Title: Trends of Peripartum Hysterectomy in 11 years Study at Tertiary Care Hospital, Kota
Authors: Suman Bala, Suman Meena
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.106
Abstract
Objectives: We sought to determine the frequency, demographic characteristics, indications and maternal and fetal outcomes associated with emergency peripartum hysterectomy in an easily assesible tertiary care hospital.
Methods: we conducted a retrospective, observational and analytical study over a period of 11 years from January 2006 to December 2016. A total of 131 cases of emergency peripartum hysterectomy (EPH) were studied in department of Obstetrics and Gynecology, JK LON Hospital attached with medical college, KOTA.
Results: The incidence of EPH in our study was 131 cases in 100663 total deliveries i.e. 1.30 per 1000 deliveries. Abnormal placentation (32.82%) was most common indication followed by atonic postpartum hemorrhage (31.29%), and uterine rupture( 28.24%). Most cases (83.20%) were unbooked and most common risk factors were previous cesarean section(s) and multiparity.
Conclusion: A balanced approach to EPH can prove to be life saving at times when conservative medical and surgical modalities fail and interventional radiology not available. Our study highlights the place of extirpative surgery in modern obstetrics in the face of rising rates of cesarean section particularly in developing countries.
Keywords: Emergency peripartum hysterectomy (EPH), rupture uterus, cesarean section (CS).
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