Background and Aim: Dysmenorrhea is one of the most common gynecological disorders in the world. The current study aims to know the prevalence of dysmenorrhea and its management practices among adolescent girls. The study also aim to assess predictors of dysmenorrhea treatment options. Materials and Methods: This institutional-based cross-sectional study was carried out at Obstetrics & Gynaecology department of Mardan Women Hospital, Sheikh Maltoon Town Mardan and Jinnah International Hospital, Abbottabad from June 2020 to November 2020. Pretested self-administrated and a semi-structured questionnaire was used for data collection from volunteer adolescent girls to take part in this study. The outcome and exposure variables association was evaluated through a multi regression model and chi-square test. Dysmenorrhea risk was reported by taking the odds ratio at a confidence interval of 95%. SPSS version 20 was used for data analysis and statistical significance was considered at p<0.05. Results: Of the total 680 questionnaires, 601 (88.4%) were completed. The response rate and dysmenorrhea prevalence were 88.4% and 53.3% respectively. The mean age of the adolescents was 16.3 ± 1.92. While mean age for Menarche was 12.41 ± 1.62. A significant difference (t= 5.78, p< 0.001) between dysmenorrhea and non-dysmenorrhea age girls was (16.81 ±1.98) and (12.56 ± 1.65) respectively. The common symptom of waist pain among participants was (345, 57.4%). The prevalence of participants taking Over-the-counter (OTC) drugs for menstrual symptoms was 191 (31.8%). Dysmenorrhea’s severity and age were the two significant predictors for the prospect of taking a dysmenorrhea pharmacological agent. Conclusion: Our study concluded that a higher prevalence of dysmenorrhea was observed among adolescents compared to Menarche which adversely affects the routine major activities. A significant association between self-reported dysmenorrhea and the abnormal menstrual cycle was found. Adolescents must be educated early on about the safety and efficacy of various dysmenorrhea management options. Keywords: Dysmenorrhea, Adolescence, Menarche

Background and Aim: Globally, hypertension disorder is the most common disorder in pregnancy. It complicates 6–10% of pregnancies with a major contribution to the worldwide maternal mortality rate. The aim of the current study was to evaluate the pregnancy outcomes in women with Hypertension disorders. Materials and Methods: This cross-sectional study was carried out on women with hypertension disorders enrolled in the department of Gynecology, Mardan Women Hospital, Sheikh Maltoon Town, Mardan and Family Health Centre, Peshawar from March 2021 to August 2021. Demographic details such as age, gestational age, parity, intrapartum, early postpartum complications such as perinatal outcomes and mode of delivery, and antepartum were recorded from each individual. Chi-square test was used for comparing the composite adverse outcomes such as preterm birth, postpartum hemorrhage, abrupt placenta, and mortality rate. SPSS version 20 was used for data analysis. Results: Of the total 2357 pregnant women, about 146 (6.2%) women had hypertensive disorders of pregnancy. The mean age of 146 pregnant women was 29.45±4.67 years with an age range from 17 to 43 years. About 37 (25.3%) women had no perinatal and maternal complications. Out of 109 pregnant women, the prevalence of eclampsia, preeclampsia, and pregnancy-induced hypertension were 8 (7.3%), 44 (40.4%), and 57 (52.3%) respectively. Based on gestational age, preterm (24-36 weeks) and term (>37 weeks) were 35 (32.1%) and 74 (67.9%) respectively. Other maternal complications were Abruption Placentae, Postpartum hemorrhage (PPH), Renal Failure., Pulmonary Edema, Disseminated intravascular coagulation (DIC), and Maternal Death. Conclusion: Our study found hypertension disorders as a significant medical disorder in pregnant women. However, neonatal outcomes and pregnancy outcomes were significantly smooth in more than 50% of pregnant women. Keywords: Hypertensive disorders of pregnancy, Pre-eclampsia, Eclampsia.