scholarly journals THE EFFECT OF SOCIO-DEMOGRAPHIC WITH AUB IN PERIMENOPAUSE

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Ankita Jamwal ◽  
Rohini Rao
Keyword(s):  
Confidence Interval ◽  
Health Care Providers ◽  
Abnormal Uterine Bleeding ◽  
Lower Class ◽  
Uterine Bleeding ◽  
Upper Class ◽  
Care Providers ◽  
Interventional Study ◽  
Lower Middle Class ◽  
Mother And Child

Background: The effect of socio-demographic on AUB in perimenopause. Methods: Prospective interventional study conducted at Kamla Nehru Hospital for State Mother and Child, IGMC Shimla. Results: In the present study according to the modified kuppuswamy socioeconomic scale  AUB was found maximum in women belonging to lower middle class i.e 93 (40.6%) with confidence interval of 34.19-47.95% followed by upper lower class i.e 90 (39.3%) with confidence interval of 32.93-45.95% and least in upper class i.e 7 (3.05%) with confidence interval of 1.24-6.20%. Conclusion: In summary, abnormal uterine bleeding in perimenopausal patients is a common and important part of clinical practice for health-care providers of women. Keywords: AUB, SES, Bleeding

scholarly journals THE MENSTRUAL PATTERN OF AUB IN PERIMENOPAUSE

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Ankita Jamwal ◽  
Rohini Rao
Keyword(s):  
Confidence Interval ◽  
Health Care Providers ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Care Providers ◽  
Interventional Study ◽  
Common Presentation ◽  
Mother And Child ◽  
Menstrual Pattern ◽  
Continuous Bleeding

Background: The Menstrual pattern of AUB in perimenopause. Methods: Prospective interventional study conducted at Kamla Nehru Hospital for State Mother and Child, IGMC Shimla. Results: Menorrhagia was the most common presentation of AUB patients accounting for 65.5% of cases with confidence interval of 58.96-71.64% followed by continuous bleeding per vagina(BPV) accounting for 17.9% with confidence interval of 13.17-23.49% with the least being oligomenorrhea 0.87% with confidence interval of 0.11-3.12%. Conclusion: Abnormal uterine bleeding in perimenopausal patients is a common and important part of clinical practice for health-care providers of women. Keywords: AUB, Menstrual pattern, Bleeding

scholarly journals Categorization of patients with abnormal uterine bleeding according to PALM-COEIN FIGO classification

2019 ◽  
Vol 8 (12) ◽  
pp. 4783
Author(s):  
Arihant Tater ◽  
Prakash Jain ◽  
Kamal Nayan Sharma
Keyword(s):  
Health Care Providers ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Care Providers ◽  
Ovulatory Dysfunction ◽  
Exact Etiology ◽  
Consistent Method ◽  
Reproductive Aged Women ◽  
Reproductive Age Group

Background: Abnormal uterine bleeding is a common problem of the women in the reproductive age group and leads to the frequent visits of women in hospitals to health care providers. In an effort to create a universally accepted system of nomenclature to describe uterine bleeding abnormalities in reproductive-aged women, an alternative classification system polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not yet classified, known by the acronym PALM-COEIN developed.Methods: It is a retrospective study on 200 patients of abnormal uterine bleeding to categorize them on the basis of PALM-COEIN classification. Patient grouped under these categories after detailed history, examination, investigations and histopathological reports.Results: Ovulatory dysfunction was the most common cause of AUB in patients presenting to the gynecology outpatient department (n=60, 30%). It was followed by leiomyoma (n=48, 24%) and endometrial causes (n=38, 19%) and were the top three etiologies for AUB respectively. Adenomyosis (n=26, 13%), not classified (n=12, 6%), iatrogenic (n=8, 4%), polyp (n=4, 2%) and malignancy and coagulopathy each (n=2, 1%) contributing least to the PALM-COEIN classification as an etiology for AUB.Conclusions: PALM-COEIN classification is a universally accepted and consistent method of knowing exact etiology following investigations, so the proper treatment can be done for AUB.

scholarly journals Association between Exercise-Induced Changes in Cardiorespiratory Fitness and Adiposity among Overweight and Obese Youth: A Meta-Analysis and Meta-Regression Analysis

Children ◽  
2020 ◽  
Vol 7 (9) ◽  
pp. 147
Author(s):  
Antonio García-Hermoso ◽  
Mikel Izquierdo ◽  
Alicia M. Alonso-Martínez ◽  
Avery Faigenbaum ◽  
Jordi Olloquequi ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Confidence Interval ◽  
Cardiorespiratory Fitness ◽  
Body Fat ◽  
Health Care Providers ◽  
Percent Body Fat ◽  
Care Providers ◽  
Obese Youth ◽  
Meta Regression ◽  
Meta Regression Analysis

The aim of this study was to determine the minimum change in cardiorespiratory fitness (CRF) required to reduce adiposity (percent body fat) in exercise programs for overweight and obese youth. Studies were identified through a systematic search of five databases. Studies were limited to randomized controlled trials (RCTs) of exercise training (e.g., aerobic, strength, concurrent) that assessed percent body fat and CRF for both exercise and control groups in overweight and obese children and adolescents. A series of meta-regressions were conducted to explore links between change in CRF (maximum oxygen consumption, ml/kg/min) and change in percent body fat. Twenty-three RCTs were included (n = 1790, 59% females). Meta-regression analysis suggested that increases of at least 0.38 mL/kg/min in CRF (p < 0.001) were considered to be a clinically important reduction of percent body fat (−2.30%, 95% confidence interval −3.02 to −1.58; p < 0.001; I2 = 92.2%). Subgroup analysis showed that increases of at least 0.17 mL/kg/min in CRF favored a reduction of percent body fat of −1.62% (95% confidence interval −2.04 to −1.20; p < 0.001; I2 = 69.9%). In conclusion, this change in CRF could be considered by pediatric researchers, youth fitness specialists, and health care providers to determine the effectiveness in body fat reductions through exercise.

scholarly journals Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110461
Author(s):  
Seboka Abebe Sori ◽  
Kedir Teji Roba ◽  
Tesfaye Assebe Yadeta ◽  
Hirut Dinku Jiru ◽  
Keyredin Nuriye Metebo ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Confidence Interval ◽  
Health Care Providers ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Preconception Care ◽  
Maternal Health Care ◽  
Good Knowledge ◽  
Care Providers

Background: Provision of preconception care is significantly affected by the health care provider’s knowledge of preconception care. In Ethiopia, preconception care is rare, if even available, as part of maternal health care services. Thus, this study aimed to determine the level of knowledge of preconception care and associated factors among health care providers working in public health facilities in Eastern Ethiopia. Methods: A multicenter cross-sectional study was conducted from 1 March to 1 April 2020. A simple random sampling technique was used to select a total of 415 maternal health care providers. We utilized a structured, pretested, and self-administered questionnaire to collect data. Data were entered into EpiData (version 3.1) and exported to STATA (version 16) for analysis. Descriptive statistics and bivariate and multivariate logistic regression analyses were performed. All covariates with a p value ⩽0.20 in bivariate logistic regression were entered into a multivariate logistic regression analysis to control the confounding variables; variables with a p value <0.05 were considered statistically significant. Results: Out of 410 respondents, 247 (60.2%; 95% confidence interval: 55.4–65.1) had good knowledge of preconception care. Having an educational level of Bachelor of Science degree and above (adjusted odds ratio: 6.97, 95% confidence interval: 3.85–12.60), 5 or more years work experience (adjusted odds ratio: 2.60, 95% confidence interval: 1.52–4.49), working in a hospital (adjusted odds ratio: 2.50, 95% confidence interval: 1.25–4.99), reading preconception care guidelines (adjusted odds ratio: 3.06, 95% confidence interval: 1.40–6.68), and training on preconception (adjusted odds ratio: 2.90, 95% confidence interval: 1.37–6.15) were significantly associated with good knowledge of preconception care. Conclusions and Recommendations: Three out of five maternal health care providers in this study had good knowledge of preconception care. Facilitating continuous refreshment training and continuous professional development for health workers, preparing comprehensive preconception care guidelines for health institutions, and reading preconception care guidelines were highly recommended.

scholarly journals Understanding forgotten exposures towards achieving Sustainable Development Goal 3: a cross‐sectional study on herbal medicine use during pregnancy or delivery in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Tengia-Kessy ◽  
George Chombe Msalale
Keyword(s):  
Sustainable Development ◽  
Herbal Medicine ◽  
Confidence Interval ◽  
Health Care Providers ◽  
Herbal Medicines ◽  
Prevalence Ratio ◽  
Care Providers ◽  
Medicine Use ◽  
Sustainable Development Goal ◽  
Development Goal

Abstract Background In most of the sub-Sahara African countries, use of herbal medications is widely practiced during pregnancy or delivery for various reasons despite uncertainties on their pharmacological profiles. Use of unregistered herbal medicines has the potential of causing adverse health effects to the mother and the newborn, thus deterring achievement of Sustainable Development Goal 3, which aims to “ensure healthy lives and promote well-being for all at all ages”. One of the targets is on reduction of morbidity and mortality among mothers and newborns. This study investigated use of herbal medicines and predictors of usage during pregnancy or delivery as a forgotten exposure towards understanding some of the challenges in achieving Sustainable Development Goal 3. Methods This cross-sectional quantitative study gathered information from women who delivered a live-born baby in the preceding two years. Using a two-stage-sampling technique, women attending reproductive, maternal and child health clinics in Tabora were selected and interviewed. Proportions were compared using chi-square test and Poisson regression analysis was performed to determine independent correlates of herbal medicine use. Results Of 340 recruited women, 208 [61.2 %; 95 % confidence interval: 55.4, 66.3 %] used herbal medicines during pregnancy or delivery. Major reasons for use included accelerating labour, 81 (38.9 %) and reducing labour pains, 58 (27.9 %). Women who made less than four antenatal visits had a 24 % higher adjusted prevalence ratio of using herbal medicines as compared to those who had at least four visits [adjusted prevalence ratio:1.24; 95 % confidence interval: 1.02, 1.50, p = 0.03]. Furthermore, the adjusted prevalence ratio of using herbal medicines was 35 % higher among women who were not discouraged by health care providers against their use as compared to those who were discouraged (adjusted prevalence ratio: 1.35; 95 % confidence interval: 1.13, 1.60, p = 0.01). Conclusions Use of herbal medicines during pregnancy or delivery among women in Tanzania is common. Independent predictors of herbal medicine use were number of antenatal visits and stance of maternity health care providers on their use. Comprehensive investigations on the magnitude, patterns and predictors of use of herbal medicines during pregnancy or delivery are warranted.

scholarly journals Study on Technical, Behavioral and Organizational Factors Affecting the Performance of Mother and Child Tracking System in Rural Area of Varanasi District, Uttar Pradesh: A Qualitative Study

2020 ◽  
Vol 32 (2) ◽  
pp. 423-426
Author(s):  
Pooja Verma ◽  
Sangeeta Kansal ◽  
Madhutandra Sarkar ◽  
Nishu Kesh ◽  
Alok Kumar
Keyword(s):  
Qualitative Study ◽  
Health Care Providers ◽  
Tracking System ◽  
Uttar Pradesh ◽  
Poor Performance ◽  
Organizational Factors ◽  
Care Providers ◽  
Effective Measure ◽  
Factors Affecting ◽  
Mother And Child

Background: The Mother and Child Tracking System (MCTS) portal captures and tracks all pregnant women right from conception up to 42 days after delivery and all children below five years. Objectives: This study was conducted to find out the technical, behavioral and organizational factors that affect the process and performance of MCTS. Material and Methods: This was an exploratory qualitative study conducted in Varanasi district by using multistage random sampling method. Data were collected by in-depth interviews of 48 health care providers. Results: Majority of the ANMs and ASHAs were not aware of the meaning of “Tracking System” and the use of MCTS ID. Inappropriate training of ASHAs, absence of supervision and monitoring by ANMs, overburdened DEOs and ANMs, poor internet connection, slow server speed, software problem and frequent power failures were identified as major factors for poor performance of MCTS. Conclusion: The most effective measure to improve the performance of MCTS would be to properly train grass root level workers so that more efficient data can be fed into MCTS.

Etiology, Detection, Diagnosis, and Clinical Management of Gestational Diabetes Mellitus

1999 ◽  
Vol 12 (1) ◽  
pp. 65-71
Author(s):  
Beverly A. Sullivan ◽  
Scott T. Henderson ◽  
Julie M. Davis ◽  
Martin B. Steffenson
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Health Care Providers ◽  
Close Monitoring ◽  
Care Providers ◽  
Treatment Interventions ◽  
Increased Risk ◽  
Mother And Child

Healthy outcomes for both mother and child are expected and fortunately seen in most pregnancies. In some cases, serious or potentially serious problems arise during the pregnancy that mandate a need for both close monitoring and treatment interventions by health care providers. Gestational diabetes mellitus (GDM) is such a condition that may evolve during pregnancy. Women who experienced gestational diabetes during pregnancy are at increased risk of developing Type 2 diabetes as are their offspring. As defined, GDM is a type of diabetes restricted to pregnant women in whom the recognition of glucose intolerance first occurs during pregnancy.1 Physicians and pharmacists who are trained in the management of diabetes can help guide the patient with GDM through the pregnancy and after delivery, monitor her and the infant. This article reviews the current concepts pertaining to the basic pathophysiology, detection, diagnosis, and management of gestational diabetes mellitus.

scholarly journals The Accuracy of an Intraoperative Frozen Section for Premalignant Endometrial Pathology

2019 ◽  
pp. 1
Author(s):  
Ergul Demircivi Bor ◽  
Esra Akdeniz ◽  
Yucel Nurettin Ceylan ◽  
Taner Gunay ◽  
Meryem Hocaoglu ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Confidence Interval ◽  
Postmenopausal Women ◽  
Frozen Section ◽  
Abnormal Uterine Bleeding ◽  
Kappa Coefficient ◽  
Uterine Bleeding ◽  
Valuable Method ◽  
Endometrial Pathology ◽  
Rule Out

<p><strong>OBJECTIVE</strong>: Abnormal uterine bleeding which is the most frequent complaint among pre- and postmenopausal women should be investigated to rule out endometrial cancer. An intra-operative frozen section can be taken to examine the suspicious of the malignancy. The study aims to investigate the accuracy of frozen section in suspicious of endometrial malignancy.</p><p><strong>STUDY DESIGN:</strong> Fifty patients with pre-malign endometrial pathology and malignant ultrasound characteristics were included in this study and their preoperative biopsy, frozen and postoperative pathological results were examined. </p><p><strong>RESULTS:</strong> The kappa coefficient between postoperative pathology and frozen section was 0.88 (p&lt;0.05) and 95% confidence interval was (0.63-1.12). This indicates that the amount of agreement between the two tests was strong, thus the frozen section would be considered as a valid indicator of postoperative pathology results.</p><p><strong>CONCLUSIONS:</strong> Frozen section is a valuable method to investigate the suspicious of malignancy in endometrial pre-malign lesions.</p>

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