“…6 In general, the type of surgical care, radical or conservative with or without tubal ligations considers many factors that underlie the disparities in uterine conservation rates observed in different studies. 1,2,10,16,18 In our study, the treatment was more radical in the parturients came from inland cities (75%) against 29% for parturients came from Abidjan and suburbs with a significant difference. Indeed, these parturients came from inland towns were all evacuated and they have been transported more than 50 kms to access our service, bloodless in the majority of cases (100% blood transfusion in this group, 70% in shock at admission), with local aged lesions and a sphacelus uterus or marked by significant dilacerations.…”