A study of emergency peripartum hysterectomy in a tertiary care hospital

Jeyamani Janaki Bhaskaran; Subha Sivagami Sengodan; Aiswarya Rangesh; Praveena Murugesan

doi:10.18203/2320-1770.ijrcog20181932

Authors

Jeyamani Janaki Bhaskaran Department of Obstetrics and Gynecology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
Subha Sivagami Sengodan Department of Obstetrics and Gynecology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
Aiswarya Rangesh Department of Obstetrics and Gynecology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
Praveena Murugesan Department of Obstetrics and Gynecology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20181932

Keywords:

Atonic PPH, Obstetric hysterectomy, Placenta accreta

Abstract

Background: Emergency peripartum hysterectomy is a lifesaving procedure done as a last resort to save mother’s life. This study is to analyse the incidence, maternal characteristics, indications and complications following peripartum hysterectomy.

Methods: A retrospective analysis of emergency peripartum hysterectomy cases performed over a period of 3 years from January 2015 to December 2017.

Results: During the study period, 82 emergency peripartum hysterectomies were performed giving an incidence of 3.47/1000 delivery. Most of the women belong to the age group of 21-30 years (70.7%) and the women of parity two and three (65.8%). Atonic PPH was the most common indication accounting for 59.8% of cases followed by placenta accreta (19.5%).

Conclusions: Emergency peripartum hysterectomy remains a lifesaving procedure. Proper antenatal care, early referral, blood bank facilities and timely decision greatly influences maternal outcome.

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