Morbidity In Women Of Reproductive Age Research Articles

Deworming women of reproductive age during adolescence and pregnancy: what is the impact on morbidity from soil-transmitted helminths infection?

BackgroundSoil-transmitted helminths (STHs) are a major cause of poor health in low- and middle-income countries. In particular, hookworm is known to cause anaemia in children and women of reproductive age (WRA). One goal of the World Health Organization’s (WHO) 2030 roadmap for neglected tropical diseases is to reduce STH-related morbidity in WRA. As a minimal intervention, the WHO recommends deworming adolescent girls annually during human papilloma virus vaccination programmes and WRA during pregnancy and lactation. These routine interventions are low cost and can be implemented even by the most basic health services in endemic countries. In this study we use a cohort model to investigate the potential impact on STH-related morbidity in WRA.ResultsAnnual deworming treatment of adolescent girls reduces the prevalence of moderate- and heavy-intensity infections in this age group by up to 60% in moderate transmission settings and by 12–27% in high transmission settings. Treatment of WRA during pregnancy and lactation on its own has a small (< 20%) but significant effect on morbidity although it does not lead to the achievement of the morbidity target (< 2% moderate- to high-intensity infections) in this age group. However, depending on the age-intensity profile of infection, which may vary geographically, and assumptions on the density-dependence of egg production by fertilised female worms, continued school-based treatment may be able to reduce the force of infection acting on WRA, both through an indirect effect on the overall population-based force of infection and via reducing the burden of infection as children age and move into the WRA age classes. As a result, morbidity in WRA may be eliminated.ConclusionWhile deworming during pregnancy and lactation does not lead to the achievement of the morbidity target in WRA and its efficacy may vary by setting, it is still expected to be beneficial for maternity and child health. Monitoring of any WRA-based intervention is recommended to evaluate its effectiveness.Graphical

Prevalence of Dysmenorrea and its Effect on Student’s Quality of Life

Background: Dysmenorrhea is the leading cause of gynecological morbidity in women of reproductive age and it was found to have significant effect on day-to-day activities. Present study aimed to assess prevalence of dysmenorrea and its effect on Student’s Quality of Life at Faculty of Nursing Beni-Sueff University. Subjects and Methods: This study was exploratory descriptive, A convenient sample was selected from 516female students at faculty of Nursing Beni-suef University Data collection tools:1) Socio-demographic Questionnaire 2) verbal multidimensional scoring system 3) Pediatric quality of life Generic Core Scales. The results of the study revealed that the majority of the studied students suffered from dysmenorrheal in different grads, most of them experienced grade 1, more than one third experienced grade 2 and eighty percent of them experienced grade 3. Forty had moderate level of quality of life in physical health while more than one third experienced low level in psychological health, less than half experienced low level in social health and more than half experienced low level in academic performance and there was highly statistical significant correlation between dysmenorrheal and quality of life. The study concluded that the majority of the studied students suffered from dysmenorrheal & it had negative effect on quality of life, leading to absenteeism, reduced physical activity, loss of concentration, and poor social relationship. So study recommended to conduct better quality population-based longitudinal studies on the natural history of dysmenorrhea and on the effect of its risk factors across the reproductive life course.