Obstetric Hysterectomy in Rural Democratic Republic of the Congo: An Analysis of 40 Cases at Katwa Hospital

Dr Jeff Kambale Mathe

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. (Afr Reprod Health 2008; 12[1]:60-66).

RÉSUMÉ

Hystérectomie obstétrique dans la République Démocratique du Congo rural : analyse des 40 cas a l’hôpital Katwa Cette étude avait pour objectif de déterminer l’incidence, l’indication et l’issue de l’hystérectomie dans une hôpital rural qui se trouve à l’est de la RDC.  Il s’agit d’une étude rétrospective de sept ans.  L’incidence était de 0,28%.  L’âge moyen et la parité des patientes étaient de 35,8 et 7 respectivement.  La tendance à avoir l’hystérectomie obstétrique a augmente d’un âge de = 35 ans et de parité de = 5.  Les principales indications étaient de l’hémorragie de la délivrance (HDD) 40% et la rupture de l’utérus (27,5%).  La mortalité maternelle était de 5% par rapport à 0,18% pour l’opération césarienne qui a été pratiquée à la même période de l’étude, et la mortalité périnatale était de 35,5%. La plupart des indications peuvent être évités si le soin obstétrique est amélioré. (Rev Afr Santé Reprod 2008; 12[1]:60-66).

 

KEY WORDS:  Obstetric hysterectomy, Katwa, DRC.

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