Compatibility between Menstrual Pictogram Assessment and Haemoglobin Assessment in Abnormal Uterine Bleeding

Uji Kesesuian Pemeriksaan Piktogram Menstruasi dengan Pemeriksaan Hemoglobin pada Pasien Perdarahan Uterus Abnormal

Abstract

Objective: To determine the amount of wasted blood and diagnosed
AUB and determine amount of decrease in haemoglobin
levels by adjusting the examination of menstrual pictogram
with haemoglobin.
Methods: Diagnostic test was conducted in the Department
Obstetrics and Gynecology Dr. Mohammad Hoesin/Faculty of
Medicine Universitas Sriwijaya Palembang, start from January 2015
through January 2017. Sample was obtained from 39 patients with
abnormal uterine bleeding who meet the inclusion and exclusion
criteria. Frequency and distribution of data are described in tables
and cross analyze (cut-off point) to find cut points difference
menstrual pictogram and a decrease in haemoglobin levels using
ROC curve. Accuracy is measured by the value of Kappa. Data
analysis using SPSS version 21.
Results: From 39 samples that obtained, majority characteristics
age > 35 years (59%), ideal BMI (59%) and multiparous
(48.7%). From statistical analysis, there was significance
association between haemoglobin measurement tools
and menstrual pictogram (p = 0.063). Both measuring devices
have compatibility in predicting the type of AUB (p = 0.047),
with the degree of conformity is weak (Kappa = 0.232).
Conclusion: Accuracy of menstrual pictogram examination and
haemoglobin has a weak degree of conformity, so menstrual
pictogram examination can’t be used to determine a decrease in
haemoglobin levels. Menstrual pictogram menstruation only used
as an evaluation of therapeutic response.
[Indones J Obstet Gynecol 2018; 6-3: 172-178]
Keywords: abnormal uterine bleeding, haemoglobin, menstrual pictogram