DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20161009

Emergency peripartum hysterectomy: a retrospective study at a tertiary care hospital

Ranjana Patil, Anupama Dave

Abstract


Background: The main objective is to study the incidence, demographic profile, indications and feto-maternal outcome associated with emergency peripartum hysterectomy (EPH).

Methods: We conducted a retrospective, observational study over a period of 5 years; from January 2011 to December 2015.We studied 81 patients who underwent EPH for various indications in Department of Obstetrics & Gynaecology, MGM Medical College, Indore.

Results: The rate of EPH in present study was 1.46 per 1000 deliveries. Uterine rupture (64.2%) was the most common indication followed by morbidly adherent placenta (11.1%), uterine atony (11.1%).The most common morbidities were wound sepsis and pyrexia. Maternal mortality was 8.6% whereas perinatal mortality was 62 %.

Conclusions: Proper antenatal intrapartum care, early referral and judicious decision making regarding caesarian section are the potential methods which can be implemented to prevent this catastrophic event.


Keywords


Emergency peripartum hysterectomy (EPH), Uterine rupture, Morbidly adherent placenta, Maternal-perinatal mortality

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References


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