Dr. Rabab Mustafa . Ob/GYN Lusaka

Dr. Rabab Mustafa  . Ob/GYN Lusaka
OB/GYN specialist in Lusaka , Dedicated to women’s health & Fertility care.

🌍Africa is not only where I work…it became part of who I am.For 7 years in Zambia,I have witnessed the strength of Afric...
25/05/2026

🌍Africa is not only where I work…

it became part of who I am.

For 7 years in Zambia,

I have witnessed the strength of African women up close.

Their patience.
Their resilience.
Their love for their children despite every challenge.

As doctors, we treat patients.
But sometimes… Africa teaches us too.

It teaches humanity.
Community.
Strength during difficult days.

And how a mother can still smile while carrying so much silently.

On this Africa Day,
I celebrate the women who keep going no matter how hard life becomes.
The mothers.
The daughters.
The healthcare workers.
The women silently holding entire families together. 💚

Happy Africa Day 🌍
With love and respect to the continent that became home.
Dr Rabab Mustafa
OB/GYN | Lusaka





Septate uterus is the most common congenital uterine anomaly and results from incomplete resorption of the Müllerian duc...
22/05/2026

Septate uterus is the most common

congenital uterine anomaly and results from incomplete resorption of the Müllerian ducts during embryological development.

It is characterized by a fibrous or fibromuscular septum partially or completely dividing the endometrial cavity, while the external uterine contour usually remains normal.

Clinically, septate uterus has been associated with:

• recurrent pregnancy loss
• implantation failure
• infertility in selected cases
• preterm birth
• malpresentation
• adverse reproductive outcomes

However, reproductive prognosis varies significantly depending on:
• septum size and extent
• vascularity of the septal tissue
• associated anomalies
• and individual reproductive history

Accurate diagnosis is essential.

2D ultrasound alone may sometimes overdiagnose septate uterus, particularly in:
• early pregnancy
• arcuate uterus
• retroverted uterus
• or asymmetric cavity distortion

3D transvaginal ultrasound remains one of the most reliable noninvasive diagnostic modalities for differentiating septate uterus from other Müllerian anomalies.

Management should always be individualized.

Hysteroscopic septum resection may improve reproductive outcomes in selected patients, particularly those with recurrent pregnancy loss or adverse reproductive history.

A uterine anomaly should be evaluated carefully not feared automatically.

Dr Rabab Cares









“Your uterus is slightly heart-shaped.”Many women panic when they hear this during an ultrasound.But in many cases, the ...
20/05/2026

“Your uterus is slightly heart-shaped.”

Many women panic when they hear this during an ultrasound.

But in many cases, the finding is simply:

🩺 An arcuate uterus.

An arcuate uterus is a mild indentation at the top of the uterine cavity.

👉 It is often considered a normal anatomical variant.
👉 Many women never know they have it.
👉 Many have completely normal fertility and healthy pregnancies.

Sometimes it is discovered during:
• fertility workup
• pregnancy scans
• miscarriage evaluation
• or even routine ultrasound

One important point:
An arcuate uterus is NOT the same as a septate uterus.

And distinguishing between them may require experienced ultrasound assessment sometimes even 3D ultrasound.

In most cases:
🌷 No surgery is needed
🌷 No treatment is required
🌷 And reassurance is often the most important part

Because not every different uterine shape is a dangerous diagnosis.

Dr Rabab Cares






“Your uterus is abnormal.”A sentence that can immediately create fear.But here’s something important many women don’t kn...
18/05/2026

“Your uterus is abnormal.”

A sentence that can immediately create fear.

But here’s something important many women don’t know:

Not every uterine anomaly is dangerous.
And not every unusual uterine shape causes infertility.

🩺 Müllerian anomalies are variations in how the uterus formed before birth.

Some are very mild and may never affect pregnancy.
Others may require closer follow-up or treatment.
Many women only discover them during:

• a routine ultrasound
• fertility assessment
• pregnancy scans
• or miscarriage evaluation

In this series, we’ll simplify the most common types:

• Arcuate uterus
• Septate uterus
• Bicornuate uterus
• Unicornuate uterus

And we’ll talk about:

✔️ fertility
✔️ miscarriage risk
✔️ pregnancy outcomes
✔️ when treatment is needed… and when it is not.

Because understanding the diagnosis matters more than fearing the name.

Dr Rabab Cares










Today, we celebrate the women who carry entire worlds quietly. 🤍To every mother—the ones raising children, healing famil...
10/05/2026

Today, we celebrate the women who carry entire worlds quietly. 🤍

To every mother—the ones raising children, healing families, working through exhaustion, hiding pain behind a smile, and still showing up with love every single day—

Thank you.

As an obstetrician, I witness strength in many forms, but motherhood remains one of the most powerful journeys I see.

Happy Mother’s Day to every mother, every expecting mother, every woman trying, and every woman carrying love in her heart. 🌷
You are appreciated more than words can say.

Dr. Rabab Mustafa

✨ “HSIL is different… and here’s why.”Yesterday, we talked about LSIL.Today… let’s talk about HSIL.Because they are not ...
05/05/2026

✨ “HSIL is different… and here’s why.”

Yesterday, we talked about LSIL.

Today… let’s talk about HSIL.

Because they are not the same.

🧠 What is HSIL?

HSIL (High-grade squamous intraepithelial lesion)

means more advanced changes in the cervix,
usually linked to persistent HPV infection.

👉 It’s still not cancer
👉 But it needs action not just monitoring.

⚠️ Why does it matter?

Unlike mild changes (LSIL),
HSIL carries a higher risk of progression over time.

👉 That’s why we don’t wait.
👉 We act early.

🩺 What happens next?

A closer examination (colposcopy)
And sometimes treatment (like LEEP) depending on findings.

👉 The goal is simple:

prevent cancer before it even starts.

🔍 Does age matter?

👉 With HSIL… not much.
It is considered high-risk regardless of age (≥25 years)

💬 My message to you:

If your result says HSIL
don’t panic…
But don’t ignore it either.
Early action changes everything.

📍 Clear guidance. Early detection. Real reassurance.








🤔“Your Pap smear says LSIL… should you worry?”You came for a routine check.You felt fine.Then the report says: LSIL.Sudd...
04/05/2026

🤔“Your Pap smear says LSIL… should you worry?”

You came for a routine check.
You felt fine.
Then the report says: LSIL.

Suddenly… anxiety starts.

Let me explain it simply 👇

LSIL (Low-grade squamous intraepithelial lesion).

means there are mild changes in the cervix,
usually caused by a very common virus called Human papillomavirus (HPV).

💡 The most important thing you need to know:

👉 This is NOT cancer.
👉 In many cases, your body clears it on its own.
👉 You don’t need panic… you need proper follow-up.

🩺 So what happens next?

Depending on your age and results:

Sometimes we just monitor and repeat the test after 1 year.

Sometimes we do a simple test called colposcopy to take a closer look.

That’s it. No rush. No fear.

⚠️ When do we take it more seriously?
If the virus persists
Or if changes progress over time.

👉 That’s why follow-up is everything

💬 A message from me as your doctor:

Don’t ignore it…

but don’t be scared of it either.

Your body is strong.

And with the right follow-up, we catch problems early before they ever become serious.

we focus on early detection, reassurance, and safe care because your peace of mind matters as much as your health.

Happy Labour Day.Work means different things to different people.For some, it’s routine.For others, it’s responsibility ...
01/05/2026

Happy Labour Day.

Work means different things to different people.

For some, it’s routine.

For others, it’s responsibility that stays even on a day off.

As doctors, we learn to appreciate both
the moments we serve,
and the moments we pause.

Today is a reminder to value the work we do…
and also the rest that allows us to keep going.

To everyone working hard in their own way today and every day this day is for you.





💚“I didn’t rush for a C-section.I responded to a cord prolapse.”One of the most dangerous obstetric emergencies can begi...
29/04/2026

💚“I didn’t rush for a C-section.
I responded to a cord prolapse.”

One of the most dangerous obstetric emergencies can begin quietly… and within minutes, everything changes.

A patient in early labour.
Twin pregnancy.
First baby breech.
Suddenly cord prolapse.

At that moment, this is no longer about waiting.
It is no longer about “let’s observe.”

It becomes about one thing only:

Time.

Cord prolapse happens when the umbilical cord slips below the presenting part, causing compression and rapidly reducing blood flow and oxygen to the baby.

Every minute matters.

Immediate action is critical:

– Relieve cord compression
– Optimize maternal position
– Prepare for urgent delivery
– Most often, emergency Caesarean section is the safest option

Sometimes people say,
“Doctors are too quick to do C-sections.”

But obstetrics teaches us something important:

Delay can be far more dangerous than decision.

Not every emergency looks dramatic.
Some begin quietly… and demand speed, not hesitation.

Sometimes, saving a life doesn’t mean holding the scalpel.

Sometimes, it means recognizing danger early, making the right decision fast, and ensuring the patient reaches the right hands in time.

Cord prolapse doesn’t wait.
Neither should we.

Timely referral is not “just referral.”

Sometimes, it is the difference between tragedy… and two healthy babies.

Because in obstetrics,
sometimes

timing is survival.


🤔Why Can C-Section Pain Return Years Later?Many women believe that once a Cesarean section (C-section) scar heals, the s...
27/04/2026

🤔Why Can C-Section Pain Return Years Later?

Many women believe that once a Cesarean section (C-section) scar heals, the story ends there.

But in reality, some women experience pain months or even years after surgery.

This pain should never be ignored, especially if it becomes recurrent or affects daily life.

Common Causes of Late C-Section Scar Pain:

1. Scar Tissue (Adhesions)
Internal healing can sometimes create bands of scar tissue that stick organs together, causing pulling pain, discomfort with movement, or pelvic heaviness.

2. Nerve Entrapment
Small nerves around the scar may become trapped during healing, leading to sharp, burning, or shooting pain around the incision site.

3. Incisional Hernia
A weakness in the abdominal wall near the scar may cause pain, swelling, or a visible bulge especially when coughing or lifting heavy objects.

4. Endometriosis in the Scar
In rare cases, endometrial tissue can grow within the scar itself, causing cyclic pain that worsens during menstruation.

5. Pelvic Adhesions or Chronic Inflammation
Sometimes the pain is deeper and related to pelvic organs rather than the skin scar itself.

6. Musculoskeletal Causes
Not every pain is gynecological sometimes abdominal wall strain, posture issues, or muscle weakness are the real cause.

🧠When to Seek Medical Advice:

Persistent or worsening pain
Pain associated with periods
Swelling or lump near the scar
Pain during in*******se
Bloating or pelvic pressure
Fever or abnormal discharge.

🤗The Message:
A “normal-looking scar” does not always mean everything underneath is normal.
Pain is your body’s way of asking for attention not something to normalize.

Listen early. Diagnose properly. Treat wisely.






Address

Forest Park Hospital , Nangwenya Road, Long Acres
Lusaka
10101

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