@article{ref1,
title="Nonobstetric lower genital tract injuries in rural India",
journal="International journal of gynaecology and obstetrics",
year="2008",
author="Jana, Narayan and Santra, Debjyoti and Das, Debasis and Das, Anindya K. and Dasgupta, Subhendu",
volume="103",
number="1",
pages="26-29",
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.<p /><p>Language: en</p>",
language="en",
issn="0020-7292",
doi="10.1016/j.ijgo.2008.04.026",
url="http://dx.doi.org/10.1016/j.ijgo.2008.04.026"
}