Prabha, R (2022) Prospective Observational study on Adolescent Gynaecological Problems in Tertiary Care Centre. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
● Maximum numbers adolescent girls presented with gynaecological problems was seen in the age group of 19 years and most of them are studying in college. ● maximum number of adolescent girls in our study belong to socio economic class IV (Upper lower). ● Girls from urban population is maximum in this study group. ● Mentural disturbances was the most common presenting complaint in the adolescent girls. ● Maximum number of adolescent girls in the study group belongs to normal body mass index followed by overweight. ● Abnormal uterine bleeding (39.8%) was the most common adolescent gynaecological problem in this study. ● Heavy flow was the most common menstrual irregularity in the adolescent girls in this study. ● 50% of adolescent girls in the study group are anaemic and 6.8% of adolescent girls with severe anaemia was treated with blood transfusion. ● 20.3% of adolescent girls was diagnosed as polycystic ovarian syndrome. Most of them are presented with complaint of infrequent cycles followed by heavy flow. ● Dysmenorrhea was the third most common gynaecological problem observed in the study. ● Vulvovaginits was diagnosed in 5.9% of girls in this study. Most of them are married teenage girls. ● Delayed puberty was the most common cause for primary amennorhoea. ● Hypothyroidism next most common cause for primary amennorhoea. ● 9.3% of adolescent girl in the study was diagnosed with simple ovarian cyst and malignant ovarian tumor. ● Simple ovarian cyst more common than malignant ovarian tumor. ● Congenital anamolies was diagnosed in 2.5% of adolescent girls in the study. ● Genital tuberculosis was diagnosed in a girl who presented with infrequent cycles and abdominal pain. CONCLUSION: ❖ Adolescence in girls has been regonised as a special phase in their life. It requires a specific approach and special attention. This period of transition makes them vulnerable to various problems. This period in a girl’s life is the preparation for safe motherhood. These adolescent girls are the direct reproducer for the future generation. So, the health of these girls not only influences her own health but, also the health of future generation. ❖ Abnormal Uterine Bleeding most common adolescent gynaecological problem. Heavy menstrual bleeding severely affects the quality of life in adolescent girls. ❖ Effective management of heavy menstrual bleeding is mandatory to avoid anaemia in the adolescent girls. As adolescent girls are the direct reproducer of future generation it is utmost import to avoid anaemia in adolescent which in long run reduce the maternal and perinatal morbidity and mortality. A empathetic, friendly behaviour nonjudgemental attitude and special attention should be given to the adolescent population. ❖ This was achieved by ADOLESCENT FRIENDLY HEALTH CLINICS and various health programmes implemented like RASHTRIYA KISHOR SWASTHYA KARAYAKRAM for efficient management so that they can develop as healthy parents in future and became a responsible citizens of tomorrow.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221916210 |
| Uncontrolled Keywords: | Adolescent Gynaecological Problems, Tertiary Care Centre, Prospective Observational study. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 15 May 2021 12:39 |
| Last Modified: | 03 Dec 2023 14:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16723 |
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