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Management of Labour
Published in Gowri Dorairajan, Management of Normal and High Risk Labour During Childbirth, 2022
A word of caution: Sometimes, a tampon is kept in the vagina to push the frilled cervix and reduce blood soiling the field for better visualisation and suturing of the apex. It is important to tag the tampon with gauze tape coming well outside the vagina. This will be a reminder to remove the tampon after the suturing is over. There are many instances of forgotten tampons as a cause for puerperal sepsis, especially in high turnover institutions. The author condemns the use of small gauzes for this purpose as they tend to slip into the posterior fornix. This may never show up on subsequent speculum examination as they are hidden in the posterior fornix, and the examiner gets falsely assured about the absence of gauze or tampon because the cervix is well visualised. Even on vaginal examination, it may escape attention because the fingers may not be inserted deep enough to reach the posterior fornix due to the discomfort of the episiotomy wound.
Infectious diseases
Published in Rachel U Sidwell, Mike A Thomson, Concise Paediatrics, 2020
Rachel U Sidwell, Mike A Thomson
This severe infection is due to exotoxins, e.g. toxic shock syndrome toxin-1 (TSST-1) usually from Staph. aureus. The focus of infection is usually minor, e.g. a boil. There is an association with tampon use.
Long-term urologic and gynecologic follow-up in anorectal anomalies: The keys to success
Published in Alejandra Vilanova-Sánchez, Marc A. Levitt, Pediatric Colorectal and Pelvic Reconstructive Surgery, 2020
Geri Hewitt, Daniel G. DaJusta, Christina B. Ching
A 15-year-old girl with a previously repaired rectovestibular fistula presents for follow-up. She has excellent bowel control and is otherwise healthy. Thelarche was at age 11 and she experienced menarche 18 months ago. She reports her periods are now monthly, lasting up to 7 days, with menstrual cramps relieved by ibuprofen. She changes her pads every 3–4 hours and has no menstrual accidents overnight. The patient recently began using tampons and reports that they “don't work” for her. She reports she is able to insert and remove the tampon without difficulty, but experiences menstrual accidents every time she uses them. This causes her distress because she is an elite swimmer and the inability to successfully use tampons has disrupted both training and competitions.
Treating gynecological pain: key factors in promoting body awareness and movement in somatocognitive therapy (SCT). A case study of a physiotherapy student´s treatment approaches
Published in Physiotherapy Theory and Practice, 2022
Kristine Grimen Danielsen, Marit Fougner, Gro Killi Haugstad
The physiotherapy student acknowledges the patient’s apprehensions about the vulvar exercise but encourages her to persist with this assignment despite potential pain. To alleviate some of the patient’s hesitation about this task, she guides her further on how she can approach this exercise and how to relate to the pain if any should arise. She also elaborates on why this exercise is relevant to her pain condition: PS:Just continue practicing the way you do, approaching the area. That is the homework for the next time, to explore the area where the pain is, start to explore the area with two of your fingers (illustrates by pointing upwards with her second and third fingers), or a small tampon that you lubricate with some oil. The tampon can then slide into the vagina better. Then you should try to use the muscles in the pelvic floor to hold the tension around the tampon, and then relax and feel the relaxation in the pelvic floor area. When you explore these tensions and relaxation, you will become more familiar with the muscles in and around the vaginal opening.
A questionnaire-based survey to assess knowledge and practice of health care workers regarding genital hygiene: from a rural tertiary hospital in India
Published in Hospital Practice, 2022
PN Sreeramulu, A Varsha, Abhay K Kattepur, D Aswathappa
When the concept of physical hygiene is being considered in the purview of cervical cancer carcinogenesis, it becomes necessary to understand that in men, physical hygiene includes personal hygiene (bathing, grooming, wearing clean clothes), genital hygiene (washing genitals on a daily basis while bathing by retracting the foreskin and cleaning the preputial area), and sexual hygiene (involves washing the genitals after intercourse, avoiding high-risk sexual behavior, and using barrier methods of contraception whenever necessary). In females, physical hygiene includes personal hygiene, genital hygiene, sexual hygiene, and menstrual hygiene. The acidic pH of the vaginal epithelium and the presence of lactobacilli prevent ascending infections [18]. Hence, the body itself tries to clear off the infection without the need for using soap and water to clean the vagina! Menstrual hygiene involves use of sanitary pads/ tampons or menstrual cups during the period of flow. Frequent change of pads/tampons and keeping the area clean also necessary to avoid secondary infection. Therefore, these individual components of hygiene need to be evaluated.
A Comparison of the Menstrual Cup and the Intrauterine Device: Attitudes and Future Intentions
Published in Women's Reproductive Health, 2019
Jessica M. Milne, Jessica L. Barnack-Tavlaris
The menstrual cup is an alternative to the more commonly used pads and tampons. Tampons and pads are the norm in many countries around the world including, but not limited to, the U.S., U.K., France, and Germany (NonWovens Industry, 2016). In one study conducted with a national U.S. sample, researchers found that 62% of women reported use of pads, and 42% reported use of tampons (percentages include women who reported using both products; Branch, Woodruff, Mitro, & Zota, 2015). Although pads and tampons are the more popular products, they are not without physical, financial, and environmental drawbacks. For instance, because tampons are absorbent, they can deprive the body of fluids needed to maintain a regular pH level and, in rare cases, can cause toxic shock syndrome (TSS; DeVries et al., 2011). A study of surveillance data in the U.S. state of Minnesota revealed an annual menstrual TSS incidence rate of 1.41 per 100,000 among girls and women aged 13 to 24 (.69 were menstrual cases in women of all age groups; DeVries et al., 2011). In addition, a significant amount of money is spent each year (e.g., a personal average of $120 USD) on pads and tampons, and the disposable nature of these products has a negative impact on landfills (Schumacher, 2014).