Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

Background: Retained sponges (gossypiboma) following vaginal delivery are an uncommon occurrence. Although significant morbidity from such an event is unlikely, there are many reported adverse effects, including symptoms of malodorous discharge, loss of confidence in providers and the medical system, and legal claims.

Objective: To report a protocol intended to reduce the occurrence of retained sponges following vaginal delivery.

Concurrent interstitial ectopic pregnancy and appendicitis: a case report.

Background: Concurrent ectopic pregnancy and acute appendicitis is rarely encountered. Since 1960, only 22 cases have been reported. No case of concurrent interstitial ectopic pregnancy and appendicitis has ever been reported.

Anorectal symptoms in pregnancy and the postpartum period.

Objective: To determine the frequency of anorectal complaints in nulliparous, pregnant women before and after delivery.

Study Design: This was a prospective, observational study. Nulliparous, pregnant women attending an active-duty prenatal clinic completed a 6-item anorectal symptom questionnaire that assessed anal continence and defecatory symptoms.

Well-differentiated papillary mesothelioma of the uterine serosa identified at cesarean section: a case report.

Background: Peritoneal mesotheliomas encompass a variety of benign and malignant neoplasms. Well-differentiated papillary mesothelioma (WDPM) is uncommon, is thought to be of low malignant potential and is often discovered incidentally during abdominal or pelvic surgery. We describe a highly unusual case in which WDPM arising from the uterine serosa was identified at the time of cesarean delivery.

Pelvic organ support in pregnancy and postpartum.

The purpose of this study was to evaluate pelvic organ support during pregnancy and following delivery. This was a prospective observational study. Pelvic organ prolapse quantification (POPQ) examinations were performed during each trimester of pregnancy and in the postpartum.

An active duty woman with anal incontinence after vaginal delivery: an elusive diagnosis.

Anal sphincter injury as a result of birth trauma is the leading cause of fecal incontinence in women presenting to surgical clinics. A 36-year-old active duty woman was referred to the Urogynecology Clinic at Madigan Army Medical Center for evaluation of a deficient perineal body. She reluctantly reported a 12-year history of anal incontinence since the birth of her first child, predating her entry into the naval service.

Pelvic organ support in nulliparous pregnant and nonpregnant women: a case control study.

Objective: Our purpose was to compare pelvic organ support in nulliparous pregnant and nonpregnant women at a single institution.

Study Design: This was a case-control study. Pregnant patients and nonpregnant control subjects were matched according to age and race.