Obstetric and gynaecologic cases and commentaries

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University of Dar es Salaam
This book contains ten gynaecological case commentaries, ten obstetrical case commentaries and one gynaecological long commentary. The gynaecological and obstetrical case commentaries are selected cases managed by the author under the supervision of the senior members in the department of Obstetrics and Gynaecology. Each case has a detailed history, examination investigations and treatment followed by a commentary which is written after some literature review. The gynaecological long commentary is a prospective study on knowledge, attitude and practice of contraception among patients admitted for abortion at Muhimbili Medical Centre Dar es Salaam between September and December 1987. A total of 243 patients were interviewed by the author using a designed questionnaire as per appendix I. Most women lacked the correct knowledge on physiology of reproduction as 221 (90.9%) and 213 (87.7%) refuted the possibility of conceiving before menarche and during lactational amenorrhoea respectively, only 68 (27.9%) patients answered correctly as to the best time to conceive. The study group knew about contraception as:-200(82.3%) knew about the pill, 165 (67.9) barrier methods, and 114 (46.9%) IUCD. Despite that knowledge, only 22 (11.0%) were on the pill, 13 (7.9%) on barrier methods and 9 (7.9%) on IUCD. Desire for more children, husband's refusal, fear of side effects, religious beliefs and in availability were the reasons given by the non users. The commonest abortion complications were haemorrhage and sepsis which accounted for 20.6% and 19.8% respectively. These were commoner in the young age group of 5 - 29 yrs. It was concluded from this study that people lack the correct knowledge on physiology of reproduction. Traditional methods of contraception were more practiced than the modern methods as evidenced by the figures of 57 (23.5%) compared to 44 (18.1%) respectively. There is fear of the modern methods for the alleged side effects of causing cancer, infertility and abnormal vaginal bleeding. The abortion complications of sepsis, cervical laceration, and uterine perforation commonest in the younger age group suggest induced abortions.
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Obstetrics, Gynaecology, Cases, clinical reports, statistics
Minja, C. F. W (1988) Obstetric and gynaecologic cases and commentaries, Masters dissertation, University of Dar es Salaam. Available at (