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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Analysis of obstetric and gynecological surgeries among adolescent girls: lessons for prevention
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Analysis of obstetric and gynecological surgeries among adolescent girls: lessons for prevention

机译:少女的妇产科手术分析:预防课程

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Background: Health of adolescent girls is a priority. Any operative surgery affects her physical & psychological health adversely. Aim: The study was done to analyze the operative burden on adolescent girls and identify the health needs of adolescent girls at our institute. Methods: A cross sectional study was done from May 2010 till Aug 2013. All adolescent girls (19 years age and below) operated during this period at department of obstetrics & gynaecology, People's college of medical science & RC, Bhopal were included. Results: The operations were done on 54 adolescent girls during this period which was 1.37% of the total surgeries. Age wise distribution was as 50% were of 19 years age, 37% were 18 years, 7.4% were of 17 years and 5.5% were 16 years and below. 41% of them were admitted with labour complaints, 26% cases as abortions, 13% cases with pain in abdomen. 11% of cases had cyclical pain with primary amenorrhoea 5% were admitted with Primary amenorrhoea, 4% had complaints of perineum pain. Maximum surgeries for obstetrical indications were caesarean sections (41% cases) followed by suction evacuation for abortion(26%). Among gynecological surgeries, maximum were done for imperforate hymen & partial vaginal septum (11% casesexploratory laparotomy for benign ovarian masses (9.25% cases). Diagnostic laparoscopy for primary amenorrhea was done (5.5% cases) and operative laparoscopy (3.7% cases). 1.85% cases each were of pelvic abscess and bartholin cyst where I&D and marsupialization were done respectively. Conclusions: Obstetric operative burden on adolescent girls was very high. 67% of obstetric related surgeries can be prevented by educating and encouraging them to delay the onset of sexual activity and also by providing health related and contraceptive advices in schools and community settings.
机译:背景:青春期女孩的健康是重中之重。任何手术都会对她的身心健康产生不利影响。目的:进行这项研究以分析青春期女孩的手术负担,并确定我们研究所青春期女孩的健康需求。方法:从2010年5月至2013年8月进行横断面研究。纳入此期间在博帕尔人民医学与RC大学妇产科的所有19岁及以下的少女。结果:在此期间,对54名少女进行了手术,占手术总数的1.37%。年龄分布为19岁以下的占50%,18岁的占37%,17岁的占7.4%,16岁及以下的占5.5%。其中41%的人因劳动投诉而入院,26%的人为流产,13%的人腹部疼痛。 11%的患者患有周期性疼痛,原发性闭经有5%的患者原发性闭经,其中4%的患者会阴部疼痛。产科适应症的最大手术是剖腹产(41%),然后再进行人工流产(26%)。在妇科手术中,最多进行了无孔的处女膜和部分阴道隔(11%的病例,对良性卵巢肿块进行探索性剖腹手术(9.25%例);诊断性的腹腔镜检查(5.5%例)和手术腹腔镜检查(3.7%例)。结论:盆腔脓肿和Bartholin囊肿分别占I&D和有袋化的1.85%,结论:少女的产科手术负担很高,可以通过教育和鼓励她们延迟产科手术来预防67%的产科相关手术。性活动,以及在学校和社区环境中提供与健康相关的避孕建议。

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