Title: Study of Obstetric Hysterectomy and Factors Contributing to It
Author: Dr Sudha Rani Panagar
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.45
A prospective study was done to estimate the incidence of obstetric hysterectomy at the hospital in relation to medical, social & economic fields, its etiological factors or indications & to study the maternal and fetal outcome of the procedure over two years was carried out. There are 12,658 confinements during study period from October 2012 to October 2015. 45 Emergency obstetric hysterectomies were done, incidence being 1:282 (0.36%)birth. Mean age was 39.5 years. Majority (80%) were from rural areas. Maximum cases were para 2-4. Most common indication for Emergency hysterectomy was uterine rupture (60%) followed by Atonic PPH (17.78%), Perforated uterus (8.89% ), morbidly adherent placenta (6.67%), rupture ectopic pregnancy (2.22%), burst abdomen (2.22%). Majority uterine rupture cases were late referral from rural areas. Out of 27 cases of uterine rupture 8 cases with previous LSCS and 8 were obstructed labor. No maternal mortality was reported. Identification of high risk cases, early referral and procedures like internal artery ligation can reduce incidence of Emergency hysterectomy.
Abstract
