DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184529

Health profile of adolescent girls visiting obstetrics and gynecology department of tertiary care hospital

Rajal V. Thaker, Anuradha B. Madiya, Hiral D. Chaudhari, Jayesh D. Maru, Shyama B. Baranda

Abstract


Background: Gynecological problems of adolescents occupy a special space in the spectrum of gynecological disorders of all ages. In this study, an attempt has been made to review the health profile of adolescent girls visiting department of Obstetrics and Gynecology of a tertiary care hospital.

Methods: This observational study was conducted at a tertiary care teaching hospital during June 2014 to May 2016. Data was collected after due permission.

Results: Adolescent girls having gynecological problems were 2.3%. Mean age of menarche was 12.5 years. Anemia was present in 89(62.7%). About 72(50.7%) adolescent girls were having abnormal body mass index (BMI). Majority of girls 136(95.8%) had menstrual problems. Leucorrhoea, Pelvic Inflammatory Disease (PID), ovarian mass, urinary problems, breast problems, injury to genital tract and sexual assault were present in 42(29.6%), 24(16.9%), 20(14.1%), 13(9.2%), 12(8.5%), 4(2.8%) and 1(0.7%) respectively.

Conclusions: A very small proportion of adolescent girls came to the hospital for health-related issues. Anemia was present in more than half of adolescent girls and almost half of adolescent girls were having abnormal BMI. Majority of adolescent girls had menstrual problems. Health education regarding normal physiology, various gynecological problems, importance of nutrition and exercise for adolescents is necessary.


Keywords


Adolescent health, Gynecological problems of adolescents, Menstrual problems in adolescents

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References


Global accelerated action for the health of adolescents (AA-HA) Available at: http://www.who.int/topics/adolescent_health.

Strategy Handbook. Rashtriya Kishor Swasthya Karyakram. Adolescent Health Division Ministry of Health and Family Welfare Government of India. January 2014. Available at: https://nhm.gujarat.gov.in/images/pdf/RKSK_Strategy_Handbook.pdf.

Goswami P, Ahirwar G, Prabha Mishra P, Agrawal V. Adolescent Gynaecological Problems: A Prospective Study. J Evol Med Dent Sci. 2015;4(102):16709-12.

Revathi, Karunavanthi, Srilakshmi. Adolescence Gynecological Problems and Legal Acts. IOSR J Dent Med Sci. 2015;14(3):25-8.

Saibaba A, Mohan Ram M, Ramana Rao G, Uma Devi ST. Nutritional status of adolescent girls of urban slums and the impact of IEC on their nutritional knowledge and practices. Indian J Community Med. 2002;27(4):151-6.

Indupalii AS, Health Status of Adolescent Girls in an Urban Community of Gulbarga District, Karnataka. Indian J Pub Health. 2009;3(4):232-4.

Jain K, Garg SK, Singh JV, Bhatnagar M, Chopra H, Bajpai SK. Reproductive Health of Adolescent Girls in an Urban Population of Meerut, Uttar Pradesh. Health Population: Perspect Issues. 2009;32(4):204-9.

Verma PB, Pandya CM, Ramanuj VA, Singh MP. Menstrual Pattern of Adolescent School Girls of Bhavnagar (Gujarat). NJIRM, 2011;2(1):38-40.

Sachan B, Idris MZ, Jain S, Kumari R, Singh A. Age at menarche and menstrual problems among school-going adolescent girls of a North Indian district. J Basic Clin Reprod Sci. 2012;1:56-9.

Flug D, Largo RH, Proder TO. Menstrual patterns in Adolescent Swiss Girls: a longitudinal study. Ann Hum Biol.1984;11(6):495-508.

PV Kotecha, S. Nirupam, PD Karkar. Adolescent Girls’ Anaemia control programme, Gujarat, India. Indian J Med Res.2009;130(5):584-9.

Kulkarni MV, Durge PM, Kasturwar NB. Prevalence of anemia among adolescent girls in an urban slum. Natl J Community Med. 2012;3(1):108-11.

Coleman E. "Low BMI in Women." Healthy Eating | SF Gate, Available at: http://healthyeating.sfgate.com/low-bmi-women-7300.html. 20 April 2018.

Kumari A. Adolescent Gynaecological Problems: A Clinical Study. J Evol Med Dent Sci. 2013:2(9);1111-5.

Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. Indian J Community Med. 2007;32(2):156.

Singh A, Kiran D, Singh H, Nel B, Singh P, TiwariP. Prevalence and severity of Dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol, 2008;52(4):389-97.

Khodakarami B, Masoomi SZ, Faradmal J, Nazari M, Saadati M, Sharifi F. The Severity of Dysmenorrhea and its relationship with BMI among female adolescent in Hamadan,Iran. J Midwifery Reproduct Health. 2015;3(4);444-450.

Chung PW. Menstrual disorders in a Paediatric and Adolescent Gynaecology Clinic: patient presentations and longitudinal outcomes. Hong Kong Med J. 2011;17(5):391-7.

Hirata. Realtionship between the frequency of menstrual pain and weight in female adolescent. Nihou Koshu Eisei Zasshi, 2002;49(6):510-24.

ACOG Committee on Adolescent Health Care: Menstruation in girls and adolescents using menstrual cycle as a vital sign. Obstet Gynecol. 2006;108(5):1323-8.

Sebanti G, Rekha D, Sibani S. A profile of adolescent girls with gynaecological problems. J Obstet Gynecol India. 2005 Jul;55(4):353-5.

Kozlowski KJ. Ovarian masses. Adoles Med. 1999; 10:337-50.

Neinstein LS, Atkinson J, Diament M. Prevalence and longitudinal study of breast masses in adolescents. J Adoles Health. 1993;14(4):277-81.