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Examination :
SUbjects wer e examined by a standdrd c l i n i c a l ex amfna t.Lcn
procedure. First, a general assessment: for pallor, icteru s,
pedal oedema , and the t a k i ng o f body temperature, blood
pressure and pulse measurements was do ne with the patient in
sitting posture . Next, with the patient l ying on the
examination COUGh, breast, abdominal and further l eg
examination we re done f ollowe d by l och ia a nd pe rineal
inspection and f inally by a bimanual pelvic examination , where
i nd icat e d.
The indications for bimanual pelvic e xamina tion includ ed
a complaint of l owe r a bdomi nal pain, the f i nd i ng of a l owe r
abdominal tenderness and/or a pelvic mass during a bd ominal
palpation and the presence of bright red lochia .
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Whe re there were ot he r symptoms or signs s uggest ive of
other system d isord e r s such as respiratory, or c ar.d i ac
disorders, then a more detailed ex aminatinn of that s ys t em was
perfo rmed . A sample of blood was then final l y taken for
haemoglobin analysis. All examination findings were recorded
on Study Form B (APPENDIX D).
Ora l t empe r a t ur e r ea d i ngs were taken using a digital
cent igrade t he r mome t e r and blood pres s ure was mea s ured wi th
SUbjects in the sitting postur e and after they had been at
r est f or at least 15 minutes. A digital sp hyg manometer with
standard adult cuff width (5 .5 inches) was used. If blood