Anemia In Pregnancy: Risk Factors And Adverse Maternal And Perinatal Outcomes In Tertiary Care Hospital

BACKGROUND: Menstruation is an important milestone event in a girl's life with the beginning of reproductive life. Still, menstruation and menstrual practices are clouded by taboos and socio-cultural restrictions, particularly in rural areas leading to ignorance of adolescent girls regarding menstrual hygiene practices and its scientific facts. AIMS AND OBJECTIVES:1. To find out status of menstrual hygiene practices among adolescent girls. 2.To find out association between different socio-demographic factors and menstrual hygiene. MATERIALANDMETHOD:Across sectional study was conducted between March 2017 to September 2017 among 400 adolescent girls (10-19 years) of rural area of Katihar. Data were collected from 273 girls, who have achieved menarche, on a pre tested and pre designed questionnaire after taking parental consent and was analysed using MS Excel and Epi info 7. RESULT:Menarche was found to be achieved by the girls in age group 10-16 years, mostly in the age group 12-13 years (69.59%). Among 273 respondents, 82(30.04%) girls were aware about menstruation prior to menarche and the source of information was mostly sister (54.95%) followed by friends (19.05%) and mothers (15.75%). In my study, only 31 (11.36%) girls used sanitary pads during menstruation. Majority of them (95.24%) were using soap and water to clean external genitalia while more than half of girls (69.60%) did not possess a covered toilet. Menstrual hygiene was taken care mostly by those girls, whose mothers were literate (77.42%). Around 260 (95.23%) of the participants followed one or the other cultural restrictions and majority (76.15%) were avoiding religious functions. CONCLUSION:In our study, hygiene during menstruation is not satisfactory hence there is a need to educate the adolescent girls about healthy and hygienic practices during menstruation to prevent the reproductive tract infections.

Deep vein thrombosis in patient with pulmonary tuberculosis: a rare and interesting causative link?

Pulmonary tuberculosis is a devastating disease affecting millions of people in developing countries such as India. Many complications of this disease are known, however only few of its hematological complications have been reported. Discovery of its unknown thrombogenic potential is one such disturbing new entity. Tuberculosis can induce a hypercoagulable state and can lead to thromboembolic complications and deep vein thrombosis. Here we report an interesting and rare case of 20-year-old male, newly diagnosed case of Pulmonary Tuberculosis presenting with complaints of acute onset right lower limb swelling and pain. He was diagnosed with thrombosis of external iliac vein. All possible causes for a provoked deep vein thrombosis were evaluated for and ruled out. The patient was started with first line anti tubercular treatment-rifampicin, isoniazid, pyrizinamide, ethambutol along with anti-thrombotics injection enoxaparin and warfarin and followed up for 6 months. He made complete recovery of both his pulmonary and limb disease.