Complications of emergency obstetric hysterectomy in Gujarat, India

Authors

  • Bhoomika R. Chauhan Department of Obstetrics and Gynecology, GMERS Medical College, Himmatnagar, Gujarat, India
  • Aarti J. Patel Department of Obstetrics and Gynecology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat,

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20175006

Keywords:

Emergency obstetric hysterectomy, Haemorrhagic shock, Hysterectomy

Abstract

Background: Emergency obstetric hysterectomy is defined as extirpation of uterus either at the time of cesarean section or following vaginal delivery, or within the puerperium to stop life threatening obstetric hemorrhage when all other measures fail. This study was conducted to study complications of emergency obstetric hysterectomy.

Methods: Out of 28552 patients, 45 patients operated for Emergency obstetric hysterectomy in Vadilal Sarabhai Hospital of Ahmedabad, Gujarat; during May 2010 to October 2012 were included in the study. Complications of the procedures were identified and analyzed.

Results: Hemorrhagic shock was the most common complication followed by fever. 15.55% (7 out 45) mothers were not saved even after the emergency obstetric hysterectomy.

Conclusions: Improvising procedural skill and post-operative care can reduce the complications of emergency obstetric hysterectomy.

 

References

Nwobodo E, Nandi D. Emergency obstetric hysterectomy in tertiary care hospital in Sokoto, Nigeria. Annals Med Health Sci Res. 2012;2(1):37-40.

Shaikh N, Shaikh S, Shaikh J. Morbidity and mortality associated with obstetric hysterectomy. J Ayub Med Coll Abbottabad. 2010;22(2):100-4.

Anita, Wadhwani K. Emergency obstetric hysterectomy. J Obstet Gynecol India. 2005:55(2):132-4.

Zelop C, Harlow B, Frigoletto F, Safon L, Saltzman D. Emergency Peripartum Hysterectomy. Am J Obstet Gynecol. 1993;168:1443-8.

Caesarean Delivery and Peripartum Hysterectomy. In: Cunningham F, Kenneth L, Steven B, John H, Dwight R, Catherine. Williams’s obstetrics. 23rd ed. New York: McGraw Hill; 2011:545-562.

Najmi R. Caeserian and postpartum hysterectomy- a study from Lahore. J Coll Physicians Surg Pak. 1994;4:120-5.

Gupta S, Hooker J, Beynon JL, Gibson JRM. Obstetric hysterectomy. J Obstet Gynaecol. 1994;14:159-161.

Preetha G, Mini I, Jayasree V. Emergency peripartum hysterectomy for primary PPH an obstetrician’s challenge. Int J Contemp Med Res. 2016;3(5):1265-1267.

Ekachai K. Obstetric Hysterectomy: A 14-Year Experience of Rajavithi Hospital 1989-2002. J Med Assoc Thai. 2006;89(11):1817-21.

Sohasrabhojanee M, Jindal M, Kamat A. Obstetric hysterectomy a lifesaving emergency. J Obstet Gynecol India. 2006;58:138-141.

Amad S, Mir I. Emergency peripartum hysterectomy: experience at Apex Hospital of Kashmir Valley. Internet J Gynecol Obstet. 2007;8(2).

Siddiq N, Ghazi A, Jabbar S. Emergency obstetrical hysterectomy (EOH): A life saving procedure in obstetrics. Pak J Surg. 2007;23:217-9.

Marwaha P, Kaur M, Gupta A. Peripartum hysterectomy – a five years study: J Obstet Gynecol India. 2008;58:504-6.

Sharma R, Shaheen, Pathak J. Peripartum Hysterectomy: A review of 70 cases. South Asian Federation Obstet Gynecol. 2009;1(2):19-21.

Javed N, Tahir S. Emergency obstetric hysterectomy-one year review at Allied Hospital, Faisalabad. APMC. 2010;4(1):86-89.

Lamba J, Gupta S. Role of emergency hysterectomy in modern obstetrics. JK Sci. 2012;14(1):2-24.

Zia S, Rafique M, Rizwan A, Khan T, Shamrani A. Maternal outcome in emergency peripartum hysterectomy: minimizing the risk. South Asian Federation Obstet Gynecol. 2013;5(3):91-95.

Ara S, Fouzia U. Emergency obstetric hysterectomy. Professional Med J. 2015;22(1):100-5.

Downloads

Published

2017-10-28

Issue

Section

Original Research Articles