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Zambia's Perinatal mortality rate (PNMR) ranks amongst the highest in the world and the need to reduce it is well recognized. Just well over 50% of this mortality is attributed to stillbirths and reduction of stillbirth would inevitably lead to a decrease in Perinatal Mortality (PNM). Despite...

Objectives To determine the association between high grade cervical intraepithelial neoplasia (CIN 2+) and individual acetowhite cryotherapy-ineligible lesion types, as determined by cervicography.Design: a cross sectional study Setting: Gynecologic Cancer Prevention Unit of the University...

The study was conducted in Chipata District Health Centres and Chipata General Hospital as a secondary referral matremity care. The study included both rural and urban Centres. The purpose of the study was to determine the accessibility of women to secondary obstetric care in a rural district and...

The birth experience is something that affects a woman's perception of her labour. A positive birth experience may correlate with a positive perception of labour and vice versa. As caregivers we are interested in whether a mother perceives her birth experience positively or not, because in some...

Caesarean section rates and their indications vary all over the world. Audit of indications and factors affecting infant and maternal outcome remain an important activity in rationalising the use of this major procedure in obstetric practice. Over a period of one year in 1998, 1,880 caesarean...

There are few documented studies of human umbilical cord length and its insertion into the chorionic plate. However abnormal umbilical cord length (either excessive or shortened) is a known risk factor for adverse perinatal outcome. Long cords have been associated with cord prolapse,...

Background: Despite antenatal care services being provided free of charge or sometimes at a minimal cost in Zambia, only 19% of women attend antenatal care by their fourth month of pregnancy, as recommended by World Health Organization (WHO). An estimated 21% of pregnant women in urban and 18% in...

Worldwide use of the partograph in monitoring of labour has been proven to reduce maternal and infant morbidity and mortality. Zambia has one of the highest maternal mortality in the world. The eastern Province of Zambia, particularly Chipata District had the highest levels accounting for 76% of...

Pregnancy is usually an exciting time in the life of a family. It is a joyous event for most families as they anticipate bringing new life on earth. Sometimes a pregnant woman may experience signs and symptoms which signal danger. Danger signs in pregnancy are those signs that a pregnant woman...

Maternal mortality in developed countries has declined dramatically over the last 60 years, and is now very low. Women in industrialized countries have an average lifetime risk of dying from pregnancy-related causes of between 1 in 4000 and 1 in 10,000 pregnancies whereas women in developing...