A Study to Assess the Prevalence and Contributing Factors of Abnormal Uterine Bleeding among Women Admitted in MGMCRI from January to December 2019

Abstract

Introduction: About 30% of women may have unexplained uterine bleeding at some stage in their lives. There are considerable costs to both the economy and the health sector, in addition to the direct effects on the woman and her family. After excessive bleeding has been established, the acronym PALM-COEIN is increasingly being used to classify the causes. Objectives: To assess the prevalence and to find out the contributing factors of abnormal uterine bleeding (AUB). Materials and methods: A retrospective study approach was adopted with a descriptive research design. The population for the study includes women diagnosed with AUB. The tool contains demographic variables of women with AUB, clinical variables, and contributing factors to assess AUB by using PALM-COEIN classification. Results: With regard to age, the maximum 213 (78%) were in a group of 40 years and above. In the menstrual cycle, 159 (58.2%) were having a regular cycle. Out of 273 women, 202 (74%) have no previous history of medical illness. The value of body mass index (BMI) shows 151 (55.3%) had normal BMI. The prevalence rate was 6.94%. About 93 (34.1%) had maximum contributing factor with adenomyosis. Then, 50 (18.3%) had iatrogenic as a contributing factor. There is no malignancy and hyperplasia and coagulopathy as a contributing factor. According to the findings of this report, AUB can cause unnecessary disruption in women's daily activities, as well as serious medical consequences or exacerbation of anemia.

Sleep Quality and Depression among women with Abnormal Uterine Bleeding (AUB)

“…Anxiety and depression frequently observed in women with AUB.It has been observed that from various study the women with AUB experienced the most common psychological symptoms such as depression and anxiety.AUB also associated with more negative course and more negative outcome. 14 Women with AUB (15.6%) had major depression, 18.8% of women had generalized anxiety disorder and 22.9% interfere with the quality of life and mood problems such as anxiety and depression also associated with abnormal uterine bleeding and AUB associated with more negative impact anxiety -depression comorbidity. 15…”