Abnormal Uterine Bleeding, its Clinical Pattern And Associated Factors among Reproductive-Age Women Visiting Gynecology Outpatient Department At The Jimmaa Medical Center, South West Ethiopia

Abstract

Background: - Abnormal uterine bleeding (AUB) is the most common clinical presentation among reproductive-age group women visiting gynecologic clinic. It accounts for one-third of the cases. Its cause varies with women’s age and ranging spectrum from physiologic process to malignant lesions. Its clinical presentation is classified based on menstrual flow by amount, duration of flow, regularity and frequency. As to the investigator’s knowledge, limited research is available in our setting about its prevalence, clinical pattern and associated factors. Objective: - To determine the prevalence of AUB, it’s clinical pattern and associated factors at Jimma medical center gynecologic outpatient Method: - Institutional based cross-sectional study was conducted at Jimma medical center gynecologic out-patient department from April 1, 2021 to September 30, 2021. The totals of 552 of samples were collected by convenience sampling technique from women visiting gynecologic outpatient department. A structured questionnaire were used to collect data, and the data were entered in to computer using Epi-data version 3.1 and exported to statistical package for social science (SPSS) version 26 statistical software packages for analysis. Descriptive statistics were used to summarize descriptive data; bivariate and multivariable logistic regression analyses were carried out to measure statistical associations. Adjusted odd ratio and 95% CI were used to measure strength of association and its statistical significance respectively. Result: - In this study 552 reproductive-age group women included making response rate of 92.3%. The prevalence of abnormal uterine bleeding in this study was 40.9%. Distribution pattern of AUB in this study is HMB 22.8%, prolonged menstrual bleeding 20.8%, frequent bleeding 19.2%, irregular menstrual bleeding 17.8%, amenorrhea 5.6% and intermenstrual bleeding 4.3%. The result of multivariable logistic regression analysis shows that age being between 31-40 years, being government employee, being para one woman and history of previous abnormal uterine bleeding on expectant management were independently associated with abnormal uterine bleeding. Conclusion: - According international federation of Obstetrics and Gynecology classification prevalence of abnormal uterine bleeding is higher in this study. Most common pattern seen on this study is heavy menstrual bleeding (22.8%). In this study age, occupation, parity and previous treatment of abnormal uterine bleeding are main factors associated with AUB