Diagnosis of abnormal uterine bleeding using PALM COEIN classification and its management: An institutional experience

Diagnosis of abnormal uterine bleeding using PALM COEIN classification and its management: An institutional experience

Aims: Categorization and treatment of abnormal uterine bleeding based on FIGO - PALM COEIN classification system Methods: A prospective cross-sectional observational study was conducted in the Department of Obstetrics and Gynaecology, Vydehi Institute of Medical Sciences and Research Centre, Bengalu...

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Veröffentlicht in:Nepal journal of obstetrics & gynaecology 2021-06, Vol.16 (1)
Hauptverfasser: Chandregowda, Chandana, Reddy, Swathi Aswath, Datti, Sujatha, Venkatesh, Shreedhar
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container_title Nepal journal of obstetrics & gynaecology
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creator Chandregowda, Chandana
Reddy, Swathi Aswath
Datti, Sujatha
Venkatesh, Shreedhar
description Aims: Categorization and treatment of abnormal uterine bleeding based on FIGO - PALM COEIN classification system Methods: A prospective cross-sectional observational study was conducted in the Department of Obstetrics and Gynaecology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru for a period of 1year from January 2019 to December 2019. All cases with abnormal uterine bleeding in 20 - 50 years of age were taken. Clinical details and imaging tests recorded, and categorized by FIGO- PALM COEIN classification for diagnosis and treatment. Statistical Package for Social Sciences version 21 was used to analyse the data and presented as frequencies and percentages. Results: Out of 300 women of AUB, 190 had structural (PALM) and 110 women had nonstructural (COEIN) aetiology; 138 women among 300 underwent hysterectomy and 20 patients underwent hysteroscopic polypectomy. Levonorgestrel intrauterine device inserted in 40 patients, 85 women were managed medically and 17 women lost to follow-up for further management. Conclusion: FIGO PALM-COEIN classification system for the diagnosis and treatment of abnormal uterine bleeding was adopted for the uniform standard.
doi_str_mv 10.3126/njog.v16i1.37515
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All cases with abnormal uterine bleeding in 20 - 50 years of age were taken. Clinical details and imaging tests recorded, and categorized by FIGO- PALM COEIN classification for diagnosis and treatment. Statistical Package for Social Sciences version 21 was used to analyse the data and presented as frequencies and percentages. Results: Out of 300 women of AUB, 190 had structural (PALM) and 110 women had nonstructural (COEIN) aetiology; 138 women among 300 underwent hysterectomy and 20 patients underwent hysteroscopic polypectomy. Levonorgestrel intrauterine device inserted in 40 patients, 85 women were managed medically and 17 women lost to follow-up for further management. 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All cases with abnormal uterine bleeding in 20 - 50 years of age were taken. Clinical details and imaging tests recorded, and categorized by FIGO- PALM COEIN classification for diagnosis and treatment. Statistical Package for Social Sciences version 21 was used to analyse the data and presented as frequencies and percentages. Results: Out of 300 women of AUB, 190 had structural (PALM) and 110 women had nonstructural (COEIN) aetiology; 138 women among 300 underwent hysterectomy and 20 patients underwent hysteroscopic polypectomy. Levonorgestrel intrauterine device inserted in 40 patients, 85 women were managed medically and 17 women lost to follow-up for further management. 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title Diagnosis of abnormal uterine bleeding using PALM COEIN classification and its management: An institutional experience
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