title: The impact of pre-menarcheal training on menstrual practices and hygiene of Nigerian school girls.
abstract: BACKGROUND
  The menstrual practices of adolescents derive largely from health issues associated with their adjustment to reproductive life. The objective of the study was to assess the effect of pre-menarcheal training on the menstrual and hygiene practices of Nigerian school girls.
  
  
  METHODS
  A cross-sectional questionnaire-based survey of randomly selected post-menarcheal school girls using a pre-tested, semi-structured questionnaire was done.
  
  
  RESULTS
  The mean age of the school girls was 14.9 ± 1.7 years. Pre-menarcheal training was given to 273 (55.2%) of them. Mothers (74.7%) were the more common source of information. Inappropriate experience of menarche, adverse effect of menstruation on schooling and social life and the use of unhygienic menstrual absorbents were common in girls who had no pre-menarcheal training than those who did.
  
  
  CONCLUSIONS
  Lack of timely information results in inappropriate menstrual experiences and poor menstrual hygiene practices. Ways to promote menstrual education and hygiene practices are suggested.
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu Nigeria.
authors.forename: Uzochukwu Uzoma
authors.initials: UU
authors.lastname: Aniebue
authors.forename: Patricia Nonyelum
authors.initials: PN
authors.lastname: Aniebue
authors.forename: Theophilus Ogochukwu
authors.initials: TO
authors.lastname: Nwankwo