GENERAL OBSTETRICS & GYNECOLOGY
The general obstetrics and gynecology (ob/gyn) program was created to assist our host countries address deficits in maternal health care that contribute to the national obstetric fistula burden targeted by our urogynecology team. Our multidisciplinary ob/gyn team has grown consistently and includes physicians, midwives and nurses. Our work involves providing direct patient care and teaching medical students, resident physicians, midwives and nurses. We customize our approach to match the most pressing clinical needs. In Rwanda, we have prioritized improvement of surgical techniques utilized during cesarean sections and general gynecologic procedures. We incorporate in our practice current advances in the surgical management of common gynecologic conditions, such as pelvic organ prolapse and menorrhagia. We work in a variety of settings; from secondary level facilities in rural areas to tertiary level teaching hospitals. Our educational programs utilize various media platforms to reach as many local providers as possible. For instance, an educational video demonstrating proper cesarean section technique jointly produced by IOWD and Brigham & Women’s Hospital (Massachusetts, USA) is available online at no cost. In addition, we routinely lecture on ultrasound and management of obstetric conditions such as hemorrhage, preeclampsia, vaginal birth after cesarean section (VBAC) and abnormal labor.