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Gynecology & Obstetrics

The department of Anesthesiology and Critical Care at CHUK provides expert anesthesia care for the full spectrum of medical and surgical indication seen at tertiary care teaching institution.

Overview

At CHUK, we care deeply about women’s health. In line with the CHUK mission, this platform aims to provide accurate, up-to-date medical information, as well as educational resources and inspiring stories from our department, patients, and caregivers.

Our commitment also includes educating the next generation of healthcare professionals and participating in evidence-based research to ensure that patient care continues to improve in quality and safety. To support this, a strong culture of learning and collaboration exists within the Gynecology Department through innovative interdisciplinary partnerships. We are proud of our history and continue to build on our strengths to become the department of choice for highly skilled medical and midwifery staff, medical residents, and midwifery students who share our mission.

We provide a comprehensive range of medical and surgical services for women at all stages of life.

Routine Activities

  • Management of delivery services
  • Diagnosis and treatment of gyneco-obstetric conditions, including training
  • PMTCT management, including ARV treatment
  • Supervision of healthcare professionals
  • Education of midwives, medical students, and residents Research

We invite you to explore our department and discover the services we offer to patients, medical students, the research community, and medical and midwifery staff. Key services include:

  • Gynecology Service
  • Ambulatory Care Service
  • Gyneco-Oncology Service
  • Female Pelvic Medicine and Reconstructive Surgery
  • Advanced Laparoscopic Surgery Service
  • Reproductive Endocrinology and Infertility Services
  • Family Planning
  • Menopausal and Geriatric Service
  • Ward Clerk Service

Working Hours

Outpatient: Every day from 7:00

Labor Pain Management At Chuk

Labor pain has been described as the third worst pain ever experienced by a human being.

Severe untreated pain has negative physiological, psychological and social consequences.

In addition a multitude of pathological conditions mandate the suppression of labor pain for a healthy mother and new born. These include most of cardiac diseases on pregnancy, hypertensive diseases and others.

According to the American college of obstetrics and gynecology, “There is no other circumstance in which it is considered acceptable for an individual to experience severe pain, amenable to pain relief, while under a physician care.” Maternal request is a sufficient indication for labor analgesia

CHUK has been providing labor pain Relief since 2019. We tried to overcome challenges to this service which included scarcity of anesthesiologist mainly.

Currently CHUK has a strong and safe labor analgesia unit, where we provide all forms of labor pain management, most importa

Endoscopic Surgery in Gynecology (Minimally invasive surgery)

The range of surgical procedures in gynecology, performed with the use of either laparoscope or a hysteroscopy is designated as endoscopic surgery. First description of endoscopy is recorded by Phillip Bozzini in 1805.
In 1967 Steptoe of England first published the monograph “Laparoscopy in Gynecology” in English language. Kurt Semm of Germany is credited for his advanced operative laparoscopic procedures (myomectomy) in the 1970s. First laparoscopic hysterectomy was reported by Reich et. al in 1989.

Advantages of Laparoscopic Surgery

  • Rapid postoperative recovery
  • Less postoperative pain and reduced need for analgesia
  • Shorter hospital stay with reduced overall cost
  • Faster return to normal daily activities
  • Reduced adhesion formation
  • Minimal abdominal scars (better cosmetic outcome)
  • Reduced blood loss

Minimally invasive surgery has recently been introduced in the Obstetrics and Gynecology Department at CHUK. Consultant gynecologists are performing various procedures using laparoscopy instead of open surgery, and ongoing training is being conducted to further strengthen this service.

Laparoscopic Procedures Performed at CHUK

  • Tubal sterilization
  • Adhesiolysis and tuboplasty for tubal factor infertility
  • Aspiration of simple ovarian cysts
  • Ovarian biopsy or drilling for PCOS
  • Management of ectopic pregnancy, including:
    • Salpingostomy
    • Segmental resection
    • Salpingectomy
    • Salpingo-oophorectomy
  • Myomectomy
  • Hysterectomy

Oncology Program

Worldwide, non-communicable diseases represent a major health burden, with cancers contributing significantly to both morbidity and mortality. Cervical cancer is the second most common cancer among women and the leading cause of cancer-related mortality.

At CHUK, the Oncology Clinic was established to provide comprehensive services including screening, diagnosis, and treatment of various cancers such as cervical, ovarian, endometrial, and vulvar cancers. The clinic operates regularly every Monday and Thursday.

Recently, CHUK established a partnership with Worldwide Healing Hands Organization, an NGO dedicated to reducing maternal mortality. This collaboration focuses on strengthening knowledge and skills for early diagnosis and treatment of cervical cancer, with the aim of reducing cervical cancer-related mortality.

Services and Activities

The following services and activities are provided at CHUK:

  • Cervical cancer screening using HPV DNA testing and Pap smear
  • Visual Inspection with Acetic Acid (VIA) and colposcopy
  • Cervical biopsies
  • Treatment of precancerous lesions using thermal ablation or loop electrosurgical excision procedure (LEEP)
  • Cone biopsy for both diagnosis and treatment when indicated
  • Extrafascial hysterectomy for early-stage cervical cancer when required
  • Reception of referred patients from different centers for clinical staging
  • Multidisciplinary tumor board discussions in collaboration with RMH and Butaro Cancer Center of Excellence (CCE)
  • Referral and transfer of patients for chemoradiation

Family Planning

At CHUK, Reproductive Health (RH) services, including Family Planning, focus on delivering high-quality healthcare to all women of reproductive age. A wide range of RH services is offered, including family planning, comprehensive abortion care, post-abortion care, and other related reproductive health services.

In the Family Planning Unit, patient care is a top priority, with services provided in a client-friendly environment that ensures compassionate and respectful care.

The Family Planning Unit works to empower women from all economic and social backgrounds by providing quality reproductive health services that enable them to plan and shape their futures. Improving access to quality RH care helps women make informed decisions about their reproductive health.

The unit also provides pre-service training for medical and midwifery students, equipping them with the skills needed to deliver compassionate, respectful, and high-quality care. Hands-on training is a key teaching methodology, enabling students to develop essential clinical, counseling, and communication skills required for effective patient care.

All contraceptive methods are offered based on client preference and informed choice after proper counseling. These include:

  • Oral Contraceptive Pills (OCPs)
  • Barrier methods
  • Implants
  • Intrauterine Devices (IUDs)
  • Permanent sterilization

Department Leadership and Specialists

Dr. Diomede NTASUMBUMUYANGE

Head of Obstetrics and Gynecology Department
diomede.ntasumbumuyange@chuk.rw
+250788334988