No abstract

Background: Emergency obstetric hysterectomy is defined as extirpation of uterus either at the time of cesarean section or following vaginal delivery, or within the puerperium to stop life threatening obstetric hemorrhage when all other measures fail. This study was conducted to study complications of emergency obstetric hysterectomy.Methods: Out of 28552 patients, 45 patients operated for Emergency obstetric hysterectomy in Vadilal Sarabhai Hospital of Ahmedabad, Gujarat; during May 2010 to October 2012 were included in the study. Complications of the procedures were identified and analyzed.Results: Hemorrhagic shock was the most common complication followed by fever. 15.55% (7 out 45) mothers were not saved even after the emergency obstetric hysterectomy.Conclusions: Improvising procedural skill and post-operative care can reduce the complications of emergency obstetric hysterectomy.

Multiple choice questions are nowadays used in competitive examination and formative assessment to assess the student's eligibility and certification.Item analysis is the process of collecting,summarizing and using information from students' responses to assess the quality of test items.Goal of the study was to identify the relationship between the item difficulty index and item discriminating index in medical student's assessment. 400 final year medical students from various medical colleges responded 200 items constructed for the study.The responses were assessed and analysed for item difficulty index and item discriminating power. Item difficulty index an item discriminating power were analysed by statical methods to identify correlation.The discriminating power of the items with difficulty index in 40%-50% was the highest. Summary and Conclusion:Items with good difficulty index in range of 30%-70% are good discriminator.

Removal of the uterus at the time of delivery or within the puerperium period is known as emergency obstetric hysterectomy. Obstetric hysterectomy is a lifesaving procedure performed in cases of uncontrolled uterine haemorrhage in placenta previa, placenta accrete, or uterine atony. Being one of the important factors in uterine morbidity, maternal age has also a role in emergency obstetric hysterectomy. The present study was performed to identify the relation between maternal age and emergency obstetric hysterectomy. The study was conducted in tertiary care centres and medical colleges of Gujarat from May 2010 to January 2020. Data was collected from 169663 patients who delivered during the study period, 291 patients underwent emergency obstetric hysterectomy were studied for the objectives of the study. 58.07% (169 out of 291) patients in the study were more than 35 years of age. The study found a statistically signicant relationship between the maternal age and incidence rate. Summary: The incidence rate of emergency obstetric hysterectomy increases with the maternal age.