: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating. The objective of the review is to assess the menstrual hygiene practice of disabled women, the barriers they face, and the available interventions to help them manage their menstruation hygienically and with dignity. Material and Methods: This was a cross-sectional descriptive study that was conducted among 151 physically disabled peoples.Self-structured questionnaire and face-to-face interview was used as data collection tools and techniques. Data entry and analysis was done using SPSS 16.0. The results of the study were presented with the help of tabular description using the same software along with Microsoft word and excel 2007. Results: Most of respondents knew the 26-30 days as normal cycle duration (80.13%). Majority of respondents had reported that they do not go to holy places (91.39%) and should not cook food (94.03%) during menstruation. Most of respondents had stayed (96.68%) and eat (98.01%) at same place and 31.38% of respondents had bath daily during menstruation. 83.44% of respondents used sanitary while 69.53 % of respondents changed pad twice a day. Maximum number of the respondents 91.39% disposed sanitary pad in dustbin. 87.41% of respondents learned about menstrual hygiene from parents. Conclusion: Good and satisfactory knowledge about menstrual hygiene was found among girls of age group 15-24years.


1990 ◽  
Vol 126 (2) ◽  
pp. 193-201 ◽  
Author(s):  
J. M. S. Bartlett ◽  
H. M. Charlton ◽  
I. C. A. F. Robinson ◽  
E. Nieschlag

ABSTRACT The pubertal development of a novel GH-deficient mutant, the dwarf rat, has been evaluated. The establishment of normal spermatogenic function within small testes suggests that GH plays no role in spermatogenic function during puberty and adult life. However, a reduction in testicular size may reflect a reduced Sertoli cell population, suggesting that GH may be of importance in prepubertal testicular development. Furthermore, marked differences between the homozygous dwarf rat and homozygous GH-deficient mouse mutants (e.g. Snell, Ames, pygmy and little mutants) have been demonstrated. It would appear that the GH deficiency in the rat mutant is far more specific for GH than those hitherto described in the mouse. In contrast to Snell dwarf mice mutants, pituitary and serum concentrations of FSH and LH are normal throughout pubertal development in the dwarf rat. Both spermatogenic function and seminal vesicle function develop normally, whilst in Snell dwarf mice spermatogenic function develops late in life and seminal vesicles remain infantile. Serum and testicular concentrations of androgen are also normal in dwarf rats. Homozygous dwarf rats have been shown to be fertile in previous studies; however, our observations suggest that despite spermatogenesis being qualitatively and quantitatively normal when assessed histologically, reduced testicular size seen in dwarf rats would lead to a reduced daily sperm output in these animals. The dwarf rat represents a mutant in which the consequences of the selective depletion of GH may be studied on various endocrine systems. The reproductive axis appears to be only partially affected, at an early age, by GH deficiency. Journal of Endocrinology (1990) 126, 193–201


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 8 (2) ◽  
pp. 120-124
Author(s):  
Saraswati V Sajjan ◽  
Neeta P N ◽  
Poonam P Shingade

Adolescence is the significant period in the life of a woman. Menstrual disturbances are the commonest presenting complaint in adolescent age group and unhygienic practices during menstruation can lead to untoward consequences like pelvic inflammatory disease and even infertility. To study the knowledge and practice regarding menstrual hygiene among adolescents. This is a cross-sectional study conducted from October 2018 to December 2018 among 100 adolescent girls who attended adolescent clinics at Urban Health Training centre of KBNU Medical College, Kalaburagi. The mean age of participants was 16.2 ± 2.1 SD. only 26% of participants were aware about menstruation before menarche. Majority (91%) of participants had knowledge about use of sanitary pads during menstruation but only 78% used them. The most common reason for non usage was the cost of pads (68%). The method of disposal was satisfactory among 62% of participants and 84% of participants change their pads /cloth pieces 2-3 times per day. Restriction of diet during menstruation was seen in 40% and 30% missed school during their periods. Although there was good knowledge regarding menstrual hygiene among adolescent girls, practice needs to improve. Health education sessions at urban health clinics and schools involving mothers of these adolescent girls can aid to overcome socio cultural practices of restricting movement and diet restrictions during menstruation.


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