EMERGENCY OBSTETRIC HYSTERECTOMY: A RETROSPECTIVE STUDY FROM A TEACHING HOSPITAL OVER THREE YEARS
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i9.45369Keywords:
Emergency obstetric hysterectomy, Cesarean section, Normal vaginal deliveryAbstract
Objectives: Objective of the present study to evaluate the incidence, indications, and complications associated with emergency obstetric hysterectomy.
Methods: This is a retrospective observational study was conducted in Smt. Hira Kunwar Ba Mahila Hospital, Jhalawar attached to Jhalawar medical college between January 2018 and April 2021, and who had and Emergency obstetric hysterectomy during the same admission, were identified from the hospital database.
Results: The incidence of emergency obstetric hysterectomy in our study 0.2/1000 deliveries following vaginal deliveries and 0.9/1000 deliveries following caesarean deliveries. The overall incidence was 0.4/1000 deliveries. Rupture uterus 5 (38.5%) was the most common indications followed by postpartum hemorrhage 4 (30.8%) and morbidly adherent placenta 4 (30.8%).
Conclusions: Emergency obstetric hysterectomy is a lifesaving procedure in those cases where medical management has failed.
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References
Hill DJ, Beischer NA. Hysterectomy in obstetric practice. Aust N Z J Obstet Gynaecol 1980;20:151-3. doi: 10.1111/j.1479-828x.1980. tb02895.x, PMID 6257222.
Mousa HA, Walkinshaw S. Major postpartum haemorrhage. Curr Opin Obstet Gynecol 2001;13:595-603. doi: 10.1097/00001703-200112000- 00008, PMID 11707663.
Osefo NJ. Caesarean and postpartum hysterectomy in Enugu, 19731986. Int J Gynecol Obstet 1989;30:93-7. doi: 10.1016/0020- 7292(89)90301-9.
Sakse A, Weber T, Nickelsen C, Secher NJ. Peripartum hysterectomy in Denmark 1995-2004. Acta Obstet Gynecol Scand 2007;86:1472-5. doi: 10.1080/00016340701692651, PMID 18027114.
Smith J, Mousa HA. Peripartum hysterectomy for primary postpartum haemorrhage: Incidence and maternal morbidity. J Obstet Gynaecol 2007;27:44-7. doi: 10.1080/01443610601016925, PMID 17365458.
Wong TY. The New Zealand medical journal. Acta Obstet Gynecol Scand 2011;124:1175 8716.
Tanjona RA, Romuald RM, Housni IA, Martial RA, Randira JM. Contraceptio, obstetrics and gynecology. Acta Int J Reprod 2018;86:3644-5.
Sheiner E, Levy A, Katz M, Mazor M. Identifying risk factors for peripartum cesarean hysterectomy. A population-based study. J Reprod Med 2003;48:622-6. PMID 12971143.
Selo-Ojeme DO, Bhattacharjee P, Izuwa-Njoku NF, Kadir RA. Emergency peripartum hysterectomy in a tertiary London hospital. Arch Gynecol Obstet 2005;271:154-9. doi: 10.1007/s00404-004- 0715-x, PMID 15690169.
Muench MV, Baschat AA, Oyelese Y, Kush ML, Mighty HE, Malinow AM. Gravid hysterectomy: A decade of experience at an academic referral center. J Reprod Med 2008;53:271-8. PMID 18472650.
Nwobodo E, Nnadi D. Emergency obstetric hysterectomy in a tertiary hospital in Sokoto, Nigeria. Ann Med Health Sci Res 2012;2:37-40. doi: 10.4103/2141-9248.96935, PMID 23209989.
Kastner ES, Figueroa R, Garry D, Maulik D. Emergency peripartum hysterectomy: Experience at a community teaching hospital. Obstet Gynecol 2002;99:971-5. doi: 10.1016/s0029-7844(02)01999-3, PMID 12052583.
Barclay DL. Caesarean hysterectomy: Thirty years’ experience. Obstet Gynecol 1970;35:120-31.
Zelop CM, Harlow BL, Frigoletto FD, Safon LE, Saltzman DH. Emergency peripartum hysterectomy. Am J Obstet Gynecol 1993;168:1443-8. doi: 10.1016/s0002-9378(11)90779-0, PMID 8498425.
Singh A, Hada M, Yangzom AG. Emergency peripartum hysterectomy. J Obstet Gynaecol 2006;1:33-6.
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