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Biomedical subjects

F H Geary

Publications and source records attributed to F H Geary.

2 recordsLinked to original sources

Domestic violence and physical abuse of women: the Grady Memorial Hospital experience.

OBJECTIVES: This study was undertaken to determine the prevalence of self-reported physical abuse among women seeking gynecologic and obstetric emergency care services. STUDY DESIGN: A voluntary self-administered anonymous questionnaire was given to all women seeking treatment at the Gynecologic and Obstetric Emergency Clinic at Grady Memorial Hospital during the month of April 1991. The survey respondents were divided into 4 abuse categories. RESULTS: Among the 452 respondents to the survey, 181 women (40.1%) gave a history of abuse. Among these, 93 women (51.3%) were currently in an abusive relationship, 45 women (24.9%) were currently in an abusive relationship and had a history of abuse, and 43 women (23.8%) had a history of abuse. The most common injuries described were fractures. Men were more likely not to have received counseling. CONCLUSIONS: The topic of domestic violence must be incorporated into the medical education curriculum and should be taught through a multidisciplinary approach.

Adult↗

Rh immunoglobulin utilization after ectopic pregnancy.

To assess the use of Rh immunoglobulin (RhIG) after ectopic pregnancy, we reviewed the charts of 305 patients treated from 1975 through 1978 at a large metropolitan hospital. We compared these patients with 389 who had had spontaneous abortions and been treated at the same hospital in 1975. The rate of ascertainment of Rh type was significantly higher for the group with ectopic pregnancy than for the group with spontaneous abortion (98.4% versus 95.1%; p less than 0.05). Nevertheless, presumable fertile RhIG candidates after ectopic pregnancy were 3.3 times more likely not to receive RhIG than candidates after spontaneous abortion (64.3% versus 19.4%;; p less than 0.01). Patients with ectopic pregnancy are an important part of the "RhIG utilization gap"; the mechanism for providing prophylaxis for patients needs to be improved.

Abortion, Spontaneous↗