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The pattern of maternal mortality at Maternity Hospital Kuala Lumpur
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: From 1978 to 1981, there were 70,000 deliveries at Maternity Hospital, Kuala Lumpur. 39 maternal mortalities were encountered during this four year period. The major causes of death were toxemia, hemorrhage, embolism, medical disease in pregnancy, sepsis, uterine inversion, obstetric trauma, Mendelson and pulmonary edema. Avoidable factors were isolated in all the mortalities except in three, one due to infective hepatitis and two due to cardiac disease in pregnancy. The patient was at fault in four mortalities. The need for documenting all maternal mortalities is a priority in this country to make analysis more meaningful.
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Office laparoscopic assessment of female fertility
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: The preliminary report details our experience and also serves to evaluate the risk benefits of office laparoscopy for female fertility assessment in 183 subjects. The patients were admitted at about 8.00 in the morning and discharged at 3.00 to 4.00 in the afternoon after laparoscopy has been performed. Only 7.7 percent of the subjects required inhalational anesthetic gases along with a combination of intravenous sedation and local anesthetic infiltration. The pick-up rate for pelvic abnormality is fairly high, approximately 22.4 percent. Difficulties and complications encountered during laparoscopy were minimal and easily overcome.The benefits of laparoscopy overrules assessment and sterilization feature laparoscopy on an 'outpatient basis' as one of its main activities.
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Actinomyces-like organisms in the cervical smears of IUCD users
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: Cervical smears of 128 intrauterine contraceptive device users were stained by Gram stain and screened for the presence of Actinomyces-like organisms. Actinomyces-like organisms were observed in 5.5 percent, pus cell in 20.1 percent and yeast cells in 10.2 percent of the smears examined. The average duration of insertion was 8 months. Smears of 103 controls were negative for Actinomyces-like organisms, pus cells were observed in 8.7 percent and yeasts in 4.8 percent.
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Problems of neonatal surgery in Malaysia
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: From January 1970 to May 1981, there were 594 neonates admitted to the General Hospital, Kuala Lumpur for surgery. Three hundred and seventy-one cases bad major alimentary tract alimentary tract abnormalities 97.1 percent of which caused obstruction. High gut anomalies and diaphragmmatic hernia (Group A cases) were relatively uncommon and the overall post-operative mortality for this group was high (64.6 percent). Overall mortality declined from 75.0 percent in 1970 to 10.3 percent for the first six month of 1981. Death rate among the low birth weight infants and those with multiple anomalies however, remain high. Factors related to post-operative mortality are discussed. Foremost among them is the time of referral to the surgeon. Various problems of management in this hospital are also highlighted.
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Female sterilization using filshie clip in private practice
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: The findings of a trial clip female sterilization program in private practice in Malaysia is presented. The Filshie clips were successfully applied in 382 subjects. Complications encountered were minimal. Only one subject presented with an intrauterine pregnancy following sterilization (0.3 percent). The success rate was very high in the region of 99.7 percent. This study also strengthens the view that private practitioners can play a very important role in the delivery of family planning advice and services to the masses in developing countries.
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Survey on health and family planning in Johore and Perak Malaysia
Item Type: Research Report
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Year: 00/00/1982
Abstract: The Malaysian project on Studies on Health and Family Planning aims to make a comprehensive analysis of the state of the health care and family planning service and delivery systems in Malaysia to enable health and population planners and administrators in more effective planning and programme management. This study will include traditional medicine in relation to health and family planning.
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Study on the evaluation of the effectiveness of IEC materials in family planning programme
Item Type: Research Report
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Year: 00/00/1978
Abstract: The objectives of the study are: i) to determine the extent to which IEC (information,education and communication) printed materials have had an effect on creating a favourable attitude towards the concept of planned parenthood, ii) to gauge the actual needs of the people with regards to IEC materials and to utilise these findings in future production of materials which will provide a better and deeper understanding of the concept of planned parenthood.
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Study of integration project of family planning and parasite control
Item Type: Research Report
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Year: 00/00/1978
Abstract: The objectives of this study is to make plans to offers in and give information about family planning services and parasite control and to establish and strengthen family planning services in line with national planning and policy.
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Family and Health Survey in the Federal Territory and Petaling Jaya
Item Type: Research Report
Editor:
Year: 00/00/1977
Abstract: The main objectives of this study is to provide basic demographic data for the Federal Territory and Petaling Jaya, and to provide estimates of the family planning knowledge, attitude and practices and to identify measures to improve family planning services. The survey covered a total of 3,679 household in Federal Territory and Petaling Jaya.
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Family planning acceptor survey
Item Type: Research Report
Editor:
Year: 00/00/1977
Abstract: The objective of this survey is to evaluate the on-going family planning programme and to identify factor that are helpful for the successful implementation of The National Programme in terms of better acceptance and continuity of contraception.This study covering a total of 3,750 family planning recipients who use the pill for years 1975,1976 and the first four months of 1977 and also some of those who make use of other modern methods. This study also involving 70 districts in peninsular Malaysia.
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