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Indian Journal of Obstetrics and Gynecology

Volume  5, Issue 3 (Supplement), Jul-Sep 2017, Pages 294-294
 

Original Article

Gynecological Disorders in Geriatric Women - Hospital Based Study

Rajini

Rajini Department of Obstetrics and Gynaecology, Kasturba Medical College, Mangalore, Karnataka, India.

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Abstract

Introduction: Government of India adopted ‘National Policy on Older Persons’ in January, 1999. The policy defines ‘senior citizen’ or ‘elderly’ as a person who is of age 60 years or above1 .The major challenge in 21stcentury is increase of elderly people in its population. Geriatric gynecology deals with gynecological disorders in elderly people at and above 60 years with an intention of early diagnosis and management of that condition which is a major health problem unseen among this group. Aim: To study the pattern of gynaecological disorders in elderly women. Objectives: 1. To know the disease pattern 2. Analysis of intra operative and postoperative complication Materials and Methods: Study Setting: Lady goschen hospital and in KMC at Attavar (gynecological cases). Study Design: Prospective type of descriptive study Study Population: All geriatric women admitted through outpatient clinic and casualty. Sample Size: Time bound (September 2015 to August 2017) study (sample size is approximately 90). Data Analysis: By descriptive analysis. Inclusion Criteria: All women aged >60 years. Exclusion Criteria: No exclusion criteria. All geriatric women admitted in the hospital are included in the study. Results: The most common age group seen was between 60-65 years and the most common gynaecological problem observed is prolapse uterus (48%) followed by postmenopausal bleeding. Among the postmenopausal bleeding the most common cause is carcinoma cervix (17%). Among the malignancy cervical cancer is leading followed by ovarian (8.9%) and endometrial malignancy (2.1%). All of them are given chemo and radiotherapy. Most of them have reported at a late stage and primary surgery could not be performed. Conclusion: Increasing life expectancy should be a boon but not a bane to the society. Presenting complaints should be priotrized and treatment should be indivisualised towards each patient.