{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:01:05Z","timestamp":1768456865506,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,7,11]],"date-time":"2008-07-11T00:00:00Z","timestamp":1215734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To study the impact of nonobstetric genital tract injury (NOGTI) in rural India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study of 52 consecutive women admitted with NOGTIs caused by voluntary coitus or accidental injury. Details of the causes of trauma, clinical presentations, and management were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 17 women (32.7%) presented with coital trauma, while 35 women (67.3%) sustained noncoital injuries: bicycle\/automobile accidents (10); fall from height (7); cattle horn injury (7); straddle\u2010type trauma (6); leech bites (3); and vaginal foreign bodies (2). Most women had multiple injuries; 15 women developed vulvar hematomas and 3 had anorectal lacerations. Management included immediate resuscitation along with primary repair of injuries, evacuation of vulvar hematomas, and removal of vaginal foreign bodies. Fifteen women (28.8%) required blood transfusions; none of the women died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Severe hemorrhage caused by NOGTIs is potentially fatal in rural settings if treatment is delayed. Prompt resuscitation, early referral, and appropriate surgical intervention can avert both morbidity and mortality.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2008.04.026","type":"journal-article","created":{"date-parts":[[2008,7,14]],"date-time":"2008-07-14T15:42:49Z","timestamp":1216050169000},"page":"26-29","source":"Crossref","is-referenced-by-count":12,"title":["Nonobstetric lower genital tract injuries in rural India"],"prefix":"10.1002","volume":"103","author":[{"given":"Narayan","family":"Jana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debjyoti","family":"Santra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debasis","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anindya K.","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhendu","family":"Dasgupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,7,11]]},"reference":[{"issue":"9","key":"e_1_2_5_2_2","first-page":"858","article-title":"Late follow\u2010up and functional outcome after traumatic reproductive tract injuries in women","volume":"64","author":"Fallat M.E.","year":"1998","journal-title":"Am Surg"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1993.tb02132.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)05161-2"},{"issue":"5","key":"e_1_2_5_5_2","first-page":"271","article-title":"Nonobstetric lacerations of the vagina","volume":"106","author":"Sloin M.M.","year":"2006","journal-title":"J Am Osteopath Assoc"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1980.tb02903.x"},{"issue":"8","key":"e_1_2_5_7_2","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/S0733-8627(20)30540-X","article-title":"Sexually related trauma","volume":"6","author":"Geist R.F.","year":"1988","journal-title":"Emerg Med Clin North Am"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-002-0321-8"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199802000-00038"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2006.00945.x"},{"issue":"2","key":"e_1_2_5_11_2","first-page":"182","article-title":"Coital injuries of the vagina","volume":"39","author":"Wilson F.","year":"1972","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1966.tb00391.x"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66386-0"},{"issue":"8","key":"e_1_2_5_14_2","first-page":"662","article-title":"Serious hematoma of the vulva from a bicycle accident. 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