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  • Title: Epidemiological evaluation of excessive and/or irregular uterine bleeding.
    Author: Thakur S, Premi HK, Randhawa I, Verma S, Sharma BB.
    Journal: Indian J Public Health; 1993; 37(4):133-4. PubMed ID: 8077002.
    Abstract:
    In order to determine the epidemiological factors in cases of excessive and/or irregular uterine bleeding, a prospective study was conducted in consecutive women complaining of excessive and/or irregular uterine bleeding from menarche to menopause, who were admitted in Kamla Nehru Hospital of the Department of Obstetrics and Gynecology, Indira Gandhi Medical College, Shimla, from January 1, 1989 to September 15, 1989. A control group of 50 patients who had normal menstrual cycles was taken at random from the gynecological outpatient department. During the period there were 217 (22.7%) such patients out of a total of 995 gynecological admissions. 82 (37.7%) of the women were literate. The incidence of abnormal uterine bleeding was more prevalent in low socioeconomic classes, to which 88.3% of the patients belonged. The mean age of the study group patients was 37.1 +or- 9.19 years, and of the control group, 31.9 +or- 6.93 years, and the difference was significant [S.E.(d) = 1.1]. Patients over 30 years old were more numerous in the study group (80.1%) than in the controls (58%), and the difference was highly significant (chi square = 20.18, p 0.01). The mean parity of the patients was 3.7 +or- 2.2 and 2.7 +or- 1.8 in the study and the control groups, respectively, and this difference was significant [S.E.(d) = 0.30]. The incidence of abnormal uterine bleeding was higher in high parity women, as 72.7% were gravida III and above. 35% and 14% of the patients in the study and the control groups, respectively, had undergone a gynecological operation in the past, and the difference was highly significant (chi square = 8.37, p 0.005). In addition, 33.1% and 14% of the patients in the study and the control groups, respectively, had undergone tubal sterilization, and this difference was also highly significant (chi square = 7.16, p 0.01). The incidence of copper-T use was higher (13.8%) in the study group as compared to the controls (6%) (chi square = 2.27, p 0.5).
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