Obstetric hysterectomy: a retrospective study at a tertiary care centre

Abstract

Background: To analyze the cases of Obstetric Hysterectomy in view to evaluate the incidence, indication, maternal risk factors and complications associated with the surgery. Methods: Retrospective Observational analytical study of cases of obstetric hysterectomy performed at Obstetrics and Gynecology department of People's Medical College and Research Centre, Bhanpur, Bhopal over a period of seven years was done. Evaluation of Maternal age, parity, gestational age, indication for hysterectomy, the type of operation performed, blood loss, blood transfused, complications, and hospitalization period was done. Results: The overall incidence of Obstetric hysterectomy in our study was found to be 0.33%, with a maximum number of patients 7 (33%) in the age group of 26-30 yrs. Patients who were para 3 or more were-12 (63%). The causes for an obstetric hysterectomy were PPH-12 (63%); placenta previa-5 (26%); ruptured uterus-4 (21%). 9(47%) patients had a history of previous caesarean section. Out of the 19 hysterectomies performed, 12(63%) were total hysterectomy and 7(37%) were subtotal hysterectomy. Fever was the commonest complication 7(37%). There were two maternal deaths. Conclusions: Obstetric hysterectomy is a lifesaving procedure. The outcome depends on timely decision, good clinical judgement and professional surgical technique. It reduces maternal morbidity and mortality.

Emergency Obstetric Hysterectomy: A Review of 40 cases in Faridpur Medical College Hospital

“…factors, type of surgical procedure and maternal outcome of the cases. In our study most of the patients were in the age group of 25-29 years (42.5%) which was similar to the age group in the study of Anjali K et al (37%) 9 .…”

A retrospective analysis of obstetric hysterectomy in a tertiary center over one year

“…This was more or less similar to other studies which was 0.15-0.2%. 2,4 The youngest woman to undergo hysterectomy was 20 years old and the oldest was 35years old. The incidence of obstetric hysterectomy was highest in 20-25-year reproductive age group and more in 2 nd and 3 rd para patients.…”

“…Maternal mortality rate in our study was 6.7%, while it was found to be 11% in a study by Kanhere et al, Kanwar et al reported this as 12%, Siddiq et al of 9.7%, while Devi et al reported no mortality in their studies. 4,[7][8][9] There were no significant differences noted between total and subtotal in terms of maternal or delivery characteristics. Subtotal hysterectomy was easy to perform but has a rare risk of development of cancer cervix and it has no role in cases of placenta previa or adherent placenta.…”