Study of adolescent clinic: holistic approach for women health with dual client methodology
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20193795Keywords:
Adolescent gynaecology, Adolescent clinic, Holistic, Dual clientAbstract
Background: The study is done to understand the gynaecological problems in adolescent girls. Do counseling, imparting knowledge for the girl and her mother, hence creating a holistic approach towards the women health in the family by dual client approach.
Methods: 400 adolescent girls attending the clinic were studied (prospective observational study). Hb%, S.TSH was done for all the girls. Ultrasonography abdomen and pelvis was done on patient basis. Treatment was given. Mothers were counseled regarding their gynecological issues and screening tests (pap smear, self breast examination) was done after taking consent.
Results: 70% girls had menstrual disturbances, 20% had complains of vaginal discharge. 44% had anemia (4% had severe anemia). Subclinical hypothyroidism was detected in 8% of cases. Ultrasonography was done in 52% of cases in which 81 patients had features suggestive of polycystic ovaries. 85.5% of the adolescent girls were accompanied by their mothers. 12% girls took HPV vaccination and 52% mothers underwent pap smear.
Conclusions: Teenage problems need to be dealt very sensitively. Counseling is an integral component of treatment strategies. At present, adolescent gynaecology remains an area to which increased awareness and greater attention should be given to promote the health of teenagers and incult healthy lifestyle practices. In the same set up even the mothers of girls can be given counseling and address their gynaecological issues as majority of times mothers are the accompanying person creating the dual client approach in one setting. Hence adolescent clinic should aim for holistic, dual client approach for improvement of overall women health in the family.
References
Hertweck P, Yoost J. Common problems in pediatric and adolescent gynecology. Expert Review Obstet Gynecol. 2010;5(3):311-28.
Karki C, Shrestha NS, Rayamajhi RT. Gynecological disorders of adolescent girls at Kathmandu Medical College Teaching Hospital. NJOG. 2008;3(2):44-7.
Goswami S, Dutta R, Sengupta S. A profile of adolescent girls with gynecological problems. J Obstet Gynecol India. 2005;55(4):353-5.
Gilliam M. Gynecologic problems of adolescence and puberty. Glob Libr Women's Med. (ISSN: 1756-2228) 2011; doi:10.3843 /GLOWM.10013.
Bhalerao-Gandhi A, Vaidya R, Bandi F. Managing gynecological problems in Indian adolescent girls-a challenge of 21st century. Obstet Gynecol Int J. 2015;3(1):00070.
Ghongdemath JS, Sidhmalswamy A, Mallapur AA, Shindholimath VV. Impact of adolescent health education on adolescent girls in rural schools and colleges. Int J Reprod Contracept Obstet Gynecol. 2016;5(1):53-7.
Samarth S, Inamdar S, Hariharan C, Kalyani KR. Study of various gynaecological problems and reproductive health awareness amongst adolescents at a rural setup in central India. Int J Reprod Contracept Obstet Gynecol. 2014;3(4):1010-4.
Gedam JK. Study of reproductive health problems in adolescent girls at ESIC PGIMSR, MGM Hospital, Parel, Mumbai: a retrospective study. Int J Reprod Contracept Obstet Gynecol. 2017;6:4285-90.
Lalitha S, Ramalingappa P. Adolescent girl - the gordian knot. The New Indian J Obgyn. 2019;5(2):131-5.
Ramaraju HE, Shivakumar HC, Khazi A. Adolescent gynaecological problems in a tertiary care centre. Indian J Basic Applied Med Res. 2015;4(4):649-53.
Revathi, Karunavathi GPN, Srilakshmi. Adolescence gynecological problems and legal acts. IOSR J Dent Med Sci. 2015;14(3):25-8.
Kumari A. Adolescent gynaecological problems: a clinical study. J Evolut Med Dent Sci. 2013;2(9):1111-5.
Thaker RV, Madiya AB, Chaudhari HD, Maru JD, Baranda SB. Health profile of adolescent girls visiting obstetrics and gynecology department of tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2018;7:4678-83.
Rathod AD, Chavan RP, Pajai SP, Bhagat V, Thool P. Gynecological problems of adolescent girls attending outpatient department at tertiary care center with evaluation of cases of puberty menorrhagia requiring hospitalization. J Obstet Gynecol India. 2016;66(S1):S400-S406.
