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Vaginal injuries during coitus in Calabar: a 10-year review
Aniekan M Abasiattai1, Saturday J Etuk, Emem A Bassey
1Department of Obstetrics/Gynaecology, University of Calabar Teaching Hospital, Calabar, Nigeria. animan74@yahoo.com
Unlabelled:
Injuries during coitus could result in considerable morbidity and mortality in women. Identifying their pattern of presentation and predisposing factors will aid in their prevention.
Study Design And Setting:
A descriptive study of patients with coital injuries seen in the University of Calabar Teaching Hospital (U.C.T.H) Calabar, between 1991 and 2000, with data obtained from case records.
Results:
Coital injuries constituted 0.7/1000 gynaecological emergencies. Rape (68.0%) was the commonest aetiological factor. It was more common in nulliparous patients (88.0%) and toddlers and teenagers formed the age group most affected. The lower vagina was the most common site of injury (44.0%). Vaginal bleeding was the commonest mode of presentation and hypovolaemic shock, the most common complication.
Conclusion:
Rape is the commonest cause of coital injury in Calabar. Coital injuries should be considered as a differential diagnosis in all cases of abnormal vaginal bleeding particularly in children.
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