EMERGENCY PERIPARTUM HYSTERECTOMY IN A TERTIARY CARE HOSPITAL: A ONE-YEAR REVIEW

Suresh S Kanakannavar, Zohra Batool

Abstract


INTRODUCTION: Peripartum hysterectomy is a life saving surgical procedure performed in the presence of life threatening haemorrhage when
all the conservative measures have failed.
OBJECTIVES: The objectives of this study are to examine the incidence, risk factors, indications, outcomes of peripartum hysterectomy
performed in a tertiary hospital, between October 2017 to September 2018.
MATERIALS & METHODS: It is a retrospective data analysis. The medical records of 30 patients who had undergone emergency peripartum
hysterectomy between October 2017 to September 2018 were reviewed retrospectively.
RESULTS: There were 30 emergency peripartum hysterectomies out of 16887 deliveries, a rate of 0.18 %.90% of the hysterectomies were
Caesarean hysterectomies. The commonest indication for hysterectomy was abnormal placentation followed by uterine atony and uterine rupture.
CONCLUSION: The higher incidence of emergency peripartum hysterectomy is because of the higher prevalence of risk factors like multiparity,
previous caesarean section and cesarean section in the present pregnancy.


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