Gynaecologic and obstetric cases and Commentaries.

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University of Dar es Salaam
The dissertation is submitted in partial fulfillment for the award of the degree of master of Medicine (M.Med) of the University of dar es Salaam. It consists of three parts, the first and second parts consists of 10 gynecologic and 10 obstetric cases which are a few of the many cases managed by the author. Standard management has been followed unless where facilities were limited. A short commentary comprising of salient features regarding the condition presented follows each case. The third part is a long commentary on a multidisciplinary community based study done over a one month period. It describes the perceptions, practices and health problems of the pre, peri and postmenopausal women in rural Dar es Salaam. The findings were interesting and extensive but only a part of it is presented to fulfill the requirements of the long commentary in this dissertation. The median age of menopause was found to be 47 years. A taboo against discussing matters concerning the menstrual period existed, leading to widespread misconceptions on the menopause. Generally it was viewed positively by 63.8% of the population, while 26.4% did not know about the menopause. Physical and sexual activity was not limited by menopausal status. The main health concerns were abdominopelvic and general body pains, paraesthesia of the extremities was related to the menopausal status but not the hot flush. It defined the need for further educational campaigns and larger scale collaborative studies on this issue.
Available in print form, East Africana Collection, Dr.Wilbert Chagula Library, class mark (THS EAF RG106.4.T34S46)
Gynecology, Obstetrics, Dar es Salaam (Tanzania)
Sequeira, B.M, (1990) Gynaecologic and obstetric cases and Commentaries,Masters dissertation,University of Dar es Salaam, Dar es Salaam.