Biomedical subjects
Publications and source records attributed to D M Chikamata.
In two separate trials, 140 cases of Pregnancy Anaemia were investigated in the University Teaching Hospital, Lusaka. The distribution of anaemia was as follows: Iron deficiency 118 (84.2%); dual deficiency 15 (19.7%); haemolytic five (35%); and megaloblastic 2 (1.4%). Anaemia with megaloblastic change was more common in the second study.
Forty-six patients with tubo-ovarian ascess are analysed. The abscess developed mostly in young multiparous women soon after menstruation. Coliforms were the main causative organism. The abscess resolved with conservative management in 21 cases and surgical intervention was necessary in 25. The mortality (4.4%) due to conservative medical and surgical management was nearly half that of radical surgery.
During the four year period 1973 to 1976, there were 3,182 cases of delivery by Caesarean Section (CS) in the University Teaching Hospital, (UTH) Lusaka. This constituted 4.68% of the total number of deliveries. The main indications for CS were fetal distress and cephalopelvic disproportion. 130 cases of transverse lie, in labour, were delivered by CS. The lower uterine transverse incision was the operation performed in most cases. 192 cases of ruptured uteri were treated also in the period under study.
Idiopathic Respiratory Distress Syndrome (I.R.D.S.) occurs mainly in preterm babies (Halliday and McClure, 1976). The cause of the condition is a deficiency of surfactant in the fetal lung. (Avery and Mead, 1959). The condition, if untreated, is associated with high fetal mortality. A simple test, The Bubble Stability Test, which can predict the possibility of I.R.D.S. occuring is now in use in the University Teaching Hospital, Lusaka. An analysis of the use of the Bubble Stability Test in fifty cases is presented. In our series a positive Bubble Stability Test accurately predicted fetal lung maturity.