Chlamydial infection among obstetrics and gynaecological patients of Mandalay General Hospital

Objective: To determine the prevalence rate of genital Chlamydial infection among hospital patients and their distribution by age, socio-demographic profile and complications. Methods: 140 obstetric and gynaecological patients from Mandalay General Hospital were studied in November 1993. Cervical swabs were tested with IDEA tm test for Chlamydial antigen and confirmed by Confirmatory IDEA tm Confirmatory test when positive. Data collection was by interview using a structured questionnarie. Results: The overall prevalence rate of genital Chlamydial infection was 6.42

, 5.71

for antenatal and 7.14

for gynaecological patients. Prevalence rate was highest in 30-39 age group and lower occupational grades, and in parity 5 and above, and associated with OCS ever users, PROM, and abortion, PID, infertility,cervical ectopy, cervicitis and mucopurulent discharge in 7.69

, 11.76

, 7.14

, 18.18

, 11.11

and 11.11

respectively. There were 82 patients with no discharge and 7.31

tested positive. Out of 9 infected cases, 6had no discharge and in 4, the cervix looked healthy. There were no associated gonococal infection and there was no false positive result. Conclusion: This study shows the need for being always alert to the possibility of infection even in the asymptomatic patients.

Quality of antenatal care at outpatient department of Mandalay General Hospital: time utilization and satisfaction among users

The study was a hospital-based cross-sectional survey using recording and interviewing techniques. Average waiting time (in minutes) before seeing registration clerk, nurses, laboratory staff and medical doctors, for all first visit and follow-up visit patients, were 10,5,8 and 31 respectively. Average time in contact (in minutes) with registration clerk, nurses, laboratory staff and medical doctors, for all patients, were 2,2,11 and 3 respectively. Among first visit patients, only 21 per cent were told of their body weights, 21 per cent were told of their blood pressures, 66 per cent were told of their urine examination results, and 64 per cent were told of their baby's clinical conditions. Similar figures for follow-up patients were, 29 per cent 26 per cent, 83 per cent and 80 per cent respectively at different service point. The types of service offered and the training and performance of the service providers can be concluded as from being adequate.

Assessment of foetal growth from birthweight data at Central Women Hospital

An intrauterine growth standard was drawn from the birth weights of 1974 live born singleton babies whose gestational age were known and who were delivered normally in Central Women's Hospital, Rangoon during the year 1973. The mean birth weight at term was found to be 2987 G, the female weighing 2977 G and the male 3000 G. From 28 weeks to term there was a steady and gradual increase of birth weight. This was the main reason for the mean birth weight being lower near term than that of the European's Standards. The mean birth weight in the16-19 age group was lower than the older age groups- though parity may have been responsible for the difference. There was an. increase in birth weight with an increase in parity and first born babies were lighter than subsequent one.The association between babies of low birth weight and high perinatal mortality has been widely accepted. Babies of low birth weight may be either preterm i.e. before 37 completed weeks by gestation or small for dates. Preterm babies have had normal foetal growth in utero and are small because the gestational period has been cut short, whereas small-for-dates or dysmature babies showing intrauterine growth retardation are light because of antenatal development mostly due to placental insufficiency. "Combination do occur. It is necessary to differentiate between these two categories because of the difference in prognosis for the babies.