Critical Obstetric and Gynecologic Procedures in the Emergency Department
Research Section, Department of Emergency Medicine, University of Puerto Rico, San Juan, PR, USA. Electronic address: .Emergency medicine clinics of North America (Impact Factor: 0.78). 02/2013; 31(1):207-36. DOI: 10.1016/j.emc.2012.09.005
Obstetric and gynecologic emergencies are common reasons for emergency department visits. Therefore, emergency physicians must be proficient in the management and treatment of these emergencies. This article reviews critical procedures and provides an overview of each procedure and the indications, contraindications, technique, and potential complications.
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ABSTRACT: Nurse practitioners (NPs) rarely undertake gynaecological histories or female genital examinations yet, by doing so, they can broaden their scope of practice. This article discusses what NPs should ask women about their gynaecological histories and how to undertake pelvic examinations, and reviews common gynaecological symptoms. Further articles will cover different aspects of the pelvic examination and potential differential diagnoses.Emergency nurse: the journal of the RCN Accident and Emergency Nursing Association 09/2013; 21(5):32-7. DOI:10.7748/en2013.09.21.5.32.e1201
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ABSTRACT: Cysts and abscesses of the Bartholin glands are a common occurrence in gynecologic or general practice. Little is known about restrictions in patient's daily life and sexual activity during treatment of Bartholin's cysts in general and especially with the Word catheter. This study is to assess the Quality of Life and Sexual Activity during treatment of Bartholin cyst's and abscesses with the Word-catheter. Between March 2013 and May 2014 30 women were included in the study. Pain before treatment and during catheter insertion and removal was assed using a standardized VAS scale. Health-related quality of life was assessed with the Short-Form-12-Health-Survey. Fallowfield's Sexual Activity Questionnaire was administered to investigate sexual limitations. During treatment patient self-reported to a pain-diary (VAS 0-10). Pain levels decreased from a 3 [0-10] on day 1 to 0 [0-6] on day 6 with the median staying at 0 for the remaining treatment period. Discomfort and pain during sexual activity decreased significantly from initial presentation to end of treatment. The mental component summary score of the SF 12 increased significantly from 46.94±10.23 before treatment to 50.58±7.16 after treatment (p=0.016); the physical component summary score did not change significantly. The Word catheter is well tolerated for the treatment of Bartholin's cysts and abscesses with few and no serious side effects and little impingement of sexual health. A more relevant informed consent ahead of treatment, specifically with regard to pain in the first few days after catheter placement, might further increase acceptance of the catheter and adjust patient expectations. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.European journal of obstetrics, gynecology, and reproductive biology 03/2015; 190. DOI:10.1016/j.ejogrb.2015.03.008 · 1.70 Impact Factor
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