Prepared by: Mrs. Reena frank I M.Sc Nursing YNC Dysmenorrhea - - PowerPoint PPT Presentation

Prepared by:

• Mrs. Reena frank

I M.Sc Nursing YNC

 Dysmenorrhea refers to a cyclic lower abdominal or

pelvic pain which may radiate to the back or to the thighs, occuring during menstruation.

 Primary dysmennorhoea: cramping pain the lower

abdomen occuring at the onset of menstruation in the absence of any identifiable pelvic diseases.

 Secondary dysmennorhea: painful menses resulting

from a identifiable pelvic pathology like fibroid, PID etc.

 Etiology of primary dysmennorhoea was not precisely

understood, but most symptoms can be explained by the action of prostaglandin, particularly PGF2 alpha which is released during endometrial sloughing

 Primary dysmenorrhoea usually present during

adolescence within 3 years of menarche

 Sample : adolescence girls 12-18 years  Design: cross sectional  Sample size: 400 : - rural area 200 and urban area 200  Inclusion criteria: have attained menarche at least 6

months back

 Tool: self administered questionnaire

Rural setup:

 Mild :52%  Moderate: 26.5%  Severe: 3%

Urban set up:

 Mild :56.5%  Moderate: 12.5%  Severe: 7%

Prevalence of dysmenorhoea

 81.5% in rural setup  76% in urban setup

Rural area:

• Under weight: 66.5%, BMI-less than 16.5
• Under weight: 14.5%, BMI- not less than 16.5
• normal BMI 19%

Urban area:

• Under weight: 38.5%, BMI-less than 16.5
• Under weight: 33.5%, BMI- not less than 16.5
• normal BMI 28%

Rural area:

 Mild & moderate : less than 16. 5 BMI  27.18% under weight  0.97% normal BMI & no dysmennorrhoea

Urban area:

 Severe : less than 16. 5 BMI  54.86% under weight  7.07% normal BMI & no dysmennorrhoea

 Study aims to establish the relationship between

Dysmenorrhea and BMI.

 Prevalence of dysmenorrhea in the study found to be

very high with 81.5 % rural girls and 76% urban girls suffering from it.

 Majority of the girls in this study were found to have

low BMI indicating the poor nutritional status among

• ur adolescence, particularly in the rural setup.

 Dysmenorrheal had its impact on the daily activities of

girls leading to school absenteeism.

 In this study the relationship between dysmenorrhea

& BMI found to be highly significant “p<0.001” with increased prevalence of dysmenorrhea in the law BMI group.

 The prevalence of dysmenorrhoea in adolescence girls

is very high, resulting in disruption of their social & personnel activities. Also Indian adolescence have a very poor nutritional status, as reflected by their law BMI.