DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20220061

A survey of hysterectomies in young patients in Eastern Uttar Pradesh: are the wombs being removed unnecessarily?

Anjali Rani, Heena Mir, Neha Mahajan, Ravi Bhushan

Abstract


Background: There are reports of unnecessary hysterectomies in young patients in some parts of Eastern Uttar Pradesh and adjoining regions. This study was conducted to know the indications of hysterectomies done at less than 35 years of age. 

Methods: This study was conducted in the outpatient Department of Gynaecology and Obstetrics, Sir Sundar Hospital, Institute of Medical Sciences, Banaras Hindu University Varanasi over a period of one year. Hysterectomised patients with age less than 35 years were included in the study. After getting an informed consent, a detailed history was taken, patient’s past medical record was reviewed and their socio-demographic profiles, indication for hysterectomy and any surgical complications were recorded. Statistical analysis of data was done using SPSS and results were recorded as mean and percentage.  

Results: One hundred patients were included in the study over a period of one year. Mean age of the study population was 28 years.  The 32% patient were below 25 years of age, 44% were between 25 to 30 years of age whereas 24% were in the age group of 30 to 35 years. Unevaluated Vaginal discharge (28%) and pain in pelvic region (25%) were the main indication for hysterectomy. Menstrual abnormalities (13%), asymptomatic uterine fibroid (12%), small functional ovarian cyst (10%) and abnormal colposcopic images (12%) were other indications.

Conclusions: There is a high prevalence of unnecessary hysterectomies in eastern part of Uttar Pradesh, India. Such practice must be discouraged and stopped. Public awareness, adherence to medical ethics and strict action against those involved in medical malpractice would be helpful in decreasing the number of unnecessary hysterectomies in the young women.


Keywords


Unnecessary, Hysterectomy, Young patient

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References


Ceri A, Sarah D. Unregulated and Unaccountable: how the private health care sector in India is putting women’s lives at risk. OXAFAM International. 2013. Available at: http://www.oxfam.org/en/eu/pressroom/ pressrelease/2013-02-06/unregulated-unaccountable-private-health-care-india-womens-lives-risk. Accessed on April 20, 2020.

The Hindu. Spate of hysterectomies stuns authorities, 2010. Available: http://www.thehindu.com/todays-paper/tp-national/tpandhrapradesh/Spate-of-hysterec tomies-stuns-authorities/article16005216.ece. Accessed on 20 April 2020.

Bhaumik S. Calls for new regulations to reduce unnecessary hysterectomies in private hospitals. BMJ 2013;346:f852.

Kay M. The unethical revenue targets that India’s corporate hospitals set their doctors. The BMJ. 2015;351:h4312.

International Institute for Population Sciences (IIPS) and ICF. National family health survey (NFHS-4), 2015-16: India. Mumbai: IIPS, 2017.

Xavier T, Vasan A. Instilling fear makes good business sense: unwarranted hysterectomies in Karnataka. Indian J Med Ethics. 2017;2:49-55.

Desai S, Campbell OMR, Sinha T. Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India. Health Policy Plan 2017;32:68–78.

Prusty RK, Choithani C, Gupta SD. Predictors of hysterectomy among married women 15–49 years in India. Reproductive health. 2018;1:3. Prayas Trust. Understanding the reasons for the rising numbers of hysterectomies in India. National consultation, 2013. Available at: http://www.prayaschittor.org/pdf/ Hysterectomy-report.pdf. Accessed on April 20, 2020.

Kameswari S, Vinjamuri P. Case study on unindicated hysterectomies in Andhra Pradesh. Life-Health Reinforcement group. Natl. Workshop Rising Hysterect. India. August 2013. Available at: http://prayaschittor.org/wp-content/uploads/2015/11/ Hysterectomy-report.pdf. Accessed on April 20, 2020.

Mamidi BB, Pulla V. Hysterectomies and Violation of Human Rights: Case Study from India. Int J Social Work Human Services Practice. 2013;1(1):64-75.

Berger D. Corruption ruins the doctor-patient relationship in India. BMJ. 2014;348:g3169.