Emergency Obstetric Hysterectomy: A Retrospective Study At A Tertiary Care Hospital 2864-2868
Dr. Rehana Najam
Assistant Professor, Department of Assistant professor, Department of Obstetrics and Gynecology, Teerthankar Mahaveer Medical College and University, Near Pakbara town, Moradabad, U.P.(India)
Mobile no: 09837291920
Objectives: To analyze the cases of emergency hysterectomy due to obstetrical causes with a view to know the incidence, indications, maternal profile and complications following this surgery.
Methods: Retrospective analysis of 24 obstetric hysterectomies which were performed during caesarean sections (n= 550) which were performed over a period of 32 months.
Results: The incidence of emergency hysterectomy in our study was10.05/1000 deliveries, with a maximum numbers of patients (n= 11) in the age group of 26-30yrs. The parity was >5 in patients and ruptured uterus (n=11; 45.8%) was the commonest indication for which this life saving surgery was performed. There was only one case of morbidly adherent placenta. Out of the 24 hysterectomies performed, 19 were subtotal hysterectomy and 5 were total hysterectomy. Post-operatively, fever was commonest complication (n=12; 50%), followed by wound infection (n=4; 16%). There were three maternal deaths and only 4 live births.
Conclusion: Proper antenatal care and early referral are the only potential methods which can be used for preventing this catastrophic event. Moreover, timely decision, liberal blood transfusion and speedy surgery by an experienced clinician are the main pillars in the management of this life saving procedure.