Browsing by Author "Semiono, C. P"

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    Obstetric and Gynaecologic Case Records and Commentaries
    (University of Dar es Salaam, 1978) Semiono, C. P
    The review is on patients managed and supervised by the author in Muhimbili Medical Centre, Dar es Salaam, Tanzania. The Centre in cooperates the Faculty of Medicine, University of Dar es Salaam. Some of the main functions of the Centre include; I. teaching undergraduate and postgraduate Doctors, Nurses, Midwives? and Paramedical Cadres; II. Serving as the main Consultant Hospital in the country. It has the largest laboratory and the only radiotherapy facilities in the country; III. serving as a zonal Consultant Hospital for the Southern and Eastern Zones comprising of Dar es Salaam, Coast, Mtwara, Lindi, Ruvuma, Iringa, Mbeya and Morogoro Regions; (see figure 1/1); IV. Acting as a Regional and referral Hospital for Dar es Salaam and Coast Regions. The Department of Obstetrics and Gynaecology functions as an independent unit although it is a subdivision of the Surgical Services Department. The Department is subdivided into 4 Firms each with at least 2 Consultants/ Specialists. Each Firm works independently with its own outpatient clinics, beds, operation schedules, and emergency duties. The Department of Obstetrics and Gynaecology has 363 beds. 67 beds are used for gynecologic patients and 296 beds for obstetric cases. The beds are distributed in different locations as follows: Sewa Haji Block, Muhirnbili: There are 2 wards for gynaecologic services. Ocean Road Hospital: For normal (Obstetric) deliveries. Muhimbili Maternity Block; A unit for high risk obstetric services. The public demand for Obstetric and Gynecological services is very high. The Department is often overwhelmed. For example, although there are 363 beds, the daily average bed state is between 600 and 700 patients.