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Biomedical subjects

S W Hewell

Publications and source records attributed to S W Hewell.

3 recordsLinked to original sources

Contraceptive use among female adolescents.

Teenage pregnancy continues to be a problem in the United States despite the availability of reliable contraceptive methods. A pilot study was conducted to determine the use of reliable contraception by teenagers following an abortion or negative pregnancy test. The results indicated that 96.6% of the teenagers experiencing a therapeutic abortion and 49.6% of the teens having a negative pregnancy test reported choosing reliable contraception after the procedure or the test. At a subsequent clinic visit, however, only 27.5% in the abortion group and 5.7% in the negative pregnancy test group reported use of reliable contraception. Further research is needed to identify factors involved in teenagers' use or nonuse of contraception.

Abortion, Legal↗

Dyspareunia: three case reports.

Dyspareunia, a symptom rather than a diagnosis, is defined as pain experienced by a woman during intercourse. This article discusses how to elicit an accurate sexual history and lists 12 common causes of dyspareunia. Three case reports from the authors' practices will be used to describe the diagnosis and treatment of women with vulvar vestibulitis, hymenal strands, and vaginismus.

Adult↗

Antiphospholipid antibodies: a threat throughout pregnancy.

Antiphospholipid syndrome (APS) has been associated with recurrent pregnancy loss. The exact pathophysiologic mechanism in unclear but may be associated with an imbalance in the prostacyclin/ thromboxane ratio, which results in vasoconstriction and platelet aggregation. Antiphospholipid syndrome is diagnosed through laboratory tests and clinical assessment. Various regimens are used to treat women who have APS. The purpose of this article is to review this disorder and discuss indications for testing, diagnosis and treatment, and nursing implications.

Abortion, Spontaneous↗