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- Title
Nonobstetric lower genital tract injuries in rural India
- Authors
Jana, Narayan; Santra, Debjyoti; Das, Debasis; Das, Anindya K.; Dasgupta, Subhendu
- Abstract
<bold>Objective: </bold>To study the impact of nonobstetric genital tract injury (NOGTI) in rural India.<bold>Methods: </bold>A prospective observational study of 52 consecutive women admitted with NOGTIs caused by voluntary coitus or accidental injury. Details of the causes of trauma, clinical presentations, and management were recorded.<bold>Results: </bold>A total of 17 women (32.7%) presented with coital trauma, while 35 women (67.3%) sustained noncoital injuries: bicycle/automobile accidents (10); fall from height (7); cattle horn injury (7); straddle-type trauma (6); leech bites (3); and vaginal foreign bodies (2). Most women had multiple injuries; 15 women developed vulvar hematomas and 3 had anorectal lacerations. Management included immediate resuscitation along with primary repair of injuries, evacuation of vulvar hematomas, and removal of vaginal foreign bodies. Fifteen women (28.8%) required blood transfusions; none of the women died.<bold>Conclusions: </bold>Severe hemorrhage caused by NOGTIs is potentially fatal in rural settings if treatment is delayed. Prompt resuscitation, early referral, and appropriate surgical intervention can avert both morbidity and mortality.
- Subjects
INDIA; COITUS interruptus complications; FEMALE reproductive organs; HEMATOMA; VAGINA; WOUND care; ACCIDENTS; BLOOD transfusion; EMERGENCY medical services; LONGITUDINAL method; RURAL population; SEXUAL intercourse; WOUNDS &; injuries; THERAPEUTICS
- Publication
International Journal of Gynecology & Obstetrics, 2008, Vol 103, Issue 1, p26
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2008.04.026