ABSTRACT
Seeking to fill an unmet need in the women's health care field, this specialized physician-directed center used the resources available in a private-practice obstetrics/gynecologic office to address premenstrual syndrome. The article outlines the structuring of the center, personnel training, and financial considerations; and it describes treatment issues and the medical considerations essential to treating this pervasive and serious medical problem.
Subject(s)
Gynecology/organization & administration , Patient Care Team , Premenstrual Syndrome/therapy , Women's Health Services/organization & administration , Female , Humans , OregonSubject(s)
Patient Care Team , Premenstrual Syndrome/therapy , Female , Humans , Obstetric Nursing , OregonABSTRACT
PIP: After a 32-year-old women was unable to locate a C Lippes Loop (inserted approximately 9 weeks postpartum) at any time during a four week period after insertion, the position of the device was shown by x-ray to be extrauterine. Removal of the IUD necessitated a colpotomy, resulting in bleeding which could not be controlled vaginally. Following laparotomy, grasping of the extremely friable uterus caused tearing of the Fallopian tubes from the uterus. A hysterectomy was performed. This case demonstrate the real, if rare, possibility of perforation of the uterus with the Lippes Loop.^ieng
