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Chief complaints, contraceptive use and diagnoses of female soldiers in ambulatory GYN clinic.

Abstract：

:Data were collected on 750 patients over a 6-month period at a Troop Medical Clinic in the US in an effort to identify gynecological problems of soldiers and to gain insight into the most effective ways to handle the needs of female soldiers. All female soldiers belonging to the Nurse Practitioner Gynecological Satellite Clinic at Ft. Campbell, Kentucky, who had a gynecological need were seen by the nurse practitioner. Previously, most had been referred to the gynecological clinic in the hospital. The data included age, current contraception, chief complaint, and diagnosis. 72% of the patients in garrison and in the field were under age 25; 47% of all clients used no contraception. All women using no contraceptive measures were queried as to their reasons for non-use. Very few were sexually active; very few were actively seeking pregnancy. Most gave vague reasons for their non-use of contraception. Routine pelvic examinations accounted for 34% of the gynecological visits to the Troop Medical Clinic (TMC). A diagnosis of no pathology was obtained in 43% of the TMC visits and 5% of the field visits. The leading gynecological pathology was vaginitis (including sexually transmitted diseases), which was diagnosed in 30% of the TMC visits and 36% of the field visits. Urinary tract infection was another frequent diagnosis, especially in the field. Oral contraceptive (OC) side effects, functional pain, and pregnancy were other common diagnoses. Diagnoses requiring further workup by a physician represented only 9% of the TMC visits and 19% of the field visits. Physician referrals included suspected diagnoses such as pelvic inflammatory disease, ectopic pregnancy, and ovarian cysts -- all problems that are not within the realm of nurse practitioner management. The data suggest that most gynecological conditions are manageable in the TMC or in the field given that the few necessary gynecological supplies and pharmaceuticals are made available and the health care provider is familiar with gynecological management.

journal_name

Mil Med

journal_title

Military medicine

authors

Cobb CE

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

70-1

issue

eissn

0026-4075

issn

1930-613X

journal_volume

152

pub_type

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Chief complaints, contraceptive use and diagnoses of female soldiers in ambulatory GYN clinic.