Perceptions of Indian women on hysterectomy

Shuchi Jain, Shruti S. Pansare


Background: Women who undergo hysterectomy face a multitude of physical and psychosocial problems. The objective of the study was to assess the impact of pre-operative education on post-operative psychosocial health.

Methods: It was an interventional research in 96 women who were randomly divided into two groups; one received pre-operative education about surgery and the other given routine preoperative advice. With the help of a questionnaire the perceptions of women on hysterectomy were assessed.

Results: Post-operation, 47 of the intervened patients and all the patients of control group were satisfied with the surgery, statistically insignificant; fisher's exact of 1. For 20 intervened patients and 6 patients of control group were very acceptable with the fact that the uterus was no longer present in the body post-surgery, statistically significant; fisher's exact of 0.001. 45 of the intervened group were not feeling depressed whereas 19 patients of the control group were feeling depressed, statistically significant; fisher's exact of 0.0005.

Conclusions: Thus, there was a positive impact of pre-operative education on perceptions about hysterectomy. Women who underwent hysterectomy after receiving preoperative education were content with the results of surgery. Resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.


Hysterectomy, Perception, Preoperative education, Postoperative perception

Full Text:



Majumdar A, Saleh S. Psychological aspects of hysterectomy and postoperative care. InHysterectomy InTech. 2012.

Rannestad T. Hysterectomy: effects on quality of life and psychological aspects. Best Pract Res Clin Obstet Gynaecol. 2005;19(3):419-30.

Singh A, Arora AK. Why Hysterectomy Rates are lower in India. Ind J Community Med. 2008;33(3):196-7.

Wong LP, Arumugam K. Physical, psychological and sexual effects in multi-ethnic Malaysian women who have undergone hysterectomy. J Obstet Gynaecol Res. 2012;38(8):1095-105.

Butler GS, Hurley CA, Buchanan KL, Smith-VanHorne J. Pre hospital education: effectiveness with total hip replacement surgery patients. Patient Educ Couns. 1996;29(2):189-97.

Raphael B. Psychiatric aspects of hysterectomy. In: Howells JG, ed: Modern perspectives in the psychiatric aspects of surgery. London: Macmillan; 1978.

Green RL Jr. The emotional aspects of hysterectomy. Southern Med J. 1973;66(4), 442-444.

Lalinec-Michaud M, Engelmann F. Depression and hysterectomy: a prospective study. Psychosomatics. 1984;25:550-8.

Roeske NC. Hysterectomy and other gynaecological surgeries. In: Notman MT, Nadelson CC, eds: The woman patient, medical and psychosocial interfaces: Sexual and reproductive aspects of women’s health care. New York: Plenum; 1978;1:217-31.

Brett KM, Marsh JV, Madans JH. Epidemiology of hysterectomy in the United States: demographic and reproductive factors in a nationally representative sample. J Women's Health. 1997;6(3):309-16.

Pandey D, Sehgal K, Saxena A, Hebbar S, Nambiar J, Bhat RG. An audit of indications, complications, and justification of hysterectomies at a teaching hospital in India. Int J Reproductive Med. 2014;2014.

Broder MS, Kanouse DE, Mittman BS, Bernstein DJ. The appropriateness of recommendations for hysterectomy. Obstet Gynecol. 2000;95(2):199-205.

Leung PL, Tsang SW, Yuen PM. An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Hong Kong Med J. 2007;13(3):187-193.

Toma WM, Hopman, Gorwill RH. Hysterectomy at a Canadian tertiary care facility: results of a one-year retrospective review. BMC Women's Health. 2004;4:10.

El-Toukhy TA, Hefni M, Davies A, Mahadevan S. The effect of different types of hysterectomy on urinary and sexual functions: A prospective study. J Obstet Gynaecol. 2004;24:420-5.

Williams RD, Clark AJ. A qualitative study of women’s hysterectomy experience. J Womens Health Gend Based Med. 2000;9:S15-25.

Polit DF, Beck CT. Nursing research: Principles and methods: Lippincott Williams and Wilkins; 2004.

Spalding NJ. A comparative study of the effectiveness of a preoperative education programme for total hip replacement patients. Br J Occup Ther. 1995;58(12):526-31.