Nonobstetric lower genital tract injuries in rural India

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 man...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2008-10, Vol.103 (1), p.26-29
Main Authors: Jana, Narayan, Santra, Debjyoti, Das, Debasis, Das, Anindya K, Dasgupta, Subhendu
Format: Article
Language:English
Subjects:
Accident
Accidents - statistics & numerical data
Adolescent
Adult
Biological and medical sciences
Blood Transfusion - utilization
Child
Child, Preschool
Coitus
Emergency Medical Services
Female
Genitalia, Female - injuries
Gynecology. Andrology. Obstetrics
Hematoma - epidemiology
Hematoma - etiology
Hematoma - therapy
Humans
India
India - epidemiology
Lacerations - epidemiology
Lacerations - etiology
Lacerations - therapy
Medical sciences
Middle Aged
Nonobstetric genital tract injury
Obstetrics and Gynecology
Prospective Studies
Rural Population
Trauma
Vagina - injuries
Young Adult
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Summary: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.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2008.04.026