Abnormal Uterine Bleeding (AUB) at Haji Adam Malik General Hospital, Medan, North Sumatera, Indonesia
Downloads
HIGHLIGHTS
- Leiomyoma is still the most common case in women aged 41–50 years.
- Women who have an obese BMI are the main risk factor for abnormal uterine bleeding, so it is urged for women to maintain an ideal weight because it can be bad for health.
ABSTRACT
Objective: This study identified the incidence of Abnormal Uterine Bleeding (AUB) at Haji Adam Malik General Hospital, Medan, Indonesia, in 2020-2021.
Materials and Methods: This was a descriptive study with a cross-sectional design. Sampling was taken using total sampling and using retrospective data in the form of medical records with a diagnosis of AUB at Haji Adam Malik General Hospital Medan in 2020–2021.
Results: There were 197 cases of AUB, with the highest distribution in the age group of 41–50 years with 84 people (42.6%). The most cases of AUB with an obese BMI were 91 people (46.2%), married status as many as 176 people (89.3%), had the last education level of senior high school as many as 99 people (50.3%), 144 people (73.1%) got their first menstruation when they were >12 years old, 80 people (40.6%) had multiparity, 90 people (45.7%) received medical therapy. Based on the PALM-COEIN classification, the most AUB cases were AUB-L with 99 people (50.3%). Based on the classification of AUB-L locations, most locations were submucosa with 38.6%.
Conclusion: AUB-L cases were still the most common cases at Haji Adam Malik General Hospital, Medan, Indonesia, in 2020–2021.
Elmaoğulları S, Aycan Z. Abnormal Uterine Bleeding in Adolescents. J Clin Res Pediatr Endocrinol. 2018;10(3):191-7. doi: 10.4274/jcrpe. 0014. Epub 2018 Feb 28. PMID: 29537383; PMCID: PMC6083466.
Rusda M, Sipahutar A, Rambe AY. Application of international endometrial tumor analysis in abnormal uterine bleeding: A case report. Open Access Macedonian Journal of Medical Sciences. 2022;10(T7):7–11. doi: 10.3889/oamjms.2022.9236
Munro MG, Critchley HOD, Fraser IS; FIGO Menstrual Disorders Committee. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018;143(3):393-408. doi: 10.1002/ijgo.12666. Epub 2018 Oct 10. Erratum in: Int J Gynaecol Obstet. 2019 Feb;144(2):237. PMID: 30198563.
Bulun SE. Uterine fibroids. N Engl J Med. 2013;369(14):1344-55. doi: 10.1056/NEJMra120 9993. PMID: 24088094.
Giuliani E, As-Sanie S, Marsh EE. Epidemiology and management of uterine fibroids. Int J Gynaecol Obstet. 2020;149(1):3-9. doi: 10.1002/ijgo.13102. Epub 2020 Feb 17. PMID: 31960950.
Tendean GG, Mewengkang M, Wantania JJ. Kejadian perdarahan uterus abnormal di RSUP Prof. Dr. R.D. Kandou Manado tahun 2015 [Abnormal uterine bleeding in Manado]. E-CliniC. 2016;4(2). doi: 10.35790/ecl.v4i2.14395.
Mahapatra M, Mishra P. Clinicopathological evaluation of abnormal uterine bleeding. Journal of Health Research and Reviews. 2015;2(2):45. doi: 10.4103/2394-2010.160904.
Manalu JA. Hubungan faktor risiko dan keluhan-keluhan penderita terhadap kejadian mioma uteri di RSUP Haji Adam Malik Medan Tahun 2014-2015 [Association between risk factors and the patient's symptoms on uterine myoma incidence in Medan] [doctoral dissertation on the internet]. Universitas Sumatera Utara. 2017. Available from: https:// repositori.usu.ac.id/handle/123456789/19790
Goldstein SR, Lumsden MA. Abnormal uterine bleeding in perimenopause. Climacteric. 2017; 20(5):414-420. doi: 10.1080/13697137.2017.135 8921. Epub 2017 Aug 7. PMID: 28780893.
Mayanda IB, Surasandi IG. Prevalensi kejadian perdarahan uterus abnormal di Rumah Sakit Umum Daerah Wangaya Denpasar periode Januari–Desember 2020 [Prevalence of abnormal uterine bleeding in Denpasar]. Intisari Sains Medis. 2021; 12(1):107-12. doi: 10.15562/ism.v12i1.977.
Wardani RA. Karakteristik wanita dengan per-darahan uterus abnormal di poli kandungan Rumah Sakit Angkatan Laut dr Ramelan Surabaya tahun 2016 [Characteristics of women with abnormal uterine bleeding in obstetric clinic of Navy Hospital, Surabaya]. Hang Tuah Medical Journal. 2017; 15(1):65-74. doi: 10.30649/htmj.v15i1.23.
Anupamasuresh Y, Suresh YV, Jain P. Abnormal uterine bleeding: a clinicohistopathological analysis. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014;3(3):656-62. doi: 10.5455/2320-1770.ijrcog20 140954
Marpaung WS. Analisis kasus Perdarahan Uterus Abnormal (PUA) di Rumah Sakit Umum Pusat Haji Adam Malik Medan [Analysis of Abnormal Uterine Bleeding in Medan] [doctoral dissertation on the internet]. Universitas Sumatera Utara. 2019. Available from: https://repositori.usu.ac.id/handle/ 123456789/15627
ACOG committee opinion no. 557: Management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. Obstet Gynecol. 2013; 121(4):891-6. doi: 10.1097/01.AOG.0000428646. 67925.9a. PMID: 23635706.
Barrett ES, Parlett LE, Windham GC, et al. Differences in ovarian hormones in relation to parity and time since last birth. Fertil Steril. 2014;101(6):1773-80.e1. doi: 10.1016/j.fertnstert. 2014.02.047. Epub 2014 Mar 28. PMID: 24684956; PMCID: PMC4041832.
Rifki M, Loho M, Wagey FM. Profil perdarahan uterus abnormal di RSUP Prof. Dr. RD Kandou Manado periode 1 Januari 2013–31 Desember 2014. e-CliniC. 2016;4(1). doi: 10.35790/ecl.v4i1. 12108.
Tochie JN, Badjang GT, Ayissi G, et al. Physiopathology and management of uterine fibroids. In: Fibroids 2020 Dec 8. IntechOpen. doi: 10.5772/intechopen.94162.
Retnaningsih R, Alim Z. Characteristics of uterine myoma patients at inpatient rooms of dr. Soepraon 2nd Grade Military Hospital, Malang. Majalah Obstetri dan Ginekologi. 2020;28(2):89-92. doi: 10.20473/mog.V28I22020.89-92
Fergusson RJ, Bofill Rodriguez M, Lethaby A, et al. Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. Cochrane Database Syst Rev. 2019;8(8):CD0 00329. doi: 10.1002/14651858.CD000329.pub3. Update in: Cochrane Database Syst Rev. 2021 Feb 23;2:CD000329. PMID: 31463964; PMCID: PMC6713886.
Al Nemer AM, Al Bayat MI, Al Qahtani NH. The accuracy of endometrial sampling for the diagnosis of patterns of endometrial pathology in women presenting with abnormal uterine bleeding. More conservative therapeutic approaches. Saudi Med J. 2019;40(8):815-9. doi: 10.15537/smj.2019.8.24449. PMID: 31423519; PMCID: PMC6718861.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
1. Copyright of the article is transferred to the journal, by the knowledge of the author, whilst the moral right of the publication belongs to the author.
2. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Non Commercial-Share alike (CC BY-NC-SA), (https://creativecommons.org/licenses/by-nc-sa/4.0/)
3. The articles published in the journal are open access and can be used for non-commercial purposes. Other than the aims mentioned above, the editorial board is not responsible for copyright violation
The manuscript authentic and copyright statement submission can be downloaded ON THIS FORM.