Preview

Health and Ecology Issues

Advanced search

The Features of Pubertal Abnormal Uterine Bleedings in Gomel Region

https://doi.org/10.51523/2708-6011.2019-16-1-8

Abstract

Objective : to analyze the risk factors, as well as the features of abnormal uterine bleedings in adolescent girls of Gomel region. Material and methods : The retrospective analysis of 143 records of in-patients of the Gynecological Ward of Gomel Regional Clinical Hospital over 2014-2017 has been carried out. The statistical analysis determining the proportion and standard error of the proportion - P ± sp%, the median and quartiles, OR (95 % CI), has been performed. Results and discussion. 31 (21.7 ± 3.5 %) patients with juvenile uterine bleedings (JUB) were diagnosed with low nutrition, 63 (44.1 ± 4.2 %) of the examined patients revealed anemia. The anamnesis of the girls was burdened with somatoform vegetative dysfunction of the nervous system (18.2 ± 3.2 %) and thyroid pathology (35.7 ± 4.0 %), as well as chronic tonsillitis (2.8 ± 1.4 %) and chronic pyelonephritis (4.9 ± 1.8%). Conclusion . The anamnesis of JUB patients is burdened with somatoform vegetative dysfunction of the nervous system, thyroid pathology inflammatory infectious ENT and kidney disorders. A long-term JUB episode leads to the development of anemia in adolescent girls. In autumn the risk for the development of the above pathology is higher.

About the Authors

I. A. Korbut
Учреждение образования «Гомельский государственный медицинский университет»
Belarus


U. S. Garmaza
Учреждение образования «Гомельский государственный медицинский университет»
Belarus


References

1. Коколина ВФ. Ювенильные маточные кровотечения. Москва, РФ. Медпрактика; 2003. 20 с.

2. ACOG committee opinion no. 557: Management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2013;121:891-6.

3. Benjamins L. Practice Guideline: Evaluation and Management of Abnormal Vaginal Bleeding in Adolescents. J Pediatr Health Care. 2009;23(3):189-93.

4. Frishman G. Evaluation and Treatment of Menorrhagia in an Adolescent Population. J Minim Invasive Gynecol. 2008;15(6):682-8.

5. Holliday K, Chizo-Agwu J. Vaginal bleeding in the pre-pubertal child. Paediatr Child Health. 2018; 28(3):144-8.

6. Matthews D. Inherited Disorders of Platelet Function. Pediatr Clin North Am. 2013;60(6):1475-88.

7. Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3-13.


Review

For citations:


Korbut I.A., Garmaza U.S. The Features of Pubertal Abnormal Uterine Bleedings in Gomel Region. Health and Ecology Issues. 2019;(1):40-45. (In Russ.) https://doi.org/10.51523/2708-6011.2019-16-1-8

Views: 337


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)