Description of request
I am seeking mentorship and clinical collaboration in advanced obstetric and gynaecological procedures, particularly in the management of obstructed labour, abnormal placentation, complex breech deliveries (vaginal and caesarean), caesarean hysterectomy, wound care, and episiotomy repair. I am also looking to gain deeper exposure to vulval diseases, colposcopy, and minimally invasive cervical canc
Detailed Request for Mentorship and Training Support
As a Registered Midwife working at Munini District Hospital in Rwanda, I encounter a wide range of complex obstetric and gynecological conditions that often require advanced skills, collaborative decision-making, and surgical interventions. Below is a detailed outline of the areas where I seek mentorship, partnership, and possible in-person or virtual training through InterSurgeon.
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Obstetric Surgical & Emergency Procedures
Obstructed Labour: I aim to build expertise in identifying early signs of obstructed labour, timely referral, and hands-on surgical management to reduce maternal-fetal complications in resource-limited rural settings.
Abnormal Placentation: I seek advanced clinical support in diagnosing and managing placenta previa, placenta accreta/increta/percreta, and postpartum hemorrhage associated with abnormal placental attachment.
Management of Multiple Pregnancy Deliveries: I wish to refine my skills in conducting safe deliveries for twins or more, including preparation, timing of delivery, and postnatal care.
Breech Delivery (Vaginal & Caesarean): Training in decision-making for trial of vaginal breech delivery versus caesarean section, and hands-on mentorship during these deliveries, would improve maternal safety and outcomes.
Caesarean Hysterectomy: I seek mentorship in recognizing indications and performing or assisting in life-saving caesarean hysterectomies, particularly in emergency situations like uterine rupture or uncontrolled bleeding.
Wound Debridement: Additional skills in managing surgical site infections, wound healing, and proper debridement techniques would enhance post-operative care in our facility.
Episiotomy and Tear Repair: I aim to master repair techniques for complex episiotomies, vaginal tears, and third/fourth-degree perineal tears including anal sphincter involvement.
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Operative Deliveries
Spontaneous Vertex Delivery: Although I am experienced in SVDs, I would appreciate feedback and training in identifying subtle signs of complications during labor progression.
Simple Caesarean Section: I am interested in mentorship to strengthen my theoretical and hands-on understanding of all stages of a caesarean section, including managing complications.
Operative Vaginal Delivery (Forceps/Ventouse): These are rarely practiced in our rural setting. I seek practical demonstrations, simulations, and mentorship to safely implement these techniques where appropriate.
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Vulval Disease
Dermatoses (Lichen sclerosus, Lichen planus, etc.): I request clinical guidance in diagnosis, differential diagnosis, and long-term management of chronic vulval skin conditions.
Paget’s Disease of the Vulva & VIN: As these are rare and often misdiagnosed, I hope to gain knowledge on presentation, biopsy interpretation, and management strategies including conservative and surgical approaches.
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Colposcopy and Cervical Pathology
HPV and CIN: I am keen to learn best practices for colposcopy, HPV screening, and managing cervical intraepithelial neoplasia (CIN), especially in low-resource contexts.
Minimally Invasive Cervical Cancer: I would benefit from exposure to techniques and protocols for early-stage cervical cancer, especially how it is managed surgically or conservatively in settings with limited access to oncology centers.
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Goals and Expectations
I hope to develop practical surgical and clinical competencies through mentorship from experienced professionals via InterSurgeon. Whether through in-person training, remote case discussions, simulations, or shared educational materials, I am fully committed to using this knowledge to improve patient outcomes, train other midwi
ves, and strengthen the health system in our rural community.
This Request is open to:
- Obstetric
- Obstetric
- Obstetric
- Women’s health nursing
- Include obstetrics & gynaecology members that have not selected a subspecialty
- Specialist medical provider
- Foetal Medicine
- Maternal Medicine
- Family Planning & Sexual Reproductive Health
- Paediatric & Adolescent Gynaecology
- Minimally Invasive Gynaecological Surgery
- Forensic Gynaecology
- Labour Ward
- Vulval Disease
- Colposcopy
- Menopause
- Non-specialist medical provider
- Foetal Medicine
- Maternal Medicine
- Family Planning & Sexual Reproductive Health
- Minimally Invasive Gynaecological Surgery
- Forensic Gynaecology
- Labour Ward
- Vulval Disease
- Colposcopy
- Menopause
- Non-medical, nurse/midwife provider
- Foetal Medicine
- Maternal Medicine
- Family Planning & Sexual Reproductive Health
- Paediatric & Adolescent Gynaecology
- Minimally Invasive Gynaecological Surgery
- Forensic Gynaecology
- Labour Ward
- Vulval Disease
- Colposcopy
- Menopause
- Non-medical, non-nurse/midwife provider
- Foetal Medicine
- Maternal Medicine
- Family Planning & Sexual Reproductive Health
- Paediatric & Adolescent Gynaecology
- Minimally Invasive Gynaecological Surgery
- Forensic Gynaecology
- Labour Ward
- Vulval Disease
- Colposcopy
- Menopause
- Other Obstetrics & Gynaecology provider/trainee
- Foetal Medicine
- Maternal Medicine
- Family Planning & Sexual Reproductive Health
- Paediatric & Adolescent Gynaecology
- Minimally Invasive Gynaecological Surgery
- Forensic Gynaecology
- Labour Ward
- Vulval Disease
- Colposcopy
- Menopause
This Request relates to the following areas of expertise:
- Urogynaecology and Pelvic Floor Reconstruction
- Pelvic organ prolapse
- Urinary incontinence
- Female genital mutilation reconstruction and deinfibulation
- Fistula repair
- Gynaecological Oncology
- Ovarian malignancy
- Uterine malignancy
- Cervical malignancy and pre-malignant conditions
- Vaginal malignancy and pre-malignant conditions
- Breast
- Benign breast disease
- Malignant breast disease
- Breast infection
- Foetal Medicine
- Cervical incompetence and pre-term birth
- Foetal anomalies
- Pre-natal and antenatal genetic screening
- Intrauterine growth restriction and Small for Gestational Age fetus
- Multiple pregnancy
- Reproductive biology & Assisted reproduction
- Primary subfertility
- Secondary subfertility
- Reproductive endocrine disorders
- Maternal Medicine
- Gestational diabetes
- Gestational hypertension
- Cardiac disease
- Respiratory disease
- Blood borne viruses
- Maternal Endocrine disorders
- Family Planning & Sexual Reproductive Health
- Contraception
- Abortion care
- Psychosexual disorders
- Vulvodynia
- Menopause
- Paediatric & Adolescent Gynaecology
- Congenital gynaecological anomalies including Disorders of Sex Development (Intersex)
- Minimally Invasive Gynaecological Surgery
- Endometriosis
- Fibroids
- Benign ovarian tumours
- Pelvic pain
- Pelvic inflammatory disease
- Labour Ward
- Obstructed labour
- Abnormal placentation
- Management of multiple pregnancy delivery
- Breech delivery – vaginal
- Breech delivery – caesarean section
- Caesarean hysterectomy
- Wound debridement
- Repair of episiotomy, vaginal and anal sphincter tears
- Spontaneous vertex delivery
- Simple Caesarean section
- Operative vaginal delivery - forceps
- Operative vagina delivery - ventouse
- Vulval Disease
- Dermatosese – Lichen sclerosus, lichen planus, lichen simplex, eczema, psoriasis, contact dermatitis
- Paget’s disease of the vulva
- Vulvular intra-epithelial neoplasia
- Colposcopy
- Human papilloma virus
- Cervical intra-epithelial neoplasia
- Minimally invasive cervical cancer
