A study of the menstrual pattern and problems among rural school going adolescent girls of Amravati district of Maharashtra, India

Vinod Ramdasji Wasnik, Digamber Dhumale, Ajay Keshavrao Jawarkar

Abstract


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. After menarche many adolescent girls faces problems of irregular menstruation, excessive bleeding and dysmenorrhea and many more. Present study was carried in this line to find out problems. Objectives: To study the menstrual pattern & problems among school going adolescent girls in rural area of Amravati district of Maharashtra.

Methods: The Prospective observational study was carried out among selected 435 Secondary and higher secondary girls students (12-16 years of age) of Ner Pinglai by purposive sampling method. The study was done in the month August 2013 to February 2014. Statistical analyses were done using SPSS 16.0 version.

Results: Total 435 adolescent girls had attained menarche. The mean age of menarche was 13.5 (1.0) years. 17.9% of adolescent girls reported premenstrual syndrome. 81.3% girls had abdominal pain during menstruation followed by 28.5% cramp, 11% were uncomfortable, 11% had backache, 6.6% had headache and 2.5% girls had depression. 3.4% of the adolescent girls were did not have any symptoms during menses. Dysmenorrhoea was the most common menstrual complaint reported by 62.3% girls. 33.5 % girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation. 21.8% had irregular menstrual cycle.

Conclusion: Menstruation is an important milestone for adolescent girls and menstrual problems are common among adolescent girls. The mean age of menarche was 13.1 ± 1.0 of years. There were 1.5 menstrual symptom per adolescent girls commonest being abdominal pain. Dysmenorrhoea was seen in 62.3% of the adolescent girls. 33.5% girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation.

 


Keywords


Adolescent girls, Dysmenorrhea, Menstruation, School going, Rural

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References


UNICEF. The state of world’s children: adolescence, an age of opportunity. In: UNICEF, eds. UNICEF Report. New York: UNICEF; 2011.

Drakshavani DK, Venkata RP. A study on menstrual hygiene among rural adolescent Indian girls. Andhra Pradesh. Indian J Med Sci. 1994;48(6):139-43.

Deo D, Ghataraj DC. Perceptions and practices regarding menstruation: a comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30:33-4.

Khaldilkar VV, Stanhope RG, Khadilkar V. Secular trends in puberty. Indian Pediatr. 2006;43:475-8.

Deo D, Ghataraj DC. Perceptions and practices regarding menstruation: a comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30:33-4.

Naik MK. A study of the menstrual problems and hygiene practices among adolescents in secondary school. Thiruvanthepuram Indian J Pediatr. 2012;1:79.

Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77-80.

Kumar R, Singh M, Kaur A, Kaur M. Reproductive health behavior of rural women. J Indian Med Assoc. 1994;93:128-31.

Bhatia JC, Cleland J. Reported symptoms of gynecological morbidity and their treatment in South India. Stud Fam Plann. 1995;26:203-16.

Beena Sachan, Mohammad Zafar Idris, Savita Jain, Reema Kumari, Ashutosh Singh. Age at menarche and menstrual problems among school-going adolescent girls of a North Indian district. J Basic Reprod Sci. 2012;1(1):56-9.

Joseph GA, Bhattacharji S, Joseph A, Rao PS. General and reproductive health of adolescent girls in rural South India. Indian Pediatr. 1997;34:242-5.

Verma PB, Pandya CM, Ramanuj VA, Singh MP. Menstrual pattern of adolescent school girls of Bhavnagar (Gujarat). NJIRM. 2011 Jan-Mar;2(1):38-40.

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;32:156.

Singh MM, Devi R, Gupta SS. Awareness and health seeking behaviour of rural adolescent school girls on menstrual and reproductive health problems. Indian J Med Sci. 1999;53(10):439-43.

Dutta Himansu Sekhar. Sexual health status of adolescent girls in rural Orissa, 2001. Available at: http://www.orissavha.org/studies/shstudy/202001-2.doc.

Chaturvedi S, Kapil U, Gnanasekaran, Sachdev HP, Pandey RM, Bhanti T. Nutrient intake amongst adolescent girls belonging to poor socio-economic group of rural area of Rajasthan. Indian J Pediatr. 1996;33(3):197-201.

Patil MS, Angadi MM. Menstrual pattern among adolescent girls in rural area of Bijapur. Al Ameen J Med Sci. 2013;6(1):17-20.

Durge PM, Waradpande U. Impact assessment of health education in adolescent. J Obstet Gynecol India. 1993;43(5):768-72.

Suresh K. Kumbhar, Mrudula Reddy, Sujana B, Roja Reddy K, Divya Bhargavi K, C. Balkrishna. Prevalence of dysmenorrhea among adolescent girls (14-19 years) of Kadapa district and its impact on quality of life: a cross sectional study. Natl J Community Med. 2011 Jul-Sep;2(2):265-8.

Sharma P, Malhotra C, Taneja DK, Saha R. Problems related to menstruation amongst adolescent girls. Indian J Pediatr. 2008 Feb;75(2):125-9.

Sharma M, Gupta S. Menstrual pattern and abnormalities in the high school girls of Dharan: a cross sectional study in two boarding schools. Nepal Med Coll J. 2003 Jun;5(1):34-6.

McKay L, Diem E. Concerns of adolescent girls. J Pediatr Nurs. 1995;10:19-27.

Pragya Sharma, Chetna Malhotra, D. K. Taneja, Renuka Saha. Problems related to menstruation amongst adolescent girls. Indian J Pediatr. 2008;75:125-8.

Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhea in young women. Br J Obstet Gynaecol. 1990;97:588-94.

Jayashree R, Jayalakshmi VY. Socio-cultural dimensions of menstrual problems. Health Educ South East Asia. 1997;12:21-6.

Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol. 1996;103:1134-42.

Sharma A, Taneja DK, Sharma P, Saha R. Problems related to menstruation and their effect on daily routine of students of a medical college in Delhi, India. Asia Pac J Public Health. 2008;20(3):234-41.

Atchuta Kameswararao Avasarala, Saibharghavi Panchangam. Dysmenorrhoea in different settings: are the rural and urban adolescent girls perceiving and managing the dysmenorrhoea problem differently? Indian J Community Med. 2008;33(4):246-9.

Keerti Jogdand, Pravin Yerpude. A community based study on menstrual hygiene among adolescent girls. Indian J Maternal Child Health. 2011;13(3):1-6.