Abstract:
. The first two parts comprises of
Ten Gynaecological and Ten Obstetric conditions and commentaries. These are
a few selected cases of the conditions managed by the author during his period
of residence in the department of Obstetrics and Gynaecology.In each case a
thorough history, physical examination and relevant investigations are
presented.At the end of each case a commentary is written on one or two silent
features of the presented case. This is in form of review of literature,
controversies, and the author's opinion.
The third part is comprised of a long obstetric commentary. In this a
prospective descriptive study on the magnitude, Obstetric characteristics and
pregnancy outcome of preterm premature rupture of membranes at Muhimbili
Medical Centre was conducted.
The study revealed a prevalence of preterm premature rupture of membranes
to be 3.6%. Majority of them (59.1%) were married, either housewives or
peasants. Low birth weighs rate (below 2500g) was particularly high due to
prematurity. RDS, neonatal infective morbidities, and perinatal or early
neonatal deaths were particularly common.
Mild maternal infective morbidities were commonly found but the severe forms
were particularly rare. There was no maternal death among the studied
women.
Recommendations are made that further studies need to be done to establish
association factors, factors contributing to infective morbidities and
establishment of the gestational age where active management can be
advocated.
