Objets: Study of clinical and para-clinical characteristics of intracavitary pathologies in peri-menopausal and post-menopausal women with abnormal uterine bleeding (AUB). Materials and methods: This was a prospective observational study and included 150 women above 40 years-old with AUB and had histopathological results to compare. Results: A mean age of total study was 51.51 ± 7.65. The most common symptom of AUB in perimenopause women was menorrhagia, making up to 62.2% of cases. There were 54.7% of cases had at least one functional symptom associated besides AUB, frequent symptoms were pale skin (35.9%) and hypogastric pain (31.3%). Prevalence of intracavitary pathologies differentiated from age, the most common abnormalities in peri-menopausal bleeding women are endometrial hyperplasia (66.7%), in post-menopausal bleeding women were endometrial hyperplasia (51,7%) and endometrial cancer (EC) (38,3%). Women with peri-menopausal bleeding had moderate-severe anemia (58.1%) was greater than women with post-menopausal bleeding (10.0%). The most common anormality resulting in severe anemia was endometrial hyperplasia (70.8%), EC occupied only 4.2%. Our study revealed age, diabetes in relationship to malignant disease. Others factors were less associated With malignancy. Size of uterus was different between the benign and malignant group in post-menopausal women with AUB. Dimension of lesion mass was also different among intracavity pathologies. Conclusion: Menorrhagia was the most common type of uterine bleeding caused severe anemia in perimenopausal women. Endometrial hyperplasia was the most popular cause lead to menorrhagia in intracavitary abnormalities. Age, diabetes increased the risk for EC. Size of uterus and intrauterine mass had association with malignant lesion in postmenopause with AUB.

Objective: To find out the level of health awareness related to pregnancy and the sources of information among parous women visiting the Community Health Center. Methods: This study was conducted at a Community Health Center during a 6-month period in 2021. Five hundred and eighty-one parous women who were eligible for the study were interviewed with the help of a questionnaire. Results: A large proportion of the women were well informed about certain health issues of pregnancy such as dietary intake of essential foods like dairy products (74.7%), Protein-rich foods (71.4%) and fruits (68.2%), the hours of daily rest necessary (81.9%), the need for exercise (83.6%), the importance and timing of antenatal visits, the risk of smoking in pregnancy (99.3%) and proper spacing of babies (97.7%). However, many women had no knowledge of the importance of taking high-fiber foods (55.1%) to avoid constipation, the required dietary changes in early pregnancy to prevent nausea and vomiting, and the ill-effects of maternal smoking on the fetus, Rubella infection and advancing maternal age on the fetus. They were also not aware of the importance of the various antenatal procedures such as blood examination, breast-care during pregnancy and immunizations to prevent Tetanus and Rubella infection. A higher literacy level of the women was significantly correlated with better knowledge on certain health parameters. Physicians and nurses constituted poor sources of health information (35.6%). Conclusion: There is a need to restructure the Health Education programmes relating to pregnancy delivered through CHCs and the mass media for better knowledge among women of childbearing age can decrease pregnancy-related problems and improve perinatal outcome.