Hemostatic Abnormalities in Young Females with Heavy Menstrual Bleeding

Díaz, Rosa; Dietrich, Jennifer E.; Mahoney, Donald H.; Yee, Donald L.; Srivaths, Lakshmi

doi:10.1016/j.jpag.2013.12.011

Cited by 41 publications

(29 citation statements)

References 24 publications

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“…Approximately one in three pediatricians surveyed do not routinely discuss menstruation with post-menarchal patients, and over one in four do not routinely ask post-menarchal patients for the date of their LMP. Research shows that, similar to abnormal blood pressure or heart rate, abnormal menstrual patterns may indicate serious health conditions [1], [2], [12], [13], [14]. Thus, by failing to routinely discuss menstruation or ask for key information regarding the patients' menstrual cycles, pediatricians may miss important information needed to fully assess patient health.…”

Section: Discussionmentioning

confidence: 99%

Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products

Singer

Sood

Rapoport

et al. 2020

International Journal of Adolescent Medicine and Health

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ObjectiveThis study investigates whether primary care pediatricians adhere to the American Academy of Pediatrics (AAP) recommendations by routinely evaluating patients’ menstrual cycles and educating patients about menstruation and feminine products. Additionally, this study examines pediatricians’ knowledge and attitudes surrounding menstrual health topics.MethodsA 53-item online questionnaire was developed to evaluate pediatricians’ knowledge, attitudes and clinical practices regarding menstruation-related topics. The questionnaire was emailed to 2500 AAP members using a geographically-stratified sampling approach, with pediatricians in each state selected randomly. Mann-Whitney U tests, t-tests, and logistic regressions were used to assess associations between correlates and pediatricians’ knowledge, attitudes and practices.ResultsFive hundred and eighteen out of 2500 pediatricians participated (response rate = 20.7%), 462 met inclusion criteria; 78.8% were female, 79.2% were Caucasian. The majority of the pediatricians (58.2%) were “not at all” or only “slightly” familiar with the AAP guidelines on anticipatory guidance surrounding menarche. Many reported they do not routinely provide anticipatory guidance regarding menstruation to pre-menarchal patients (24.7%), discuss menstruation with post-menarchal patients (33.1%) or ask patients the date of their last period (28.4%). The majority were unlikely to discuss feminine products with patients. Gaps in menstruation-related knowledge were noted. Male pediatricians were significantly less likely to evaluate patients’ menstrual cycles and provide patient-education regarding menstruation-related topics, and had significantly lower self-rated and measured knowledge of these topics.ConclusionsA concerning number of pediatricians in a national sample do not abide by AAP recommendations surrounding menstruation and exhibit knowledge gaps in this area. To effectively address the health needs of female patients, pediatricians should better incorporate menstrual health care into their clinical practice.

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Section: Discussionmentioning

confidence: 99%

Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products

Singer

Sood

Rapoport

et al. 2020

International Journal of Adolescent Medicine and Health

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“…As many as 15% of women and girls presenting with heavy menstrual bleeding (HMB) are found to have a bleeding disorder as the cause. [1][2][3][4][5][6][7][8] Women and girls diagnosed with such conditions require multidisciplinary care for their menstrual symptoms and specialized obstetrical care. 9 The gynaecologic and obstetrical manifestations of bleeding disorders can lead to iron deficiency anaemia (IDA), which can result in increased utilization of healthcare resources, including requirement for hospital admission.…”

Section: Development Of Competencies Related To Diagnosis and Managemmentioning

confidence: 99%

Development of competencies related to diagnosis and management of bleeding disorders in women and girls for use in residency training

et al. 2019

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“…Von Willebrandova bolezen (VWB), ki je v populaciji zastopana v približno 1 %, je vzrok menoragiji v 9-20 % (5-7). Za nastanek menoragije pa je v enakem ali še večjem odstotku, vzrok PMDT (6,(8)(9)(10)(11).…”

Section: Uvodunclassified

Sodobni pristop za diagnosticiranje prirojenih motenj delovanja trombocitov

et al. 2016

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Inherited platelet function disorders (IPFD) comprise a heterogeneous group of diseases. Their real frequency is probably underestimated as in many patients with excessive subcutaneous and mucosal bleedings the disorder has not been recognized. The presented diagnostic recommendations are based on a systematic review of the scientific literature and describe the role of platelets in the clotting process and the most common congenital disorders of platelet function. A diagnostic algorithm for clinical and laboratory stepwise management of patients with IPFD is presented.

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Hemostatic Abnormalities in Young Females with Heavy Menstrual Bleeding

Cited by 41 publications

References 24 publications

Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products

Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products

Development of competencies related to diagnosis and management of bleeding disorders in women and girls for use in residency training

Sodobni pristop za diagnosticiranje prirojenih motenj delovanja trombocitov

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