Abstract :
Objective(s): To study the incidence, indications, maternal and fetal outcomes in cases of emergency obstetric hysterectomy.
Material and Methods: A retrospective study of all the cases who underwent obstetric hysterectomy was conducted for one year in the Department of obstetrics and gynecology, Govt. Medical College, Patiala, Punjab. A detailed history including demographic profile, gestational age, antenatal care during pregnancy, obstetrical history, high risk factors were taken into account.
Results: Total deliveries during this period were 2223 and out of them 11 patients underwent obstetric hysterectomy, including one case of septic abortion, giving an incidence of 0.494%. Majority of the patients who underwent obstetric hysterectomy were of rural background, uneducated and unbooked. Postpartum hemorrhage (PPH) 45.45%, and Rupture uterus 36.4% were the two most common indications for obstetric hysterectomy. Maternal Mortality was 27.27% .Fetal mortality was 60%.
Conclusions: Obstetric hysterectomy is a necessary evil in obstetrics. Although, it curtails the future child bearing potential of woman, yet in many cases, it saves the life of mother. It can be called as “Ray of Hope for a dying Mother.”
Keyword :
Obstetric Hysterectomy, Post-Partum Hemorrhage, Rupture Uterus