Original Research Article
Year: 2019 | Month: November | Volume: 6 | Issue: 11 | Pages: 548-560
A Study on Incidence, Clinical Profile and Prescribing Pattern in Abnormal Uterine Bleeding In a Tertiary Care Teaching Hospital
Dr. T. Lakshmi Suseela1, Dr. S. Parveen2, D. Archana3, K. Sai Prasanna3, N. Harini3, V. Pravallika3
1Professor and HOD, Department of Obstetrics and Gynecology, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh
2Assisstant Professor, Department of Pharmacy Practice,
3Pharm.D Interns, P. Rami Reddy Memorial College of Pharmacy, Kadapa, Andhra Pradesh
Corresponding Author: Dr. S. Parveen
ABSTRACT
Abnormal uterine bleeding (AUB) is one of the most common conditions experiencing by every women. It is defined as bleeding from uterus that is abnormal in volume, regularity and timing. “The purpose of the study is to evaluate incidence, clinical profile and prescribing patterns of AUB in Reproductive age women”. A prospective Observational study was carried out at Rajiv Gandhi Institute of medical sciences-Kadapa, over a period of 6 months. We had recruited 100 subjects of AUB and evaluated their demographics, Clinical profile and prescribing patterns. Descriptive statistical analysis was carried out for observed results. The incidence of AUB ranges about 22.02%. AUB was observed mostly in the age group of 31-40 (44%), Multiparous women was at higher risk of developing AUB 87% , the most common etiology was found to be leiomyoma (47%). The most common complaint was Heavy menstrual bleeding 70% and most commonly used diagnostic procedure was USG abdomen, thyroid profile test &biopsy. Majority of subjects developed Anemia, so blood transfused was done in 70% patients, supplements were prescribed in 85% patients, antibiotics were prescribed in 66% patients, Tranexamic acid (65%), mefenamic acid (39%), norethisterone (21%) were most commonly prescribed, HRT was prescribed in 24% and surgery was done in 32% subjects to manage AUB. By this study we conclude that as AUB is of higher incidence its management and prevention of its complications must be individualized based on etiology assessed by appropriate diagnostic procedure to promote a better Patient care.
Key words: Abnormal uterine bleeding, Heavy menstrual bleeding, Multiparous, Tranexamic Acid, USG abdomen, Norethisterone.
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