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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6318.1

Abstract

Background: The study was conducted to determine the incidence, indication andfetomaternal 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. 

Keywords: Emergency Obstetric Hysterectomy (EOH); Morbid 

 

Corresponding Author : Desai Archish, Associate Professor, Department of Obstetrics and Gynecology, Surat Municipal Institute of Medical Education and Research (SMIMER), Surat, Gujarat 395101, India.