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Limited access to contraception and vaginal infections.

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eMediNexus    08 September 2018

A new study published in Military Medicine was based on a retrospective review of information collected during operation Continuing Promise 2017 from a population in Colombia, South America, which presented an overview of womens health care needs in an isolated population of Colombia. Here, demographics, contraceptive selection, presenting complaint, diagnosis, and disposition of female patients were analyzed. Overall, 356 patients were attended to in the acute care womens clinic, the average age of the women being 36 years. It was noted that of the patients who were <50 years of age and were not permanently sterilized, 84.5% did not use any form of contraception. The most common complaints were vaginal discharge and pelvic pain and the most frequent final diagnosis was bacterial vaginosis. Meanwhile, the usual secondary diagnoses among pregnant women were urinary tract infection and anemia. Other significant diagnoses included uterine cancer, preterm labor, and fetal posterior urethral valve syndrome. From the results, it was concluded that a majority of these women presenting to an acute clinic setting were in their mid-thirties who had had three pregnancies, and most of them were not using any form of contraception. The most common diagnoses were vaginal infections, urinary tract infections, and abnormal uterine bleeding.

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