Onset of menarche is towards the extremes of normal age range in girls with intellectual disabilities or visual impairment but not in girls with hearing impairments or locomotor disabilities. Girls with disabilities have potential for independent menstrual care. Menstrual disorders were managed conservatively.

Background: Census figures in 2011 have depicted that half of the visually impaired in India are women and a third of these females are in reproductive age group. This study was undertaken to identify the gynaecological health problems of the visually impaired young women and impart them necessary health education.Methods: All young visually impaired women attending composite regional centre for persons with disabilities, Bhopal during one day were offered consultation by gynecologist. Their needs and clinical findings were recorded.Results: There were 15 young women in the age range of 19 to 27 years participating in the study. This was their first ever visit to gynecologist. More than half of them reported that menstrual hygiene was taught to them by their mother, a third by peers, and one participant each reported that sister, aunt, and teacher helped them learn it. The cramping pain and warmth of discharge per vaginum helped them identify the onset of menses. Primary dysmenorrhea was the commonest complaint for which they relied on rest and over the counter available medicine.Conclusions: This study highlights the need of the inclusion of the visually impaired girls in adolescent reproductive and sexual health education with appropriate teaching learning material. Access to a gynecologist for the visually impaired shall be ensured through camps on regular basis and referral on individual need basis.

Background: In routine gynaecological practice, women with disabilities are rarely seen. The available literature regarding gynaecological and obstetric issues of women with disabilities is scanty. Hence this study was designed on women with disabilities participating.Methods: History and examination findings regarding gynaecological problems of 30 participants were collected.Results: Results show that two third of the participants had normal menses while others had dysmenorrhea, oligomenorrhea, premenstrual syndrome, menorrhagia, infective vaginitis and urinary tract infection. 11 participants were married, out of which 2 had infertility. None of the participants had clinical findings suggestive of breast or cervical cancer. These findings are compared with available studies of similar type.Conclusions: This study concludes recommending the need of special camps for women with disabilities with Gynaecologist on the panel.

Introduction:Thyroxine is an important hormone that ensures proper growth and development throughout life. It has an important role in the development of the reproductive system. Methods: The objective of this study was to evaluate the thyroid status of adolescent girls with disabilities. A survey was undertaken at a residential institution on all adolescent girls with disabilities in 10-19 years age group. There were 21 girls with intellectual disabilities. Their sexual development was noted. Thyroid profile was advised in all subjects. Results: There were 2 girls who had not developed any secondary sexual characters but they showed normal thyroid profile. The thyroid profile was deranged in 1 girl who had Down's syndrome and another girl had subclinical hypothyroidism. Conclusion: The study concludes that thyroid profile should be done at regular intervals in adolescent girls with intellectual disabilities, especially Down's syndrome.

INTRODUCTIONDiabetes mellitus (DM) presents as an important disease condition with 8.5% prevalence according to global report given by the World Health Organization. In India, it affected 7.8% population in year 2014, affecting men more than women and contributed to 2% of all deaths. 1 Indian Council of Medical Research has taken it on top priority for research in India identifying rapid increase in incidence of DM from 2% to 12 % in urban areas over 30 years by turn of the twenty first Century. It estimated that there were 37.8 million diabetics with 4% rural and 12 % urban prevalence in India in year 2004 with 15% prevalence of abnormal 3 hour oral glucose tolerance test (OGTT) and hyperglycaemia in urban India. 2Diabetes may be present in the patient before the conception in the form of Type 1 or Type 2 DM or it may ABSTRACT Background: Diabetes mellitus (DM) may be present in the patient before the conception or it may appear during pregnancy. Obstetric management shall ensure prevention of diabetic embryopathy and early detection and management of diabetic complications in pregnancy. Methods: A descriptive observational study was undertaken on participants from a Medical College Hospital. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature. Results: The study had total 89 participants. Five participants (5.6%) had abnormal blood sugar values. Out of these, 2 participants were having pregestational DM and 3 were having gestational DM. Although all the participants who had abnormal blood sugar levels required caesarean section, two could not be operated. One participant with gestational DM who did not follow management advice delivered a macerated still born baby after shoulder dystocia. Another participant having gestational DM, who complied strictly as per dietary advice and exercise, could be managed well without insulin and delivered a healthy baby. The requirement of insulin increased in pregnancy in patients with pregestational diabetes. Conclusions: It is essential to ensure compliance on all three pillars of management of diabetes viz. diet, exercise and insulin during pregnancy. Hence health education for diabetes with special emphasis on obstetric care in pregnancy with diabetes should be promoted.