Pelvic Examination at the 6‐Week Postpartum Visit After Cesarean Birth

The objective of this study was to assess the utility of the pelvic examination at the 6‐week postpartum visit after cesarean birth. MethodsData were collected from retrospective chart review in an obstetric resident clinic in Detroit, Michigan. Women included were those who had a cesarean birth between January 2012 and June 2014. ResultsOf 388 women who had a cesarean birth, 211 (54.4%) presented for the 6‐week postpartum visit and underwent pelvic examination. Of these women, 185 (87.7%) were asymptomatic, and 26 (12.3%) reported vaginal discharge. No other concerns were elicited. Of those with symptoms, 4 (15%) had no finding, 13 (50%) had bacterial vaginosis (BV) alone, 2 (8%) had BV and Candida sp, 2 (8%) had BV and Trichomonas vaginalis, 2 (8%) had T vaginalis alone, and 3 (11%) had Chlamydia trachomatis. One woman with C trachomatis had tested positive during pregnancy and possibly had treatment failure. Of the 185 asymptomatic women, 91 (49%) were deemed to have vaginal discharge on examination and underwent testing for Neisseria gonorrhoeae and C trachomatis; results were negative in all cases. DiscussionIn this population, it appears unnecessary to perform routine pelvic examination on asymptomatic women at the 6‐week postpartum visit after cesarean birth. When vaginal discharge was noted during pelvic examination of asymptomatic women, no pathology was identified.
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Original Research Source Type: research

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The objective of this study was to assess the utility of the pelvic examination at the 6‐week postpartum visit after cesarean birth. MethodsData were collected from retrospective chart review in an obstetric resident clinic in Detroit, Michigan. Women included were those who had a cesarean birth between January 2012 and June 2014. ResultsOf 388 women who had a cesarean birth, 211 (54.4%) presented for the 6‐week postpartum visit and underwent pelvic examination. Of these women, 185 (87.7%) were asymptomatic, and 26 (12.3%) reported vaginal discharge. No other concerns were elicited. Of those with symptoms, 4 (15%) had ...
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Original Research Source Type: research
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