scholarly journals Gynecological disorders of adolescent girls at Kathmandu Medical College Teaching Hospital

2014 ◽  
Vol 3 (2) ◽  
pp. 44-47
Author(s):  
Chanda Karki ◽  
Nira Singh Shrestha ◽  
Roshan T Rayamajhi
Keyword(s):  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
College Teaching ◽  
Study Group ◽  
Specialist Care ◽  
Menstrual Disorders ◽  
Menstrual Dysfunction ◽  
Sexually Transmitted ◽  
Gynecological Disorders ◽  
Stage Of Development

Aim: To assess the gynecological disorders in adolescents and to study the menstrual disorders in the study group. Result: A total of 1697 adolescent girls aged 13 to 19 years attending the gynecological outpatient department of KMCTH were included in the study. Their detail history was taken followed by general and systemic examinations and investigations like hemogram, coagulation profile, hormonal assays, and ultrasonography as per need were performed. Thus their gynecological problems including menstrual disorders were identified. With this information the details of their menstrual abnormalities were also analyse. Teenage pregnancy was the most frequently observed (56.33%) diagnosis. Menstrual disorders were found to be the second most common (23.80%) gynecological problem. They varied from amenorrhea (29.20%) to menorrhagia. Dysfunctional uterine bleeding was the commonest etiology of menstrual dysfunction (204/286) in the study group. Conclusion: Unsafe abortion and sexually transmitted infections were some of the other problems of adolescent girls. It is important to note that adolescents are not a homogenous group. Their needs vary with their sex, stage of development, life circumstances and the socioeconomic conditions of their environment. This is the time when they have the maximum burden of education and career building on their shoulders. They are the group who hesitate to seek services from traditional facilities. Therefore every health institution should initiate or strengthen adolescent friendly services and provide specialist care to this special group of people. DOI: http://dx.doi.org/10.3126/njog.v3i2.10831 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 44-47

Gynecological problems among adolescent girls in a tertiary care centre of South Andaman district

2018 ◽  
Vol 32 (4) ◽  
Author(s):  
Bhabani Pegu ◽  
Bhanu Pratap Singh Gaur ◽  
Anita Yadav ◽  
Vikas Yadav
Keyword(s):  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Adult Women ◽  
Menstrual Disorders ◽  
Tertiary Care Centre ◽  
Gynecological Disorders ◽  
Outpatient Departments ◽  
South Andaman

AbstractBackgroundGynecological problems of adolescents occupy a special space in the spectrum of gynecological disorders because they are often different from the conditions that affect adult women. The objective of study was to determine the different gynecological problems in adolescent girls attending outpatient departments.MethodsAdolescent girls of age 10–19 years were included in this study. Various gynecological problems were evaluated by detailed history taking and thorough clinical examination. Investigations like haemogram, coagulation profile, hormonal assays and ultrasonography were done wherever indicated. Descriptive analysis was done and results are expressed in terms of percentage.ResultsA total of 824 (8.33%) adolescent girls attended the gynecology outdoor patient department (GOPD) during the study period. Menstrual disorders (67.11%) were the commonest complaint, followed by vaginal discharge (18.68%) and UTI (9.8%). Menstrual disorders varied from irregular menstruation (55.15%), dysmenorrhea (30.74%) and amenorrhea (14.10%). Dysfunctional uterine bleeding was the commonest cause of menstrual irregularity followed by polycystic ovarian disease (PCOD). Teenage pregnancy (0.84%) and ovarian tumor (0.60%) was found in a few cases.ConclusionAdolescent girls’ gynecological problems should be evaluated thoroughly and managed accordingly. Adolescent health education needs to increase awareness and give further attention to gynecological problems.

scholarly journals Impact of sensitization programme on reproductive health awareness among adolescent girls residing in a shelter home (Snehalay) Ahmednagar

2019 ◽  
Vol 7 (1) ◽  
pp. 138
Author(s):  
Saili U. Jadhav ◽  
Shubhada S. Avachat
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Female Genital Tract ◽  
Unmet Need ◽  
Reproductive Organs ◽  
Sexually Transmitted ◽  
Comprehensive Information ◽  
The Impact

Background: Adolescents comprise one-fifth of India's total population. Knowledge on reproductive health at adolescent age is essential to build their foundation of healthy reproductive practices in the future and to lower the risk of sexually transmitted diseases.Methods: An interventional study was done on 51 adolescent girls at a shelter home (Snehalaya). Informed consent was obtained from the concerned authorities. Data was collected by interview technique with the help of a structured questionnaire prepared by literature search. Response of adolescents was recorded through their answers to the questionnaires. Intervention was done in the form of sensitization lecture with the help of audio visuals and educational posters. The same questionnaire was again interviewed and the impact of intervention was assessed. Statistical analysis of data was done using percentage, proportion and appropriate tests of significance.Results: In our study we found the average age of menarche of the girls to be 12-14 years, but as several of the girls came from unhealthy backgrounds, they had several menstrual problems like dysmenorrhea, irregular menses. Three of the girls had not experienced menses after 14 years of age. After the sensitization lecture, 56% of the girls were able to write the names of the reproductive organs in the female genital tract. 85% of the girls were able to name the hazards of teenage pregnancy. All adolescents need access to quality youth-friendly services provided by clinicians trained to work with this population. Sex education programs should offer accurate, comprehensive information while building skills for negotiating sexual behaviors.Conclusions: Hence from our project we identified the unmet need of awareness regarding reproductive health amongst adolescent girls and we tried to meet those needs by providing sensitization.

scholarly journals Knowledge and attitude of menstruation hygiene, contraception and sexual transmitted disease among school girls of Lunawada, Mahisagar, Gujarat, India

2018 ◽  
Vol 7 (4) ◽  
pp. 1543 ◽  
Author(s):  
Chintan Upadhyay ◽  
Bipin Nayak ◽  
Gaurav Desai
Keyword(s):  
Adolescent Girls ◽  
Transmitted Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Menstrual Dysfunction ◽  
Sexually Transmitted ◽  
Adolescent Students ◽  
Menstrual Hygiene ◽  
Sexual Transmitted Disease ◽  
Knowledge And Attitude

Background: Around ¾th of adolescent girls have experiencing menstrual dysfunction and it disturbs the routine daily workout4. UNICEF reported that total number of adolescent girls in India is 243 million which cover almost 20% of the Indian population. The objectives of the current study were to observe the knowledge and attitude regarding menstruation, contraception and sexually transmitted diseases among secondary and higher secondary school girls.Methods: A cross-sectional study was conducted in the city of Vadodara during August 2016 to September 2016. The study included girls high school of standard 8th to 12th of Vadodara city. Around 310 adolescent students of standard 8th, 9th, 10th, 11th, and 12th. From each standard, 62 girls were selected by simple random technique with the help of their attendance register.  Results: Around 71.4% participants believed that menstruation is natural process and 22.7% believed as abnormal process. Around 62.6% of participants believed for reason of menstruation is “Female becomes capable of child bearing”. Almost 9.0% participants did not know about organ of reproduction and 18.4% did not know about the physical changes during puberty. only 14.5% participants believed that coitus is the culprit of STD transmission. Teacher and mother were the main source of information for participants regarding STD. Almost 55.4% participants were aware about condom as contraceptive method followed by oral pills and permanent sterilization.Conclusions: Menstrual hygiene and prevention of STD diseases should be considered important issue at all the levels of health care system, where number of factor influence in the awareness and practice in rural area. Education regarding reproductive health should be included in the curriculum in all schools.

scholarly journals Gynecological problems of adolescent girls attending to rural tertiary care centre

2019 ◽  
Vol 8 (7) ◽  
pp. 2627
Author(s):  
Suman Shivanagouda Patil ◽  
Hemalatha Mahanthshetty ◽  
Supriya H. M. ◽  
Mahendra M.
Keyword(s):  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
The Body ◽  
World Health ◽  
Age Group ◽  
Care Centre ◽  
Menstrual Disorders ◽  
Tertiary Care Centre

Background: Adolescence is a transient and dynamic period between childhood and adulthood, characterised by several changes in the body and the child’s mind. The World Health Organization defines adolescents as young people aged 10-19 years, but changes may begin before and continue after this age group. Adolescents constitute over 21.4% of population in India. Adolescence is a period of enormous physical and psychological change for young girls. Hormonal events play a key role in this transition. 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. The aim of this study was to determine the proportion of various gynecological problems among adolescent girls seeking care at a tertiary care centre, Kolar, Karnataka, India.Methods: A cross sectional study was conducted during March 2016 to March 2018 among all adolescent girls (10-19 years) with gynecological problems attending inpatient and outpatient Department of Obstetrics and Gynecology. A pre-tested semi-structured questionnaire was used to collect information regarding their socio-demographic characteristics, gynecological history, family history, obstetric history, documentation of general physical examination and other investigations. Data entered using Microsoft Excel and analysed using SPSS v20.Results: A total of 720 adolescent girls sought care for gynecological problems in the study period with more than 80% of the cases belonging to the age group between 15 and 19 years. Of the 720, 362 (49.8%) had some type of menstrual disorders. Of these 362 cases about 41 of them were a case of puberty menorrhagia (11.32%) and 89 cases were of dysmenorrhea (22.37%). Among 720 cases, 290 (40.2%) of them were diagnosed of teenage pregnancy; among which 34 of them were unwanted pregnancy. Other presentations include vaginal discharge, urinary tract infection, mass per abdomen, trauma to genital tract and turners syndrome (two cases).Conclusions: The study shows around half of the adolescent girls are having menstrual disorders. One third were teenage pregnancies with most of them been ‘wanted’. This alarming finding calls for strengthening of adolescent programme with targeted health education and behavioural change. Setting up a separate adolescent clinics is necessary for efficient management of menstrual disorders in adolescents.

Perceptions of sexual abstinence among Muslim adolescent girls in southern Thailand

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Jitlada Piriyasart ◽  
Praneed Songwathana ◽  
Susan Kools
Keyword(s):  
Adolescent Health ◽  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Sexual Abstinence ◽  
Participatory Action ◽  
Islamic School ◽  
Sexually Transmitted ◽  
Refusal Skills ◽  
Southern Thailand ◽  
Self Protection

Abstract Background Sex before marriage among Muslim adolescents is becoming a serious issue in Muslim societies exemplified by an increasing incidence of teenage pregnancy. Sexual abstinence is an optimal goal for adolescent health from an Islamic perspective. Muslim adolescent girls’ perceptions have not been investigated, therefore, we lack understanding of their strengths and the risks that may contribute to outcomes such as pregnancy or sexually transmitted infections. Objective The purpose of this investigation was to characterize Muslim adolescent girls’ perceptions of sexual abstinence. Methodology This participatory action study was conducted at an Islamic school in southern Thailand. Twenty-five girls, ages 12–14 years old, were purposively selected to participate in the study. Content analysis was used for data analysis. Results Two salient themes were discovered that characterize Muslim adolescent girls’ perceptions about sexual abstinence: sexual abstinence is a means of self-protection and sex outside marriage is restricted by Islam, but it seems to be difficult to adhere to. Conclusions Religious values, family and peers play a central role in shaping thoughts and decisions about abstaining from sex. The integration of religious principles with building practical refusal skills, is needed to promote Muslim adolescent health.

Pubertal Communication Between School Nurses and Adolescent Girls in Ile-Ife, Nigeria

2017 ◽  
Vol 35 (2) ◽  
pp. 147-156
Author(s):  
Omowumi R. Salau ◽  
Adesola A. Ogunfowokan
Keyword(s):  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Pregnancy Prevention ◽  
School Nurses ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Menstrual Hygiene ◽  
Audiovisual Aids ◽  
Values And Beliefs

We examined information on pubertal changes provided by school nurses to adolescent girls, the methods, and media of communication. We also examined the challenges faced by the nurses in the course of communication. The study setting was five private high schools located in Ile-Ife, Nigeria. Participants were 10 school nurses and 420 school adolescent girls. Cross-sectional descriptive design was employed using quantitative and qualitative data collection methods. Results showed school nurses paid more attention to physical body changes, menarche, and menstrual hygiene as contents of pubertal communication rather than contraception, prevention of sexually transmitted infection, and teenage pregnancy prevention. Materials for communication were reportedly lacking in many of the schools while the school management censors pubertal information. Efforts should be tailored at equipping the school clinic with audiovisual aids and school nurses should be encouraged to give comprehensive pubertal education irrespective of their values and beliefs.

scholarly journals "I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Sally Atieno Odunga ◽  
Clement Oduor ◽  
Ramatou Ouedraogo ◽  
Boniface Ayanbekongshie Ushie ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Rural Areas ◽  
Teenage Pregnancy ◽  
Formal Education ◽  
School Attendance ◽  
Clear Understanding ◽  
Sexually Active ◽  
Unintended Pregnancies ◽  
Study Setting

Abstract Background While the Kenya government is mobilizing high-level strategies to end adolescent pregnancy by 2030, a clear understanding of drivers of early unintended pregnancy in the country is a necessary precursor. In this study, we determine the prevalence, associated factors, and reasons for unintended pregnancy among sexually active adolescent girls (aged 15–19 in two Kenya counties with the highest rate of teenage pregnancy. Methods We used the “In Their Hands” (ITH) program's baseline evaluation data. The study adopted a mixed-methods design with 1110 sexually active adolescent girls in the quantitative component and 19 girls who were either pregnant or nursing a child in the qualitative. We used adjusted and unadjusted logistic regression to model factors associated with unintended pregnancy among respondents. We used a thematic analysis of qualitative data to examine girls’ reasons for having unintended pregnancy. Results Overall, 42% of respondents have had an unintended pregnancy; however, higher proportions were observed among girls who were 19 years (49.4%), double orphans (53.6%), never used contraceptive (49.9%), out-of-school (53.8%), and married (55.6%). After adjusting for relevant covariates, the odds of unintended pregnancy were higher among girls who resided in rural areas (AOR 1.64, 95% CI 1.22–2.20), had primary or no formal education (AOR 1.50 95% CI 1.11–2.02), and had never used contraceptive (AOR 1.69 95% CI 1.25–2.29) compared with their counterparts. Current school attendance was associated with a 66% reduction in the probability of having an unintended pregnancy. Participants of the qualitative study stated that the desire to maintain a relationship, poor contraceptive knowledge, misinformation about contraceptive side effects, and lack of trusted mentors were the main reasons for their unintended pregnancies. Conclusion A massive burden of unintended pregnancy exists among sexually active adolescent girls in the study setting. Adolescent boys and girls need better access to sexuality education and contraceptives in the study setting to reduce early unintended pregnancy.

PREVALENCE OF PREGNANCY AND ABORTION RATES AMONG ADOLESCENT GIRLS IN ALMATY

Vestnik ◽  
2021 ◽  
pp. 1-4
Author(s):  
А.Б. Мукашева ◽  
М.Ш. Шарипова ◽  
Д.Н. Маханбеткулова ◽  
А.Б. Смажан
Keyword(s):  
Adolescent Girls ◽  
Teenage Pregnancy ◽  
Reproductive Potential ◽  
Developed Countries ◽  
Prevalence Rates ◽  
Potential Health ◽  
The Past ◽  
Health Complications ◽  
Republican Center

Актуальность. Беременность и аборты, которые отрицательно сказываются на репродуктивном здоровье и качестве жизни подростков, могут стать серьезной проблемой для репродуктивного потенциала следующего поколения. По мнению многих отечественных исследователей, аборт и ранняя беременность неблагоприятны для девочек-подростков, так как могут не только привести к потенциальным осложнениям для здоровья, но и вызвать серьезные психологические проблемы. Цель исследования. Определить частоту распространенности показателей подростковой беременности и абортов за 2016-2020 гг. по г. Алматы Результаты и обсуждение. По данным Республиканского центра электронного здравоохранения в Алматы, была проведена оценка распространенности беременности и абортов среди подростков за последние пять лет (2016-2020 гг.). Выводы. Анализ показателей беременности и абортов среди девочек-подростков 15-17 лет в Алматы за период 2016-2020 годов показал, что они имеют умеренную тенденцию к снижению. Хотя показатель беременностей в 2020 году составляет 5,8, он выше, чем в развитых странах, таких как Япония и Южная Корея. Pregnancy and abortion, which negatively affect the reproductive health and quality of life of adolescents, can be a serious problem for the reproductive potential of the next generation. According to many domestic researchers, abortion and early pregnancy are unfavorable for adolescent girls, as they can not only lead to potential health complications, but also cause serious psychological problems. Purpose of the study. To determine the frequency of prevalence rates of teenage pregnancy and abortion for 2016-2020. in Almaty Results and discussion. According to the Republican Center for eHealth in Almaty, an assessment was made of the prevalence of pregnancy and abortion among adolescents over the past five years (2016-2020). Findings. Analysis of pregnancy and abortion rates among adolescent girls aged 15-17 years in Almaty for the period 2016-2020 showed that they have a moderate downward trend. Although the pregnancy rate in 2020 is 5.8, it is higher than in developed countries such as Japan and South Korea.

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

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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