Abstract :
Objective: To evaluate risk factors, incidence, indication, maternal and fetal outcome in patients undergoing emergency obstetric hysterectomy in a tertiary care center.
Materials and Method: It is a retrospective study of 40 cases in a tertiary referral teaching Hospital. All women who underwent Emergency obstetric Hysterectomy between Jan 2010 to Dec 2015 were included in the study conducted in the Department of obstetrics and gynecology, Shivamogga Institute of Medical Sciences, Shivamogga. The total number of deliveries during the study period was 48,102.
Results: 40 women underwent emergency obstetric Hysterectomy (0.083%) during the study period. Out of these, 12 women had vaginal delivery and 28 were delivered by caesarean section. 3women were grand multipara and 8 were primipara. Majority of the women who underwent Emergency Obstetric Hysterectomy were second gravida. Atonic PPH, Adherent placenta, Rupture uterus, placenta previa, post B- Lynch uterine sepsis were the indications for Emergency obstetric Hysterectomy. All the women were admitted to the ICU for post operative care.
Conclusion: Emergency obstetric Hysterectomy is indeed a life saving procedure when used judiciously especially when patient fails to respond to medical line of management.
Keyword :
Line of management, Emergency obstetric hysterectomy, Post partum hemorrhage, Hypovolemic shock