Pelvic Inflammatory Disease (pid): A Cross Sectional Prospective Study At A Tertiary Care Centre

ABSTRACT

Introduction: Pelvic inflammatory disease (PID) is aninfectionof the upper part of thefemale reproductive sys-temnamely theuterus,fallopian tubes, andovaries, and inside of thepelvis. Objective: to find out the clinical profile of PID in a tertiary care centre. Methods:This was a cross sectional, descriptive study conducted at the Department of Obstetrics and Gynaecology, during period from January to December2016. Total 200 patients complaining of low-er abdominal pain, vaginal discharge & having adnexal as well as cervical motion tenderness on bimanual examina-tion between the age group of 18 -45 years were randomly selected for study. Parameters like age, parity, socio-economic status, age of marriage, sexual behavior, Presenting complaints and use of contraceptive were recorded. Results:Most common age group was 20-24 years (29.5%).Maximum number of cases was seen in parity between 2-5 (58%).PID was commonest amongst illiterate women (36%). Maximum number of cases was seen in women from lower socioeconomic class (74%).Out of 200 cases, 79% patients were married, 14 % were remarried.Presenting complaints were pain in abdomen (93.5%), per vaginal discharge (66%), fever (51%).Abdominal tenderness was seen in 95 % of cases. Palpable mass was present in 11 % of cases. Forniceal & cervical motion tenderness were the com-monest Per Vaginal examination findings seen in 89% & 84% cases respectively.Conclusion:Incidence of PID was higher in age group between 20-29 years, multipara, women from lower socioeconomic class & illiterate women. Pain in lower abdomen, per vaginal discharge & fever were the commonest complaints. Most of the patients on ex-amination had forniceal & cervical motion tenderness.