Abstract :
Background: Antepartum and postpartum haemorrhage are life threatening condition. Obstetric haemorrhage often ends with Peripartum hysterectomy which is done to save the mother if medical and conservative surgical management fails. This study was done to analyse the frequency, indications and associated complications of peripartum hysterectomy.
Materials and Methods: This retrospective study is conducted in the Department of Obstetrics and Gynecology, Government Medical College Hospital, Kallakurichi, Tamil Nadu, over a period of one year from March 2021 to February 2022.
Results: Total mothers delivered during the study period was 8174. Emergency peripartum hysterectomy was performed in 28 women. Incidence of peripartum hysterectomy is 3.42/1000 deliveries (0.34%). Most were in the age group of 21-30 years. Majority of patients were multigravida. Most common cause for peripartum hysterectomy was atonic postpartum haemorrhage. Most common postoperative complication was post operative febrile illness.
Conclusions: Peripartum Hysterectomy for control of obstetric haemorrhage is a lifesaving procedure, However it is usually associated with significant morbidity and mortality. This can be reduced by effective antenatal care, tracking of high risk mothers and reduction of primary caesarean delivery as it has significant impact women’s child bearing and reproductive life.
Keyword :
Emergency obstetric hysterectomy (EPH), Postpartum hemorrhage (PPH), Placenta previa, Placenta accreta.