Sequeira, Brenda Maria2021-01-262021-01-261990Sequeira, B. M (1990) Gynaecologic and Obstetric Cases and Commentaries, Masters dissertation, University of Dar es Salaam, Dar es Salaam.http://41.86.178.5:8080/xmlui/handle/123456789/14442Available in print form, East Africana Collection, Dr.Wirbert Chagula Library, Class mark (THS EAF RG106.4.T34S46)This dissertation is submitted in partial fulfilment for the award of the degree of master of medicine (M.Med) university of Dar es salaam. It consists of three parts, the first and second parts consists of 10 gynaecologic 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 multidisciolinary community based study done over a one month period. It describes the perception, 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 fulfil 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 misconception 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, paresthesia 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.enGynecologyObstetricsDar es Salaam (Tanzania)Thesis