Emergency obstetric hysterectomy: a retrospective study from a teaching hospital over eight years
Keywords:Emergency obstetric hysterectomy, Post-partum hemorrhage, Rupture uterus
Background: EOH is define as removal of uterus (total or subtotal) at the time of caesarean section or following vaginal delivery within puerperium. Objective of present study was to determine the frequency, demographic characteristics, indications, and maternal outcomes associated with emergency obstetric hysterectomy.
Methods: It was a retrospective, observational, and analytical study conducted over a period of eight years, from January 2009 to December 2016. A total of 64 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, SRG Hospital and Jhalawar Medical College Jhalawar (Rajasthan).
Results: The incidence of EOH in our study was 0.4 per 1000 following vaginal delivery and 3.5 per 1000 following cesarean section. The overall incidence was 1.03 per 1000 deliveries. Rupture uterus 30 (46.8%) was the most common indication followed by postpartum hemorrhage 23 (35.9%) and morbidly adherent placenta 11 (17.1%). Subtotal abdominal hysterectomy was performed in most of the cases. Maternal mortality was 6.2%.
Conclusions: This study concluded the great role of EOH as a life-saving procedure in those cases where medical management has failed.
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