SYSTEMATIC GROUPING AND CRITICAL ANALYSIS OF ABNORMAL UTERINE BLEEDING (AUB) CASES ACCORDING TO FIGO’S PALM-COEIN’S CLASSIFICATION- A RETROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 45
Abstract
BACKGROUND There is general inconsistency in the nomenclature used to describe abnormal uterine bleefing(AUB) in addition to a plethora of potential causes, which may coexist in an individual to develop consistent and universally accepted classification system to facilitate clinicians for better communication, clinical care and research. The aim of the study is to study the analysis of AUB cases grouped under FIGO PALM-COEIN Classification System. MATERIALS AND METHODS A retrospective study of 100 women presenting with AUB admitted in Gynaecology Department, KGH, during 2015-2016 were studied. Women of reproductive, peri and postmenopausal age group presented with excessive or prolonged bleeding are analysed according to PALM-COEIN classification system. Inclusion Criteria- AUB of reproductive, peri and postmenopausal woman. Exclusion Criteria- Pregnancy-related complications, cervical and vaginal lesions. RESULTS In our study, most of the cases have combined causes. Structural causes- PALM group- 82%; non-structural- COEIN group- 9%, coexistent- 9%. The present study is compared with Khrouf et al, Munro et al, Madhra et al, Bahamondes and Ali. Most of the patients are in AUB-L, AUB-A and in the age group of 40-49 years (42.33%), common presenting complaint was heavy menstrual bleeding (62%). Qureshi and Yusuf in 2013, AUB-L- 25%, AUB-O -24%. Gouri et al in May 2016, AUB-O is 27% and AUB-L is 24%. CONCLUSION PALM-COEIN classification is simple and feasible and encourages focus on optimal approach to modern management, clinical teaching and research.
Authors and Affiliations
Chagalmarai Amulya, Paidi Durga Kumari, Thadepalle Nagamani, Jyothsna Yernagula
Keywords
Related Articles
- EP ID EP219949
- DOI 10.18410/jebmh/2017/543
- Views 65
- Downloads 0
AWARENESS OF DIABETIC RETINOPATHY IN SELF-REPORTED DIABETIC PATIENTS ATTENDED AN EYE CARE CENTRE IN WEST BENGAL
BACKGROUND Diabetic retinopathy is the most common microvascular complication of diabetes and is a leading cause of visual impairment. The rate of development of diabetic retinopathy is a growing public health importance...
ASSESSING THE BENEFITS OF ADDING DEXMEDETOMIDINE TO INTRATHECAL HYPERBARIC BUPIVACAINE FOR CAESAREAN SECTION
BACKGROUND Spinal anaesthesia is the most common and safe anaesthetic procedure performed in parturients for caesarean section. Hyperbaric bupivacaine alone has been used for the last decade for caesarean section. It has...
CLINICAL PROFILE OF PLEURAL EFFUSION PATIENTS: A TERTIARY CARE HOSPITAL STUDY
OBJECTIVE Pleural effusion refers to the excessive or abnormal accumulation of fluid in the pleural space. Pleural effusion is commonly encountered medical problem and caused by a variety of underlying pathological condi...
TUBERCULOSIS AND VENOUS THROMBOEMBOLISM- CASE SERIES
PRESENTATION OF CASE Tuberculosis (TB) is one of the deadliest communicable diseases. India alone is accounting for one third of total TB cases. 1 Venous thromboembolism (VTE) is a rare complication of TB, but it may be...
UNCONSCIOUSNESS FOLLOWING INTERSCALENE BLOCK: A CASE REPORT
The interscalene brachial plexus block is widely used for a variety of procedures on the upper extremities. Successful blocks have been reported in 87% to 100% of cases but this block like many other peripheral nerve blo...