Background: Onset of menstruation is considered as a landmark in the growth and development of an adolescent girl.The age of onset and the pattern of menstrual cycles vary on different factors.Present study was conducted to find out the menstrual pattern and problems among adolescent school going of rural area. Materials and Methods: A total of 323 girl students in the age group of 15 to 19 years from 3 different secondary schools were asked to complete a pretested and validated questionnaire anonymously.Data regarding age of menarche ,menstrual pattern, menstrual hygiene,menstrual complaints , source for information about various aspects of menstruation and menstrual hygiene were elicited. Results: Mean age of the subjects at menarche was 14.02 years with a range being 11 to 19 years. Majority of them (92.9%) had intermenstrual interval of 28 – 35 days.Mean duration of menstrual flow was 4.28 ± 1.06 days. The most prevalent menstrual symptoms were mental irritability (47.9%), backache (38.3%), and nausea (14.5%).Prevalence of menstrual irregularity and dysmenorrhea was 5.6 and 18.3% respectively. Mothers(94.6%) and friends(4.6%) were the main sources of information for adolescents regarding menstruation.Conclusion: The majority of adolescents attained menarche at appropriate age. Dysmenorrhoea was the commonest symptom that interfered with the routine of the school girls.Majority of girls were aware about the importance of menstrual hygiene and were using sterile sanitary pads as absorbents.Mother and the friends were the primary sources of information about menstruation. Inclusion of topics related to reproductive health during secondary schooling has been beneficial in improving knowledge and awareness of girls regarding menstruation and menstrual hygiene.
Background: Preeclampsia is a disease of multiple organ systems that is unique to pregnancy and is often associated with increased risk of maternal-perinatal adverse outcome, especially when it is severe and occurs well before term.The objective of the study was to study expectant line of management in early onset pregnancy induced hypertension (24-32 weeks) and its maternal and perinatal outcome in relation to preterm delivery, IUD/ Still birth, and early neonatal deaths.Methods: Total 100 patients presented with early onset pregnancy induced hypertension admitted in Pravara Medical College and Hospital. 50 patient’s pregnancy terminated (Aggressive Group) depending on patients clinical profile and other 50 patients given expectant line of management and pregnancy was prolonged (Expectant Group). Maternal and perinatal outcome was compared between the two groups.Results: No maternal mortality was seen in both groups.Perinatal mortality in aggressive line of management was 54% while in expectant line of management perinatal mortality was 30%. Neonatal deaths account for 24% in aggressive group and 10% in expectant group. Fetal survival rate in expectant group was 70% and in aggressive group it was 46%.Conclusions: Expectant management of severe preeclampsia at 24 to 32 weeks in a tertiary care center is associated with good perinatal outcome with a minimal risk for the mother.The early use of antihypertensive drugs, optimum timing of delivery and strict fluid balance will help to achieve successful outcome.
Splenic hemangioma, a vascular malformation represents the most common benign primary neoplasm of the spleen with fewer than 100 cases been reported in literature. Rupture of hemangioma is a life threatening complication occurring mostly in third trimester or puerperium with maternal mortality of 70% and fetal mortality of 90-95%. We herein report the first case of rupture of capillary hemangioma of spleen occurring in mid trimester pregnancy. Our patient was a 24 years old gravida 1, para 1 with spontaneous rupture of splenic hemangioma at 22 weeks of gestation. Emergency laparotomy with splenectomy was done. Histopathology confirmed the diagnosis of capillary hemangiom
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