Hematologic Considerations and Management of Adolescent Girls with Heavy Menstrual Bleeding and Anemia in US Children's Hospitals

Powers, Jacquelyn; Stanek, Joseph; Srivaths, Lakshmi; Haamid, Fareeda W.; O’Brien, Sarah H.

doi:10.1016/j.jpag.2018.06.008

Cited by 41 publications

(48 citation statements)

References 22 publications

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“…This is consistent with the study conducted elsewhere in Bangladesh, Tangail region, menstrual duration 5 days or more was risk factor for anemia [39] India, menstrual cycle lasting 7 or more days was important contributing factors for anemia [40]. Cooke et al [41] and Power et al [42] also witness adolescent girls with heavy menstrual bleeding can cause anaemia. This is likely due to the blood loss secondary to long menstrual duration.…”

Section: Discussionsupporting

confidence: 89%

Prevalence and Predictors of Anaemia Among Adolescent Girls in Rural Hadero Tunto District, Southern Ethiopia: Community Based Study

Alemu¹,

Gebremedhin²

2020

IJNFS

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Introduction: During adolescent anaemia has negative consequence on cognitive, work performance and economic productive. However, there is limited evidence on the prevalence and factors associated with anaemia among adolescent girls. Objectives: To assess the prevalence and associated factors of anaemia among rural adolescent girls in Hadero Tunto zuria district, Southern Ethiopia. Methods: A community based comparative cross-sectional study was conducted among adolescent girls 10-19 years. A total of 406 subjects were randomly selected. A structured questionnaire was used to collect the data. Blood haemoglobin level was determined from capillary blood using the Haemocue method. Data were entered into computer and analyzed using SPSS versions 20.0. Bivariate and multivariate logistic regression analyses were conducted to examine the factors associated with anaemia. Result: The mean (±SD) of haemoglobin concentration adjusted for altitude was 13.7+1.2 (SD) and ranged from 8 to 16.6g/dl. Over all prevalence of anaemia was found to be 15.2% [95%CI: 11.68%, 18.72%]. Out of the total 406 adolescent girls 13.7% [95%

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Section: Discussionsupporting

confidence: 89%

Prevalence and Predictors of Anaemia Among Adolescent Girls in Rural Hadero Tunto District, Southern Ethiopia: Community Based Study

Alemu¹,

Gebremedhin²

2020

IJNFS

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“…Ramachandran (34) pointed out that adolescent girls form a crucial segment of the population and constitute the vital "bridge" between the present generation and the next generation. The main reasons for this consequence among girls may be the menstrual bleeding during their puberty and weight loss (35,36). In order to pursue a slim figure, adolescent girls deliberately lose their body weight by dieting, which may lead to insufficient iron intake (37).…”

Section: Discussionmentioning

confidence: 99%

Reducing Anemia Among School-Aged Children in China by Eliminating the Geographic Disparity and Ameliorating Stunting: Evidence From a National Survey

Wang

Luo

et al. 2020

Front. Pediatr.

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Background: The aim of this study was to assess the geographic disparity in anemia and whether stunting was associated with anemia in different geographic groups among school-aged children in China. Methods: 71,129 Han children aged 7, 9, 12, and 14 years old were extracted from the 2014 cycle of Chinese National Surveys on Children Constitution and Health. Anemia, anemia severity, and stunting were defined according to WHO definitions. Binary logistic regression models were used to estimate the association between anemia and stunting in different geographic groups. Results: The prevalence of anemia was significantly higher in girls (10.8%) than boys (7.0%). The highest anemia prevalence was in Group VII (lower class/rural, 12.0%). A moderate/severe prevalence of anemia was concentrated in Group VII and Group VIII (western/lower class/rural) for both sexes. The prevalence of anemia was higher in stunting boys than non-stunting boys in Group IV (lower class/city, χ 2 = 12.78, P = 0.002) and Group VII (χ 2 = 6.21, P = 0.018), while for girls, it was higher in stunting girls than their non-stunting peers only in Group II (upper class/large city, χ 2 = 4.57, P = 0.046). Logistic regression showed that the stunting children have 30% higher risk of anemia than non-stunting children after adjustment for age, sex and school (OR = 1.30, 95% CI: 1.05-1.60). Conclusion: A significant geographic disparity and an association between anemia and stunting among specific groups of school-aged children in China was demonstrated. Consequently, eliminating the geographic disparity and ameliorating stunting might contribute to the improvement of Chinese children's anemia. Specific guidelines and interventions are needed, especially for adolescent girls and the groups with serious anemia burden.

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“…19 The LNG-IUD has been shown to be highly effective in achieving menstrual suppression in adolescents with a variety of BDs. [20][21][22] The American College of Obstetrics and Gynecologists and the American Academy of Pediatrics endorse the use of IUD as contraceptive options for adolescents. 23,24 Disadvantages of IUDs include expulsion, which occurs in fewer than 5% of women using IUDs but may occur more frequently in younger women.…”

Section: A D D Iti O N a L Liter Atu R E R E V I E Wmentioning

confidence: 99%

“…They intend to inform, but not dictate, care for individual patients and strive to impede arbitrary Screening recommendations for iron deficiency in adolescents have been inconsistent 20. The UK National Institute for Health and Care Excellence (NICE) HMB guidelines recommend against obtaining serum ferritin in women with HMB.In contrast, the North American Society for Pediatric and AdolescentGynecology suggests all adolescents with HMB undergo screening for iron deficiency via serum ferritin.2,20 Our HMB care standards combine the expertise of international experts and suggest screening of iron deficiency in all adolescents with HMB to diagnose at-risk adolescents early. Despite discussions, experts remained uncertain about screening adolescents for BD when the sole presenting complaint is HMB.…”

mentioning

confidence: 99%

Standardizing care to manage bleeding disorders in adolescents with heavy menses—A joint project from the ISTH pediatric/neonatal and women's health SSCs

Zia

Kouides

Khodyakov

et al. 2020

Journal of Thrombosis and Haemostasis

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Background: Bleeding disorders (BD) are under-recognized in adolescents with heavy menstrual bleeding (HMB). Objectives: The lack of clinical guidelines and variable symptomatic management of HMB created the imperative to standardize HMB care to identify and manage BD in adolescents. Methods: We convened an international working group (WG), utilized the results of a literature review to define knowledge gaps in HMB care, and used the collective clinical experience of the WG to develop care considerations for adolescents with BD and HMB. We then solicited input on the appropriateness of HMB care considerations from expert stakeholders representing hematology, adolescent medicine, and obstetrics-gynecology. We conducted an expert panel online, using the ExpertLens platform. During a three-round online modified-Delphi process, the expert panel rated the appropriateness of 21 care considerations using a 9-point scale to designate care as appropriate (7-9), uncertain (4-6), or inappropriate (1-3) covering screening for

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Hematologic Considerations and Management of Adolescent Girls with Heavy Menstrual Bleeding and Anemia in US Children's Hospitals

Cited by 41 publications

References 22 publications

Prevalence and Predictors of Anaemia Among Adolescent Girls in Rural Hadero Tunto District, Southern Ethiopia: Community Based Study

Prevalence and Predictors of Anaemia Among Adolescent Girls in Rural Hadero Tunto District, Southern Ethiopia: Community Based Study

Reducing Anemia Among School-Aged Children in China by Eliminating the Geographic Disparity and Ameliorating Stunting: Evidence From a National Survey

Standardizing care to manage bleeding disorders in adolescents with heavy menses—A joint project from the ISTH pediatric/neonatal and women's health SSCs

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