Background: Dysmenorrhea is an important health problem of adolescent girls, that affects their quality of life and it is one of the leading causes of repeated school absenteeism. The purposes of this study was to determine the prevalence and risk factors for dysmenorrhea among nursing students and its impact on their quality of life. Methods: A prospective study was carried out in St Johns Nursing College, Bengaluru.200 nursing students aged between 18-20 years were included. Standardized questionnaires were used to obtain relevant data. Data was analysed using Chi-sq. test, correlation and regression analysis by SPSS version 23. Results: The prevalence of dysmenorrhea was 62.5%. The mean age, age at menarche and, the mean PABC of the students were 18.7±0.48, 13.3±1.20 and 74.96±16.14 respectively, which is not significant. The average length of menstrual cycle was between 28-30 days, duration of bleeding as 3-5 days. Duration of sleep, regular menstrual cycle and low BMI exhibited positive correlation (p<0.05) while Family history and exercising habits did not exhibit significant effect. Dysmenorrhea was significantly associated with repeated school absenteeism (16%). Conclusions: Dysmenorrhoea is found to be highly prevalent among nursing students and is one of the leading causes of absenteeism. Regular cycle, duration of sleep and low BMI were significant risk factors for dysmenorrhea. Findings of present study suggest the need for educating adolescent girls on appropriate and effective management of dysmenorrhea.

Background: It has been proposed that, thrombocytopenia is the most common haematological abnormality in pregnancy after anaemia. The incidence of severe immune thrombocytopenia (ITP) in pregnancy has been difficult to report because of the rarity of the disease. Objectives were to determine the prevalence, pregnancy outcomes, treatment modalities of ITP mothers over five years in a tertiary health care hospital in South India.Methods: Our study was a retrospective record study, which looked into various aspects of obstetrical outcomes and complications in ITP mothers. Records of the in-patient medical record department (MRD) folders of patients with ITP who delivered at St. Johns Medical Hospital, Bangalore were studied.Results: We identified 53 patients with ITP with a mean age of 25.6+4.6 years, age of diagnosis of ITP at 21.1+5.9 years and gestational age of 36.2+3 weeks. In our study 17 (32%) were acute and 36 (67.1%) were chronic ITP. In our study 39.6% had history of at least one prior pregnancy loss. Patients with ITP at 35-37 weeks were induced with PGE1 (35.7%) in comparison to those with PGE2 (p≤0.001). Post-partum haemorrage (PPH) was seen in 7.5% of the pregnancies and all four were mothers with chronic ITP. Severe preeclampsia in ITP mothers was seen in 2 (66.7%).Conclusions: Chronic ITP in pregnancy poses more risks to mother and foetus as seen with the higher chance of PPH etc. Mothers with ITP should be screened antenatally as the chances of anomalies are high in the foetus.

Background: PRES can be associated with number of medical conditions and was observed frequently in patients with preeclampsia and eclampsia. Neuroimaging is important for the diagnosis of PRES. Study was conducted to find out the maternal and perinatal outcome in patients with eclampsia complicated by posterior reversible encephalopathy syndrome (PRES).Methods: This is a retrospective study done at St. Johns Medical College Bangalore, between October 2013 and October 2016. We reviewed case records of all the patients with eclampsia who underwent neuro imaging studies and a diagnosis of PRES was made. The maternal and perinatal outcomes in these women were studiedResults: In the past three years we had 55 cases of eclampsia who underwent neuroimaging studies for persistent neurological symptoms after 24 hours of MgSO­4 treatment. Of these women 30 were diagnosed to have PRES. In the present study PRES was common in multiparous women and more in patients with antepartum eclamptic women. Mean age at diagnosis of PRES was 26±5.1 years. Common presenting symptoms were headache (93.3%) and vomiting (53.3%). The mean SBP/DBP was 180/110 mmHg. All patients who had recurrent seizures were controlled with MgSO­4 alone. 53.3% of our patients had eclampsia related complications and 36.7% required ICU care. There were 3 maternal deaths (10%). Perinatal mortality was 20%.Conclusions: Neuroimaging in eclamptic patients with persistent neurological symptoms could help in early diagnosis of PRES and multidisciplinary approach in management could contribute significantly in reducing the maternal mortality and morbidity.

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