AWARENESS FOR TEENAGERS
PRESENTED BY:
SHUBHRA SHARMA
KEY STAGES IN LIFE
 Infancy
 Childhood
 Adolescence
 Adulthood
 Old age
 Phase of human development
encompassing the transition from
childhood toadulthood.
 Acc. To WHO – age period
between 10 – 19 years for both
sexes, married & unmarried
people.
ADOLESCENCE
4
ADOLESCENT
5
 Adolescence
 Early Adolescence
 Middle adolescence :
 Late adolescence
 Youth
 Young people
: 10 – 19years
: 10 – 13years
14 – 16years
: 17 – 19years
: 15 – 24 years
: 10- 24 years
ADOLESCENT HEALTH
7
 Major physical, psychological and behavioural changes
 Sexual maturity &onset of sexualactivity.
 Development of adult mental process &adult identity.
 Great human resource for the society.
 Growth spurt and physical activity.
 Menstruation.
 Pregnancy.
ADOLESCENT WORLDWIDE
8
 Around 1in 6 persons in the world is
an adolescent, that is 1.2 billion
people aged 10to 19.
GLOBAL ADOLESCENT HEALTH
9
 Complications linked to pregnancy
and childbirth are the second cause
of death for 15-19-year-old girls
globally.
 Some 11% of all births worldwide are
to girls aged 15 to 19 years, and the
vast majority are in low- and middle-
income countries.
 830 women and girls die everyday
due to pregnancy and childbirth.
ADOLESCENT IN INDIA
10
 23% of population in India are Adolescent.
 Half of the group is sexually active before marriage.
 Fertility rate is high in adolescent
unsafe motherhood
MMR &IMR
 Low knowledge about family planning &healthysexuality
ADOLESCENT IN INDIA
11
 19.8% of women in age group of
15-19 are pregnant.
 Age specific fertility rate for 15-19 is
107/ 1000
 59% knows about condom.
 49%knows about OCP.
 Contraceptive use among married
adolescent 15-19 is 7%
ADOLESCENT IN INDIA
12
 In a 2014 study, 42% of women did not
know about sanitary pads or anatomy
and physiology in menstruation. "Most
of them were scared or worried on first
menstruation."
 Half of the women suffer from
nutritional anemia.
 Young people between age of 10-25
years make up 50% of all new HIV
infection.
MENSTRUAL CYCLE
AND HYGIENE
MANAGEMENT
PERIOD…….
IT’S A ”TABOO” TOPIC?????
“UNCLEAN AND EMBARRASSING”
IT’S A NATURAL PROCESS OF OUR
BODY
WHAT IS MENSTRUATION AND PERIOD
WHAT HAPPENS DURING THE MENSTRUAL
CYCLE?
MENSTRUAL PHASE
Cycle days (approximate) Events of the menstrual cycle
Days 1-5 (menstrual phase) •The first day of menstrual
bleeding is considered Day 1 of
the cycle.
•Bleeding is usually heaviest
on the first 2 days.
• Cramps
• Tender breasts
• Bloating
• Mood swings
• Irritability
• Headaches
• Tiredness
• Low back pain
PERIOD SYMPTOMS
FOLICULAR PHASE
Cycle days (approximate) Events of the menstrual cycle
Days 6-14
(follicular phase)
•Once the bleeding stops, the
uterine lining (also called the
endometrium) begins to
prepare for the possibility of a
pregnancy.
•The uterine lining becomes
thicker and enriched in blood
and nutrients.
OVULATION PHASE
Cycle days (approximate) Events of the menstrual cycle
14- 25 (ovulation phase) •Ovulation is when ovary releases a
mature egg.
•The egg travels down the fallopian tube
toward the uterus to be fertilized by
sperm.
•Ovulation happens at around day 14 in
28-day cycle — right in the middle of
menstrual cycle. It lasts about 24 hours.
•After a day, the egg will die or dissolve
if it isn’t fertilized
Symptoms: A slight rise in basal body
temperature. Thicker discharge that has
the texture of egg whites
LUTEAL PHASE
Cycle days (approximate) Events of the menstrual cycle
Days 25-28 (luteal phase) •If the egg was not fertilized or
implantation does not occur,
hormonal changes signal the uterus
to prepare to shed its lining, and the
egg breaks down and is shed along
with lining.
•The cycle begins again on Day 1
menstrual bleeding.
• Bloating
• Breast swelling, pain, or tenderness
• Mood changes
• Headache
• Weight gain
• Changes in sexual desire
• Food cravings
• Trouble sleeping
SYMPTOMS OF PMS(PRE
MENSTRUAL SYNDROME
RESTRICTION ON
MENSTRUATING GIRL
Hinduism:Considered ritually impure, impure and polluted .women are not
allowed to “enter the kitchen and temples", wear flowers, touch other males
or females.” Women have a separate room to stay in, separate plates and
cutlery, and do not enter the kitchen or any sacred section of the house.
• Women who are into activities such as singing, tailoring or art, do not touch
their tools for these three days. On the third day, after the woman takes a
ritual bath, she is considered cleansed and may resume her normal routine.
RELIGIOUS VIEWS
Christianity:
• Most Christian denominations do not follow any specific
rituals or rules related to menstruation.
Islam:
• During menstrual periods, women are excused from
performing prayers. They should not fast.
MENSTRUAL MYTHS
• Every woman's cycle is or should be
28 days long.
• Every woman will or should bleed
every month.
• Every woman will or should ovulate
every cycle.
• If a woman bleeds, she is not pregnant.
• A woman cannot ovulate or get
pregnant while she is menstruating.
Every woman is different
IDENTIFYING COMMON ISSUES
• Every woman’s menstrual cycle is
different.
• Some women get their period at the
same time each month. •Others are
more irregular.
• Some women bleed more heavily or
for a longer number of days than
others.
PERIOD PRODUCTS
Sanitary Napkin
OR
Cloth
WHAT ARE THE OPTONS?
• Sanitary napkin can be used and
disposed in a much easier way as
compared to cloth
• It has absorbent material layer,
which provides a dry feeling
•Decreases chances of infections
• Helps in mobility and ease of daily
routine work
ADVANTAGES OF SANITARY
NAPKIN
• Change atleast once a day
• Changing every six-eight
hours is recommended
• During heavy menses, may
need to change every 3-4 hours
• Do not keep till completely
soaked
CHANGE SANITARY NAPKIN
• Ensure that clean, soft, dry and absorbent cloth
is used
• In case, it is being reused, it must be washed
thoroughly and dried in private but sunny place.
• After drying, if possible it should be ironed
• store in a clean and dry place
• Do not share this cloth with anyone
• After multiple use, dispose off this cloth
WHAT IF USING CLOTH?
• If they are left in the open, they are
a sore sight
• May lead to transmission of
infections like Hepatitis B and
hepatitis C
• Will attract flies and insects
NECESSITY TO DISPOSE OFF SANITARY
NAPKINS
• Napkins should not be thrown into the toilets particularly the water
closet.
• Keep old newspapers/waste paper ready to wrap the used napkin.
Drop it in the bin.
• You can dispose the contents of the bin after your cycle bleed is over
or daily.
• In case there is no disposal mechanism prevalent in your locality, see
about disposing it within your backyard itself either by sanitary pit
(burial) or incineration(burning).
DISPOSING NAPKINS
• Skipped periods, or periods have
stopped entirely.
• Periods are irregular.
• Bleeding for more than seven days.
• Periods are less than 21 days or
more than 35 days apart.
• Bleeding between periods (heavier
than spotting).
SIGNS OF A PROBLEM WITH
MENSTRUAL CYCLE
• Birth control
• Pregnancy
• (Poloycystic ovary syndrome PCOS)
• Uterine fibroids
• Eating disorders
THINGS THAT CAN ALTER MENSTRUAL
CYCLE
• Spasmodic cramping : A diet high in linoleic and liblenic
acids, found in vegetables and fish, increases the prostaglandins
for aiding muscle relaxation.
• Congestive cramping : To counter congestive cramping, avoid
wheat and dairy products, alcohol, caffeine, and refined sugar.
UTERINE CRAMPING
• Increase exercise.
• Try not using tampons.
• Avoid red meat, refined sugars,
milk, and fatty foods.
• Eat lots of fresh vegetables, whole
grains, nuts, seeds and fruit.
• Avoid caffeine.
• Meditate
• Drink ginger root tea.
NATURAL OPTIONS TO ALLEVIATE
CRAMPING
• Don’t Put cayenne pepper on
food.
• Breathe deeply, relax, notice
where you hold tension in your
body and let it go.
Drink plenty of water
For men: Around 3.7 liters or
125 ounces
• For women: Around 2.7 liters
or 91 ounces
• Clue
• Eve Tracker
• Flo Period & Ovulation
• Period Diary
• Ovia Fertility Period Tracker
• Cycles
• Dot
PERIOD TRACKING MOBILE
APPLICATIONS
PERIOD DIARY
FLOW PERIOD AND OVULATION
48
49
• https://www.fwhc.org/health/moon.html
• https://www.healthline.com/health/womens- health/stages-of-
menstrual-cycle#takeaway
• https://youngwomenshealth.org/2014/02/25/ polycystic-ovary-
syndrome/
REFERENCE'S
REFERENCE
51
IAP textbook of Paediatrics 5thedition
Community medicine with recent advances 3rd edition AH
Suryakantha.
National health programmes of India 11thedition J.Kishore’s
Textbook of community medicine revised 3rd edition by
Sunderlal, Adarsh,Pankaj
WHO - Adolescent health and adolescent pregnancy pdf.
1/26/2019 69
52

Awareness for teenagers

  • 1.
  • 3.
    KEY STAGES INLIFE  Infancy  Childhood  Adolescence  Adulthood  Old age
  • 4.
     Phase ofhuman development encompassing the transition from childhood toadulthood.  Acc. To WHO – age period between 10 – 19 years for both sexes, married & unmarried people. ADOLESCENCE 4
  • 5.
    ADOLESCENT 5  Adolescence  EarlyAdolescence  Middle adolescence :  Late adolescence  Youth  Young people : 10 – 19years : 10 – 13years 14 – 16years : 17 – 19years : 15 – 24 years : 10- 24 years
  • 7.
    ADOLESCENT HEALTH 7  Majorphysical, psychological and behavioural changes  Sexual maturity &onset of sexualactivity.  Development of adult mental process &adult identity.  Great human resource for the society.  Growth spurt and physical activity.  Menstruation.  Pregnancy.
  • 8.
    ADOLESCENT WORLDWIDE 8  Around1in 6 persons in the world is an adolescent, that is 1.2 billion people aged 10to 19.
  • 9.
    GLOBAL ADOLESCENT HEALTH 9 Complications linked to pregnancy and childbirth are the second cause of death for 15-19-year-old girls globally.  Some 11% of all births worldwide are to girls aged 15 to 19 years, and the vast majority are in low- and middle- income countries.  830 women and girls die everyday due to pregnancy and childbirth.
  • 10.
    ADOLESCENT IN INDIA 10 23% of population in India are Adolescent.  Half of the group is sexually active before marriage.  Fertility rate is high in adolescent unsafe motherhood MMR &IMR  Low knowledge about family planning &healthysexuality
  • 11.
    ADOLESCENT IN INDIA 11 19.8% of women in age group of 15-19 are pregnant.  Age specific fertility rate for 15-19 is 107/ 1000  59% knows about condom.  49%knows about OCP.  Contraceptive use among married adolescent 15-19 is 7%
  • 12.
    ADOLESCENT IN INDIA 12 In a 2014 study, 42% of women did not know about sanitary pads or anatomy and physiology in menstruation. "Most of them were scared or worried on first menstruation."  Half of the women suffer from nutritional anemia.  Young people between age of 10-25 years make up 50% of all new HIV infection.
  • 13.
  • 14.
    PERIOD……. IT’S A ”TABOO”TOPIC????? “UNCLEAN AND EMBARRASSING”
  • 15.
    IT’S A NATURALPROCESS OF OUR BODY
  • 16.
  • 18.
    WHAT HAPPENS DURINGTHE MENSTRUAL CYCLE?
  • 19.
    MENSTRUAL PHASE Cycle days(approximate) Events of the menstrual cycle Days 1-5 (menstrual phase) •The first day of menstrual bleeding is considered Day 1 of the cycle. •Bleeding is usually heaviest on the first 2 days.
  • 20.
    • Cramps • Tenderbreasts • Bloating • Mood swings • Irritability • Headaches • Tiredness • Low back pain PERIOD SYMPTOMS
  • 21.
    FOLICULAR PHASE Cycle days(approximate) Events of the menstrual cycle Days 6-14 (follicular phase) •Once the bleeding stops, the uterine lining (also called the endometrium) begins to prepare for the possibility of a pregnancy. •The uterine lining becomes thicker and enriched in blood and nutrients.
  • 22.
    OVULATION PHASE Cycle days(approximate) Events of the menstrual cycle 14- 25 (ovulation phase) •Ovulation is when ovary releases a mature egg. •The egg travels down the fallopian tube toward the uterus to be fertilized by sperm. •Ovulation happens at around day 14 in 28-day cycle — right in the middle of menstrual cycle. It lasts about 24 hours. •After a day, the egg will die or dissolve if it isn’t fertilized Symptoms: A slight rise in basal body temperature. Thicker discharge that has the texture of egg whites
  • 23.
    LUTEAL PHASE Cycle days(approximate) Events of the menstrual cycle Days 25-28 (luteal phase) •If the egg was not fertilized or implantation does not occur, hormonal changes signal the uterus to prepare to shed its lining, and the egg breaks down and is shed along with lining. •The cycle begins again on Day 1 menstrual bleeding.
  • 25.
    • Bloating • Breastswelling, pain, or tenderness • Mood changes • Headache • Weight gain • Changes in sexual desire • Food cravings • Trouble sleeping SYMPTOMS OF PMS(PRE MENSTRUAL SYNDROME
  • 26.
  • 27.
    Hinduism:Considered ritually impure,impure and polluted .women are not allowed to “enter the kitchen and temples", wear flowers, touch other males or females.” Women have a separate room to stay in, separate plates and cutlery, and do not enter the kitchen or any sacred section of the house. • Women who are into activities such as singing, tailoring or art, do not touch their tools for these three days. On the third day, after the woman takes a ritual bath, she is considered cleansed and may resume her normal routine. RELIGIOUS VIEWS
  • 28.
    Christianity: • Most Christiandenominations do not follow any specific rituals or rules related to menstruation. Islam: • During menstrual periods, women are excused from performing prayers. They should not fast.
  • 30.
    MENSTRUAL MYTHS • Everywoman's cycle is or should be 28 days long. • Every woman will or should bleed every month. • Every woman will or should ovulate every cycle. • If a woman bleeds, she is not pregnant. • A woman cannot ovulate or get pregnant while she is menstruating. Every woman is different
  • 31.
    IDENTIFYING COMMON ISSUES •Every woman’s menstrual cycle is different. • Some women get their period at the same time each month. •Others are more irregular. • Some women bleed more heavily or for a longer number of days than others.
  • 32.
  • 33.
  • 34.
    • Sanitary napkincan be used and disposed in a much easier way as compared to cloth • It has absorbent material layer, which provides a dry feeling •Decreases chances of infections • Helps in mobility and ease of daily routine work ADVANTAGES OF SANITARY NAPKIN
  • 35.
    • Change atleastonce a day • Changing every six-eight hours is recommended • During heavy menses, may need to change every 3-4 hours • Do not keep till completely soaked CHANGE SANITARY NAPKIN
  • 36.
    • Ensure thatclean, soft, dry and absorbent cloth is used • In case, it is being reused, it must be washed thoroughly and dried in private but sunny place. • After drying, if possible it should be ironed • store in a clean and dry place • Do not share this cloth with anyone • After multiple use, dispose off this cloth WHAT IF USING CLOTH?
  • 37.
    • If theyare left in the open, they are a sore sight • May lead to transmission of infections like Hepatitis B and hepatitis C • Will attract flies and insects NECESSITY TO DISPOSE OFF SANITARY NAPKINS
  • 38.
    • Napkins shouldnot be thrown into the toilets particularly the water closet. • Keep old newspapers/waste paper ready to wrap the used napkin. Drop it in the bin. • You can dispose the contents of the bin after your cycle bleed is over or daily. • In case there is no disposal mechanism prevalent in your locality, see about disposing it within your backyard itself either by sanitary pit (burial) or incineration(burning). DISPOSING NAPKINS
  • 39.
    • Skipped periods,or periods have stopped entirely. • Periods are irregular. • Bleeding for more than seven days. • Periods are less than 21 days or more than 35 days apart. • Bleeding between periods (heavier than spotting). SIGNS OF A PROBLEM WITH MENSTRUAL CYCLE
  • 40.
    • Birth control •Pregnancy • (Poloycystic ovary syndrome PCOS) • Uterine fibroids • Eating disorders THINGS THAT CAN ALTER MENSTRUAL CYCLE
  • 41.
    • Spasmodic cramping: A diet high in linoleic and liblenic acids, found in vegetables and fish, increases the prostaglandins for aiding muscle relaxation. • Congestive cramping : To counter congestive cramping, avoid wheat and dairy products, alcohol, caffeine, and refined sugar. UTERINE CRAMPING
  • 42.
    • Increase exercise. •Try not using tampons. • Avoid red meat, refined sugars, milk, and fatty foods. • Eat lots of fresh vegetables, whole grains, nuts, seeds and fruit. • Avoid caffeine. • Meditate • Drink ginger root tea. NATURAL OPTIONS TO ALLEVIATE CRAMPING
  • 43.
    • Don’t Putcayenne pepper on food. • Breathe deeply, relax, notice where you hold tension in your body and let it go. Drink plenty of water For men: Around 3.7 liters or 125 ounces • For women: Around 2.7 liters or 91 ounces
  • 44.
    • Clue • EveTracker • Flo Period & Ovulation • Period Diary • Ovia Fertility Period Tracker • Cycles • Dot PERIOD TRACKING MOBILE APPLICATIONS
  • 45.
  • 46.
    FLOW PERIOD ANDOVULATION
  • 48.
  • 49.
  • 50.
    • https://www.fwhc.org/health/moon.html • https://www.healthline.com/health/womens-health/stages-of- menstrual-cycle#takeaway • https://youngwomenshealth.org/2014/02/25/ polycystic-ovary- syndrome/ REFERENCE'S
  • 51.
    REFERENCE 51 IAP textbook ofPaediatrics 5thedition Community medicine with recent advances 3rd edition AH Suryakantha. National health programmes of India 11thedition J.Kishore’s Textbook of community medicine revised 3rd edition by Sunderlal, Adarsh,Pankaj WHO - Adolescent health and adolescent pregnancy pdf.
  • 52.