Gynecologic/Obstetric Emergencies

Gynecological disorders are a common cause of morbidity among women of reproductive age worldwide. In developing countries, gynecological emergencies present enormous challenges given the weak health infrastructure in these settings. Whereas reports indicate that approximately 1.4 million gynecological emergency visits to emergency department are recorded in the USA accounting for 24.3 visits per 1000 women of reproductive age (15 - 44 years), equivalent data for developing countries are not readily available. However acute gynecological conditions are important causes of morbidity and mortality in these countries and constitute significant public health problems.

This review will highlight common gynecological emergencies in the tropics and discuss current evidence based approaches to their management.

The most common gynecological emergencies are ectopic pregnancy, acute pelvic inflammatory disease, miscarriages and complicated ovarian cysts. Other gynecological conditions which may present as emergencies are menstrual disorders, bleeding gynecological malignancies, coital laceration and sexual assault. In the tropics, ectopic pregnancy and complications of unsafe abortion are the most common life threatening gynecological emergencies.

  • Pregnancy Related Conditions
  • Surgical Management of Ectopic Pregnancy
  • Medical Management of Ectopic Pregnancy
  • Complications of Unsafe Abortion
  • Miscarriages
  • Non – Pregnancy Related Conditions
  • Diagnosis

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