Abstract :
Objectives: To study the etiological factors, maternal morbidity and mortality in patients who underwent obstetric hysterectomy at our tertiary care centre during the period from April 2014 – September 2016.
Study Design: It is a hospital based study during the period of April 2014 – September 2016.
Materials and Methods: Critical review of 14 patients who underwent obstetric hysterectomy during the period of April 2014 – September 2016. The indications for the hysterectomy, maternal morbidity and mortality, neonatal outcome were studied.
Results: During the study period, in our tertiary care centre there were11609 deliveries of which 14 emergency obstetric hysterectomies were done. The majority of cases were unbooked – N=9 (64%). There was one maternal death. The commonest indications for obstetric hysterectomy were – placenta accreta followed by postpartum haemorrhage.
Conclusion: Skill in emergency obstetric hysterectomy remains a necessary tool for consultant obstetricians. In spite of intra operative risks and post-operative complications, it remains a potentially life saving procedure. The maternal outcome greatly depends on timely decision and good clinical judgment because unnecessary delay can cost life and undue haste can cause morbidity.
Keyword :
Postpartum haemorrhage, Obstetric hysterectomy, Morbidly adherent placenta.