Emergency Obstetric Hysterectomy:  A Retrospective Study at a Tertiary Care  Hospital

Dr. Jagruti M. Shah; Dr. Santwan B. Mehta; Dr. Riddhi B. Shah; Dr. Swati Thakkar

Volume : II, Issue : XII, December - 2013

Emergency Obstetric Hysterectomy: A Retrospective Study at a Tertiary Care Hospital

Dr. Jagruti M. Shah, Dr. Santwan B. Mehta, Dr. Riddhi B. Shah, Dr. Swati Thakkar

Abstract :

Title: Emergency Obstetric Hysterectomy: A Retrospective Study at a Tertiary Care Hospital. Objective: To determine the frequency, indications, maternal and perinatal mortality and morbidity associated with emergency obstetrics hysterectomy at a tertiary care hospital. Methods: A retrospective analysis of 50 cases of emergency hysterectomies done for obstetric indications over a period of 3 years from April 2010 to March 2013, performed at V.S. General Hospital, N.H.L. Medical College, Ahmedabad, a tertiary care hospital, was done. Results: The incidence of emergency hysterectomy in our study was 0.29% i.e. 1 in 339 deliveries. 60% of the women were in the age group of 26-35 years. 58% of patients belonged to parity three or four. Majority of the cases were unbooked (74%). Postpartum hemorrhage (44%) and ruptured uterus (38%) were the two major indications for obstetric hysterectomy. In 78% of the cases, total hysterectomy was performed. The maternal mortality was 10%. 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.