{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T06:49:21Z","timestamp":1693637361195},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,3,11]],"date-time":"2016-03-11T00:00:00Z","timestamp":1457654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The objective of this study was to assess the utility of the pelvic examination at the 6\u2010week postpartum visit after cesarean birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected from retrospective chart review in an obstetric resident clinic in Detroit, Michigan. Women included were those who had a cesarean birth between January 2012 and June 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 388 women who had a cesarean birth, 211 (54.4%) presented for the 6\u2010week postpartum visit and underwent pelvic examination. Of these women, 185 (87.7%) were asymptomatic, and 26 (12.3%) reported vaginal discharge. No other concerns were elicited. Of those with symptoms, 4 (15%) had no finding, 13 (50%) had bacterial vaginosis (BV) alone, 2 (8%) had BV and <jats:italic>Candida<\/jats:italic> sp, 2 (8%) had BV and <jats:italic>Trichomonas vaginalis<\/jats:italic>, 2 (8%) had <jats:italic>T vaginalis<\/jats:italic> alone, and 3 (11%) had <jats:italic>Chlamydia trachomatis<\/jats:italic>. One woman with <jats:italic>C trachomatis<\/jats:italic> had tested positive during pregnancy and possibly had treatment failure. Of the 185 asymptomatic women, 91 (49%) were deemed to have vaginal discharge on examination and underwent testing for <jats:italic>Neisseria gonorrhoeae<\/jats:italic> and <jats:italic>C trachomatis<\/jats:italic>; results were negative in all cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In this population, it appears unnecessary to perform routine pelvic examination on asymptomatic women at the 6\u2010week postpartum visit after cesarean birth. When vaginal discharge was noted during pelvic examination of asymptomatic women, no pathology was identified.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12422","type":"journal-article","created":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T04:53:44Z","timestamp":1457931224000},"page":"497-500","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pelvic Examination at the 6\u2010Week Postpartum Visit After Cesarean Birth"],"prefix":"10.1111","volume":"61","author":[{"given":"Arnold M.","family":"Mahesan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Ilceski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthea B. M.","family":"Paul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyla","family":"Vengalil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,11]]},"reference":[{"issue":"12","key":"e_1_2_6_2_1","first-page":"2491","article-title":"An approach to the postpartum office visit","volume":"72","author":"Blenning CE","year":"2005","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.307.6906.698"},{"issue":"11","key":"e_1_2_6_4_1","first-page":"873","article-title":"Routine pelvic examination for asymptomatic women: exploring the evidence","volume":"35","author":"Stewart RA","year":"2006","journal-title":"Aust Fam Physician"},{"issue":"1","key":"e_1_2_6_5_1","first-page":"8","article-title":"The annual pelvic examination: preventive time not well spent","volume":"87","author":"Nguyen GT","year":"2013","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.567"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-2881"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.11.015"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2012.03.012"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2006.023309"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443619309151851"},{"issue":"1","key":"e_1_2_6_12_1","first-page":"52","article-title":"Bacterial vaginosis as a risk factor for post\u2010cesarean endometritis","volume":"75","author":"Watts HD","year":"1990","journal-title":"Obstet Gynecol"},{"issue":"1","key":"e_1_2_6_13_1","first-page":"73","article-title":"Early postpartum endometritis: the role of bacteria, genital mycoplasmas, and Chlamydia trachomatis","volume":"73","author":"Watts HD","year":"1989","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2004.00306.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21139"},{"issue":"4","key":"e_1_2_6_16_1","first-page":"359","article-title":"Prenatal and postpartum Pap smears: do we need both?","volume":"14","author":"Londo R","year":"1994","journal-title":"Fam Pract Res J"},{"issue":"1","key":"e_1_2_6_17_1","first-page":"4","article-title":"The postpartum Papanicolaou smear","volume":"2","author":"Weiss BD","year":"1989","journal-title":"J Am Board Fam Pract"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.04.016"},{"key":"e_1_2_6_19_1","unstructured":"ACOG OB\/GYN Coding Manual2015. 1st ed. American Congress of Obstetricians and Gynecologists; 2015."},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182680517"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjmwh.12422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjmwh.12422","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.12422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T04:05:58Z","timestamp":1693541158000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.12422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,11]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1111\/jmwh.12422"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.12422","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,11]]},"assertion":[{"value":"2016-03-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}