Role of a general surgeon in obstetrics and gynaecology in a rural setting.
In a rural hospital in northern Nigeria, general surgeons performed 217 obstetric and gynaecologic operations over a five-year period. These operations were responsible for 23% of all operations at the hospital. Emergency operations were most frequent with caesarean section accounting for 90%. Eighty five per cent of the caesarean sections were performed for cephalopelvic dysproportion. The complications encountered were mostly septic complications, predominantly in patients who had caesarean section for obstructed labour. The overall mortality was 5.1% and neonatal mortality from caesarean section was 4.8%. It is concluded that in the abscence of an obstetrician and gynaecologist general surgery experience is required to manage obstetric and gynaecologic problems in rural areas. Such experience should be considered when recruiting doctors for rural hospitals in developing countries.
Ameh
E A
EA
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Mbibu
H N
HN
Adams
L M
LM
Nmadu
P T
PT
D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D013502:General Surgery; D013509:Gynecologic Surgical Procedures / Q000401:mortality / Q000706:statistics & numerical data*; D006801:Humans; D009549:Nigeria; D013513:Obstetric Surgical Procedures / Q000401:mortality / Q000706:statistics & numerical data*; D010819:Physician's Role; D011247:Pregnancy; D012189:Retrospective Studies; D012423:Rural Health; D016526:Workload