Journal of advanced nursing · 2001
Can a home-based pelvic examination be used in assessing reproductive morbidity in population-based studies? A Jordanian experience.
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Al-Qutob R, Mawajdeh S, Massad D
Аннотация
RATIONALE: Most estimates of reproductive morbidity in a community are derived from health service-based studies. However, these numbers do not reflect the actual magnitude of the problem because of barriers to health care and differences in health-seeking behaviour. As a result, this study uses an alternative method to measure reproductive morbidities amongst women in a Jordanian community.
OBJECTIVE: To assess the validity of a home-based pelvic examination in detecting signs of reproductive morbidity when compared with a clinic-based examination.
METHODOLOGICAL DESIGN: Descriptive study in which women were randomly selected from the study area to participate in the study.
RESEARCH METHODS: Three hundred and seventy nine women, 18 years and above were randomly selected, and general and pelvic examinations were conducted in each woman's home. Thirty-two of these women were again randomly selected and consented to a second pelvic examination in a clinical setting.
INSTRUMENTS: Two trained female obstetricians conducted the pelvic examination which included examination of the vulva, examination of the vagina and a bimanual examination. Outcome measures. Strength of association between the presence or absence of physical signs of reproductive morbidity detected by the home-based pelvic examination and the same signs identified by the clinic-based examination, deemed in this study as the 'truth'.
RESULTS: The overall sensitivity, specificity, positive and negative predictive values of the home-based pelvic examination were 66, 86, 69 and 84%, respectively.
STUDY LIMITATIONS: The sample size was small, so further studies are recommended to replicate the findings here.
CONCLUSIONS: Results suggest home-based pelvic examinations can be used in population-based studies for a comprehensive assessment of women's reproductive morbidities.
OBJECTIVE: To assess the validity of a home-based pelvic examination in detecting signs of reproductive morbidity when compared with a clinic-based examination.
METHODOLOGICAL DESIGN: Descriptive study in which women were randomly selected from the study area to participate in the study.
RESEARCH METHODS: Three hundred and seventy nine women, 18 years and above were randomly selected, and general and pelvic examinations were conducted in each woman's home. Thirty-two of these women were again randomly selected and consented to a second pelvic examination in a clinical setting.
INSTRUMENTS: Two trained female obstetricians conducted the pelvic examination which included examination of the vulva, examination of the vagina and a bimanual examination. Outcome measures. Strength of association between the presence or absence of physical signs of reproductive morbidity detected by the home-based pelvic examination and the same signs identified by the clinic-based examination, deemed in this study as the 'truth'.
RESULTS: The overall sensitivity, specificity, positive and negative predictive values of the home-based pelvic examination were 66, 86, 69 and 84%, respectively.
STUDY LIMITATIONS: The sample size was small, so further studies are recommended to replicate the findings here.
CONCLUSIONS: Results suggest home-based pelvic examinations can be used in population-based studies for a comprehensive assessment of women's reproductive morbidities.