Citation

Jana N, Santra D, Das D, Das AK, Dasgupta S. Int. J. Gynaecol. Obstet. 2008; 103(1): 26-29.

Affiliation

Department of Obstetrics and Gynecology, Institute of Postgraduate Medical Education and Research, Kolkata, India. njana1@vsnl.net

Copyright

(Copyright © 2008, International Federation of Gynaecology and Obstetrics, Publisher Elsevier Publishing)

DOI

10.1016/j.ijgo.2008.04.026

PMID

18620355

Abstract

OBJECTIVE: To study the impact of nonobstetric genital tract injury (NOGTI) in rural India. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Language: en