Nairobi Maternal Health Surgical Workshop 2018

Comprehensive maternal health surgery training in Kenya covering Cesarean section, episiotomy prevention, and postpartum hemorrhage management for East African surgeons.

Overview

The 2018 Nairobi Workshop expanded NESA’s East African presence, providing intensive maternal health surgical training to surgeons from Kenya, Uganda, Tanzania, Ethiopia, and Rwanda.

Workshop Details

Location: Kenyatta National Hospital, Nairobi, Kenya
Duration: 6 days
Participants: 52 surgeons and 20 nurses
Host Institution: Kenyatta National Hospital
Partners: Ministry of Health Kenya, University of Nairobi

Training Modules

Evidence-Based Cesarean Section

  • Step-by-step Misgav-Ladach technique
  • Reducing surgical time and complications
  • Suture technique optimization
  • Blood loss minimization

Episiotomy Prevention

  • Identifying true medical indications
  • Perineal protection techniques
  • When episiotomy is actually necessary
  • Repair techniques when performed

Postpartum Hemorrhage Management

  • Surgical interventions
  • Conservative management approaches
  • Emergency protocols
  • Team coordination

FGM Complication Management

  • Treatment of FGM victims
  • Reconstructive techniques
  • Psychological support integration

Innovative Format

This workshop introduced:

  • Live surgery streaming to multiple viewing rooms
  • Nursing staff integration for holistic team training
  • Mobile app for post-workshop support and questions
  • 6-month follow-up program with video consultations

Participants

Countries Represented:

  • Kenya (28 surgeons)
  • Uganda (8 surgeons)
  • Tanzania (7 surgeons)
  • Ethiopia (5 surgeons)
  • Rwanda (4 surgeons)

Measured Outcomes

Six-month follow-up data from 42 participating hospitals:

  • 2,180 Cesarean sections performed using NESA method
  • 31% reduction in febrile morbidity
  • Average surgical time reduced from 45 to 28 minutes
  • Zero maternal mortality in documented cases
  • 88% adoption rate of taught techniques

All-African Database Integration

All participants were enrolled in the All-African Surgical Database, contributing:

  • Real-time surgical outcome data
  • Comparative analysis with traditional methods
  • Regional benchmarking
  • Continuous quality improvement metrics

Ministry of Health Impact

The Kenya Ministry of Health subsequently:

  • Adopted NESA guidelines for national training
  • Integrated techniques into medical school curriculum
  • Designated Kenyatta National Hospital as regional training center
  • Funded annual refresher workshops

Resource Materials Provided

  • Comprehensive surgical manual (English and Swahili)
  • Visual step-by-step guides
  • Video library access via Member Portal
  • Mobile app for quick reference
  • Suture kits and practice models

Future Collaboration

This workshop established:

  • Annual East African NESA workshop rotation
  • Kenyatta Hospital as NESA regional hub
  • Mentorship program connecting East African surgeons
  • Research collaboration network

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