A cross-sectional study of gynaecological morbidity among married women in field practice area of community health centre Rajapur, Gulbarga.

There is always concern about the healthcare of women during pregnancy and child birth and prevention of maternal mortality on priority. By contrast little attention has been given to the reproductive health of non-pregnant women. There is always a relative neglect of gynaecological care which fails to appreciate the magnitude of the problem in the community. The objectives of the study were to assess the level of gynaecological morbidity among married women and to assess the magnitude of gynaecological problems in relation to their history, clinical examination and laboratory investigations. This study is one cross-sectional and the area selected was Rajapur village field practice area, MR Medical College, Gulbarga. Population of Rajapur is 5000 spread over nearly in 850 familes. Family was taken as unit for study purpose. Estimated married women were 580. The sample interval was taken as two. Sample size constituted 290 married women. The information was collected in pretested proforma, gynaecological examination and laboratory investigation were done at community health centre. In the present study gynaecological morbidity perceived by women was 81.37% (including menstrual problems). Disease per woman as perceived by woman was 2.48%, but gynaecological morbidity on clinical examination was 79.66%. Disease per woman on clinical examination was 1.57%. On laboratory investigations 24.24% women had inflammatory cells on microscopic examination of urine and 1.29% women were found to have blood VDRL reactive, on laboratory investigation done among the 231cases. Pap smear report showed out of 290 women, 162 (55.86%) showed inflammatory changes. Only one woman ie, 0.34% had neoplasia, but there were 22 (7.58%), 2 (0.68%) and 12 (4.13%) women had mild, moderate and severe dysplasia respectively. Trichomonas vaginitis was observed in 10 women (3.44%).