Obs & Gynaecology
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DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY Staffing
Services
Sex and reproductive health services. Antenatal care to couples i.e. mother and her spouse. At the clinic, health education is given, physical examination done; investigations like heamoglobin concentration and blood group are done. Screening for sexually transmitted infection mainly syphilis, hepatitis B, rubella and HIV is routinely done. Screening for diabetes mellitus is also routinely done by doing a random blood glucose estimation. Where necessary, specific treatment is prescribed. As a routine, iron and folic acid tablets are prescribed to all mothers. Likewise, trimethoprime/sulphadoxine is give to primigravidae during the second and beginning of the third trimester as prophylaxis treatment against attacks of malaria during pregnancy. Tetanus toxoid immunization is done to all mothers at the earliest opportunity during pregnancy. Antenatal admissions are done for mothers who fall sick and for high risk pregnancy as determined by the doctors.
Maternity Services Prevention of mothers to child transmission (PMTCT) Mothers who are HIV positive are given Nevirapine tablet at onset of labour in order to prevent them from passing on and infecting the baby during labour. Babies are born to HIV positive mothers are prophylactically treated with syrup Nevirapine. The rest of the mothers are carefully delivered in the labour wards. Caesarian section is done for specific indications intended to reduce mother and baby morbidity and mortality. Mothers are observed on the postnatal ward for not less than twelve hours before discharge and are helped to establish breastfeeding. Vitamin A drops are given to the baby and the mother as prophylaxis against infections and childhood blindness.
Post Natal Services The mothers are seen within one week after discharge and gain at six weeks after delivery. Assessment at the postnatal visits is intended to detect complications like anaemia, breast infections, genital infections, healing of genital wounds etc. Mothers are guided through breastfeeding, postnatal exercises for abdominal and perineal muscles, family planning, immunization schedule for the infant and weaning among other issue. A screening test for cancer of the cervix is done at six weeks after delivery and each woman is advised to have this test repeated every two years.
Immunization Services Immunization of the infants is done on Thursday although when a mother turns up on any other day, she is given the services. Diseases that are immunized against include the following:
Vitamin A supplementation is continued at regular intervals until the child is five years. Pregnant mothers are also immunized against tetanus at least twice during the antenatal period. The rest of the population is immunized against tetanus mainly on Monday and Friday every week. At the end of the first year of life, the infant must have been immunized against all immunizable diseases. Family Planning Services Family planning services are mainly given on Wednesday afternoon although when a client turns up on any other day, she/he is attended to. Temporary methods available include pills, injection of depo-provera, Norplant insertions, condoms and intrauterine devices mainly those impregnated with copper. Permanent methods available include female fallopian tube ligation and male vasectomy.
Post Abortion Care Services Women who are exposed to unsafe traumatic abortions are intensively treated, counselled and given family planning options on a daily basis.
Community Outreach Sex and Reproductive Health Services are extended to the surrounding communities daily within the districts of Kampala and Wakiso.
Gynaecological Out Patient Services Women with sex and reproductive health problems are attended to on Thursday and Friday morning every week although when a woman turns up on any other day she is attended to. Men friendly clinic where men come to discuss family issues and personal sex and reproductive health problems are seen every Monday from 5.00 p.m to 7.00 pm. Problems of infertility are attended to with the gynaecological and the men friendly clinics. Adolescent friendly clinics are on Tuesday morning. Both girls and boys between the age of 13 and 24 years are attended to and their problems discussed, mainly sexually transmitted infections, unwanted pregnancies, family planning and plans for marriage. Supportive Services The department of obstetrics and gynaecology is supported by a very good laboratory, X-ray and Ultrasound services.
OUR NEEDS Although the department offers very good services, it still lacks items to make it reach excellency. These include:
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