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Forty two Zulu women who reported pelvic pain of more than six months duration were evaluated using laparoscopy and cystoscopy. Chronic pelvic inflammatory disease (57 pc) and pelvic adhesions (12 pc) involving the reproductive organs were the most common pathologies found. An interesting associated finding was a very high incidence (21.5 pc) of(More)
A patient who presented with incomplete abortion developed severe persistent haemorrhage from the genital tract after evacuation of the uterus, as a result of erosion of a major vessel in a sacculus in a previous caesarean section scar. Detection and management of this condition are discussed.
BACKGROUND Rare causes of Asherman syndrome include infections of the endometrium, such as tuberculosis and schistosomiasis. CASE A 27-year-old Zulu woman, para 1, presented with secondary amenorrhea after an uncomplicated cesarean delivery. Hormone levels were in the normal ranges. Laparoscopy revealed some pelvic adhesions with patent fallopian tubes,(More)
This paper discusses child sexual abuse in a hospital serving a largely rural population in Eshowe, KwaZulu-Natal, South Africa during a period of 9 years and 2 months. Child sexual abuse was a significant problem. The incidence of sexually transmitted diseases at presentation was high (65.9%). The abuser, when identified, was more commonly an acquaintance(More)
The results of a survey of a rural population requiring obstetric care are presented. It was found that 56,6% of this population had significant risk factors which warranted hospital delivery. A plea is made for the provision of more 'waiting mothers' areas', especially by provincial hospital authorities, to overcome the problems of communication(More)
A community survey was carried out to establish the fate of rural Zulu women and their infants after home delivery. The results of a pilot project for training traditional birth attendants (TBAs) in the area are described. The authors conclude that potentially there is an important place for TBAs in the obstetric services of rural South Africa and recommend(More)
Overall quality of obstetric care in developing countries depends on the quality of care at a number of levels. The doctor must involve himself in the supervision of every peripheral unit that refers to the base hospital if he is to be succesful in providing the highest quality of care possible. Early diagnosis and correct assessment at the periphery(More)
V-Sense is a vibrotactile interface that encourages children with severe or profound cognitive, sensory and physical impairments to move. The interface makes use of touch, in particular vibrations, as a supportive function to motivate users' actions. Specifically, we propose a vibrotactile interface on the arm and around the shoulder using the saltation(More)