Background: Emergency Obstetric Hysterectomy (EOH) is the process of surgical removal of the uterus after an unexpected & sudden event. EOH acts as a bridge between life-threatening postpartum hemorrhage & death.
Objectives: 1. To study the indications & risk factors responsible for emergency obstetrics hysterectomy. 2. To study the outcome of emergency obstetrics hysterectomy.
Methodology: The present study is a retrospective descriptive study conducted at the department of Obstetrics and Gynecology, ACPM Medical College, Dhule over a span of 5 years from 2016 to 2021.
Results: In the present study, out of the 6250 patients, 50 patients underwent EOH. The incidence rate was 8 per 1000 deliveries. 32 (64%) were within the age group of 26-30 years, with a mean age of 27.8 ± 2.4 years. Atonic PPH (48%) was the commonest indication. Previous LSCS (76%) & antepartum hemorrhage (48%) were found the main risk factors for EOH.
Conclusion: Uterine atony & morbidly adherent placenta are the most common indications for EOH. Previous LSCS & antepartum hemorrhage were found the main risk factors. Needs much more research to decrease mortality and morbidity in cases requiring EOH cause of advances in interventional radiology.
Emergency obstetrics hysterectomy (EOH), Indication, Outcome, Risk factors.