Abstract:
the award
of the Degree of Master of Medicine (M. Med) of the University of Dar es
Salaam. It consists of three parts.
Part One: consists of ten Obstetrical conditions encountered in day to
day practice.
Part Two: comprises of ten Gynecological conditions encountered in day
to day practice.
To the author's best capability, the management of the conditions was
done to acceptable standards and availability of facilities. A short
commentary is given regarding one aspect of each case.
Part Three: Is a research paper on postpartum intrauterine device (IUD)
insertion at Muhimbili Medical Centre. This study was undertaken in
order to provide our women with a reliable contraceptive method at the
time of high motivation. Poor infrastructure facilities make many women
fail to utilize family planning facilities. Postpartum IUD is expected
to be a breakthrough in low family planing service utilization in this
country.
A comparison of complications with interval intrauterine device
insertions was done in this study. The results of the study showed that
postpartum IUD insertions were as safe, effective and acceptable as
interval IUD insertions. The author recommends this one time reversible
method of contraception as a solution to the problem of low
contraceptive prevalence rates in the country. ~
