Medical education and Chinese society.
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Allied Health Personnel↗
Biomedical subjects
G Mola
Publications and source records attributed to G Mola.
Familial ovarian cancer: report of ovarian carcinoma in three sisters.
This is a report of ovarian carcinoma occurring in two sisters diagnosed almost at the same time, prompting prophylactic oophorectomy in a third sister. Histology of the overtly normal ovary in the third sister showed a focus of ovarian cancer. Discussion and a review of the literature suggest that any program designed to reduce the incidence of late-stage ovarian carcinoma should include the surveillance of family members of the index case, including the performance of prophylactic oophorectomy in the unaffected members of the family after they have completed their families.
Adult↗
A case-control study of stillbirths at the Port Moresby General Hospital.
From September 1995 to May 1997, 315 consecutive stillbirths and 315 randomly selected controls were studied at the Port Moresby General Hospital to determine the causes of the deaths, to describe the sociodemographic and reproductive characteristics of the mothers, and to see if there were any avoidable factors in the stillbirths and where the responsibility for them lay. 249 (79%) of the stillbirths were antepartum and 14% were intrapartum; the timing of death could not be determined in the remaining 21 (7%). 36% of the stillbirths were unexplained. The common identified causes were: syphilis (VDRL and TPHA positive) 10%, intrauterine growth restriction/placental insufficiency 9%, antepartum haemorrhage 9%, malaria 6%, major congenital abnormalities 6%, cord accidents 6%, pregnancy-induced hypertension 5% and acute intrapartum asphyxia 4%. Multiple logistic regression analysis showed a significant association between stillbirth and the following variables: husband's occupation unskilled, age over 35 years, poor antenatal attendance, a past history of stillbirth, syphilis and malaria. An avoidable factor was established in 41% of the cases; in 60% the responsibility for the avoidable factor lay with the patient and her relatives.
Adult↗
Blood loss in obstetrics.
A retrospective survey of recorded and estimated blood loss in 200 consecutive confinements at Port Moresby General Hospital (PMGH) in January 1981 is reported. Analysis of perinatal maternal haemoglobin drops in this series of normal and assisted vaginal deliveries revealed an average blood loss of 720 ml. There was very poor correlation between the magnitude of the haemoglobin drop and the volume of blood lost as recorded by the accoucheur. The results are discussed in the context of the normal blood volume expansion in pregnancy, and against the background of maternal deaths from haemorrhage in Papua New Guinea and in other countries.
Blood Volume↗