title: Obstetric hysterectomy in rural Democratic Republic of the Congo: an analysis of 40 cases at Katwa Hospital.
abstract: The objective of this study was to determine the incidence, indication, and outcome of obstetric hysterectomy at an Eastern DRC rural hospital. This was a seven year retrospective study. The incidence was 0.28%. Mean age and parity of patients was 35.8 and 7 respectively. Trend to have Obstetric Hysterectomy increased with an age of = 35 years and parity of = 5. The main indications were Post-Partum Hemorrhage (PPH) (40%) and Ruptured Uterus (27.5%). Maternal mortality was 5% compared to 0.18% for Caesarean practiced at the same study period; and perinatal mortality 35.5%. Most indications could be avoided by improvement of Obstetric care.
authors.affiliation: Dept. of Obs. & Gyn, Katwa Hospital, Butembo, DRC. drjkmathe04@yahoo.fro
authors.forename: Jeff Kambale
authors.initials: JK
authors.lastname: Mathe
mesh_terms: D000328:Adult; D017677:Age Distribution; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D015994:Incidence; D008428:Maternal Mortality; D008499:Medical Records; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D010298:Parity; D054238:Perinatal Mortality; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000601:surgery; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D014597:Uterine Rupture / Q000453:epidemiology / Q000601:surgery