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

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