Given that studies out-of authoritative medical statistics is actually dependent on new population’s readiness to find medical assistance, a from inside the-breadth image of new reproductive wellness of the population regarding Yakutia must take multiple situations into consideration: ethnic resource, place of source, use of regarding scientific qualities. This research is conducted with that mission in your mind.
Chapter 2. Content and techniques
I’ve chose step 3 primary subjects to analyze: identifying services and you may deciding things out-of reproductive health and actions inside the teenage girls and you may female out of reproductive age; devotion out-of regional-, ethnicity- and you may ages-relevant points impacting and you may impacting breeding from the teenage age; execution and assessment regarding interventions made to improve the reproductive fitness from teenage girls and you may female regarding reproductive years, and you can decrease reproductive loss in the Yakutia.
And their concur, a supplementary gynaecologic examination try performed on girls with a last off sexual passion
This study is carried out at the healthcare and you can informative establishments in the city out-of Yakutsk, this new communities regarding Sayylyk (Ust-Yansky part), Olenek (Allaikhovsky part), Berezovka (Srednekolymsky area), Andryushkino and you may Kolymskoe (Nizhnekolymsky area). A total of 578 feminine was learned, as well as 476 regarding the indigenous Yakuts and Evenks.
A group of 318 adolescent girls was hired when you find yourself presenting to possess regimen physical assessments when you look at the planned groups. Such girls was basically 8–11th graders out-of universities in town out of Yakutsk and also the investigation communities. First- and you can 2nd 12 months people from Yakutsk State College or university together with participated. The study professionals was in fact split into step 3 teams:
Category I: 102 members away from European origin, produced and located in Yakutia, including fifty more youthful girls and you will teenage girls, and 52 feminine regarding reproductive ages;
Category II: 296 professionals from Yakut ethnicity, composed of 186 more youthful girls and you may adolescent girls, and you may 110 feminine of reproductive ages; and you may
Class III: 180 users of Evenk ethnicity, comprising 82 girls and teenage girls, and you will 98 women off reproductive decades.
The patient recommendations survey integrated first market advice and you may related medical and you will social history, having special interest regarding the after the fields:
The brand new real examination is actually done in a clinic setting in the room temperature. Several anthropometric evidence were filed, as well as height and you may lbs, bmi, resting height, tits circumference, neck thickness, feet size (from the higher trochanter towards the flooring) and you can pelvic dimensions.
The fresh new phase off sexual advancement are calculated in line with the Tanner Strategy (92), while the modified by the Skorodok (93). Pelvic size was basically mentioned having an excellent gynaecologic pelvimeter, playing with Kolumbijska djevojke najljepЕЎe na svijetu standardized steps. Non-gynaecologic conditions have been known having fun with an especially create processes merging systematic, research and you will practical degree.
On presence off certain issues with concur, girls without history of sexual activity underwent recto-abdominal study of the fresh pelvis.
The customers undergone ultrasound with the ALOKA-1700 with a step 3.5 MHz abdominal transducer and you will good 6.5 MHz genital transducer. They also were checked-out making use of the Voluson – 730 Specialist V making use of the IC5-9H?GIN and you will RAB2-5?OB transducers.
Another was indeed checked: the new cervix, endocervical occurrence and you may homogeneity, the positioning, shape and size of your own uterus and the state of the endo- and myometrium. Identification and you will prognosis of your own following the standards is actually emphasized: endometrial hyperplasia, chronic endometritis, adenomyosis, uterine fibroids. Professionals were examined getting signs of pain of your uterine adnexa and you may visibility off glue processes regarding the pelvis. The ovaries had been plus checked out to have dimensions, standing and you will presence otherwise absence of folliculogenesis. Folliculogenesis try evaluated because of the ultrasound monitoring of the quantity and you can size out of follicles, and the occurrence of your own endometrium throughout read monthly period cycles.
Ovarian put aside was measured of the relying exactly how many antral follicles smaller compared to 10 mm during the diameter having fun with ultrasonography for the big date 2–3 of your own menstrual cycle. With regards to the number of hair follicles, users was basically classified since which have:
