BACKGROUND Some type of menstrual dysfunction is common in adolescent girls. Tribal adolescents are more vulnerable due to malnutrition, ignorance, poverty, sociocultural taboos and poor medical attention, which causes significant morbidity. MATERIALS AND METHODSThe present study was a descriptive cross-sectional study based on self-administered, structured questionnaire conducted on 300 adolescent school going girls from a tribal residential school at Bhubaneswar, Odisha. They were asked to complete a pre-designed questionnaire anonymously. Information related to age of menarche, menstrual pattern, menstrual complaints, its impact on daily activities, source of information and reason to seek medical advice were noted. RESULTSThe mean age of the respondent was 13.62 years in this study. Mean age of menarche was 12.07 years with a range being 10 to 16 years. Majority had regular cycle (76.09%) with cycle length of 21 to 35 days (96.97%). The most prevalent menstrual symptom was dysmenorrhoea (52%). 89.9% feel that their knowledge regarding reproductive health is inadequate. Only 13.45% sought advice for their menstrual problems and the source of advice was mostly from friends (66.33%). 11.7% received medical treatment. School absenteeism was noted in 9.76% and restricted sports activities in 44.78%. CONCLUSIONMenstrual problems are a significant source of morbidity and major cause of school absenteeism. Many adolescent girls have inadequate information about menstrual problem and are reluctant to seek medical advice, leading to delay in diagnosis and treatment. Appropriate health education measures are required to prevent this trend.
A 34-year-old woman presented to the hospital emergency department complaining of abdominal pain for four days, more so in the left iliac fossa, and six episodes of vomiting for one day. Physical and sonographic examinations revealed an inguinal hernia containing a twisted gangrenous ovary with fallopian tube and partially developed uterus. The patient underwent an emergency hernia exploration with left oophorectomy, repositioning of the uterus with a fallopian tube, and herniorrhaphy without complications. A preoperative diagnosis based on history, physical examination, and ultrasonography allows for accurate surgical planning and corrective surgery without complications.
Introduction: Preterm premature rupture of membranes (PPROM) is the spontaneous rupture of the fetal membranes before the completion of 37 weeks of pregnancy. PPROM occurs in 3% of pregnancies. Methodology: This prospective observational study was conducted between September 2019 and March 2021, involving 150 antenatal patients attending our outpatient department or labor room. All pregnant women with a singleton pregnancy between 28 and 37 weeks of gestational age with PPROM were included in our study. Results: A total of 44% of women were admitted to the hospital within 6-11 hours of the onset of PPROM, while 34% of women were admitted within five hours and 15.33% were admitted within 12-23 hours of the onset of PPROM. The most common organisms isolated in high vaginal swabs were Enterococcus faecalis (18%), Escherichia coli (12%), Staphylococcus aureus (12.66%), Staphylococcus haemolyticus (6.66%), and Candida albicans (4.66%). Around 74.66% of women were delivered within 24 hours of the onset of PPROM, whereas only 2.6% of patients were delivered after 72 hours and the rest 34% were delivered between 25 and 72 hours. Of our study subjects, 10% were febrile, 4% were having urinary tract infections, 2.5% had postpartum hemorrhage, and 2% had chorioamnionitis. As far as neonatal morbidity and mortality are concerned, birth asphyxia and jaundice were seen in 12% of patients each, whereas septicemia was found in 4% of study subjects. Conclusion: Owing to the association of higher maternal and perinatal morbidity and mortality, cases, especially in the early PPROM group, should be strictly monitored for clinical and laboratory signs of chorioamnionitis while opting for conservative management.
Introduction: Preterm premature rupture of membranes (PPROM) is spontaneous rupture of the fetal membranes before 37 completed weeks and before the onset of labor. PPROM occurs in 3% of all pregnancies and is responsible for approximately one-third of all preterm deliveries. It leads to increase in perinatal morbidity and mortality.Aim: The present study aimed to characterize the microbiome of vaginal fluid, which will be helpful in the selection of empiric antimicrobial therapy.
Background: Polycystic ovary syndrome (PCOS) is a common disorder affecting mostly reproductive age group women. It is characterized by clinical and biochemical evidence of anovulation, hyperandrogenism and a polycystic ovary in the ultrasound. The aim of the present study is to find out the prevalence of cutaneous manifestations in PCOS and the correlation of their cutaneous manifestations with body mass index (BMI). Materials and Methods: A hospital-based observational, prospective study was conducted with 251 patients over a period of 18 months. Patients were divided into two groups based on their BMI values (more than 25 and less than 25) and screened for cutaneous manifestations. Correlation between the cutaneous manifestations and BMI was noted. Results: Maximum number of manifestations were seen in overweight patients (n=189). Hirsutism was the most common cutaneous manifestation followed by acne. But the only statistically significant association noted in the present study was between acne and BMI (p-value 0.009). Conclusion: PCOS is a common disorder seen in females of the reproductive age group. Though the prevalence of cutaneous manifestations was more commonly seen in overweight (BMI between 25 and 30) and obese women (BMI >30), they were also found in lean groups. Hence evaluation and counselling regarding lifestyle modification are important not only for obese but also in lean PCOS.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.