Emergency Obstetric Hystrectomy: A Retrospective Study from A Tertiary Care Hospital Over Three Years
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 3
Abstract
Background: The study was conducted to determine the incidence, indication and fetomaternal outcome associated with emergency obstetric hysterectomy in a tertiary care centre. Methods: Forty-two cases of emergency obstetric hysterectomy performed during the three-year period from July 2014 to July 2017 were analysed in the Department of Gynaecology and Obstetrics at Surat Municipal Institute of Medical Education and Research, Surat. Results: During the study period there were 42 cases of obstetric hysterectomy out of 16221 deliveries giving an incidence of 0.25%. Majority of the patients 34 (80%) were unbooked and were in the age group of 26-30 (38%).Majority were second parapatients. Atonicpostpartum haemorrhage was the most common indication contributing to 45.2% of the cases. There were six maternal deaths in the study. All were unbooked and three of them died of disseminated intravascular coagulation, two died of hypovolemic shock with cardiopulmonary arrest and one died of septicemia. Whereas there were 21.4% perinatal mortality and 19.1% NICU admissions. Conclusions: Emergency obstetric hysterectomy is a potentially lifesaving procedure which often puts obstetrician in dilemma at the time of decision making.
Authors and Affiliations
Majumdar Anamika
Keywords
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- EP ID EP549549
- DOI 10.21088/ijog.2321.1636.6318.1
- Views 90
- Downloads 0
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