Vol. 4, Issue 7 (2018)
Outcome of emergency peripartum hysterectomy in teaching hospital: A two year retrospective cohort study
Author(s): Lakshmi KS, Gousia Gorikhan, MM Umadi
Abstract: Introduction: Emergency peripartum hysterectomy (EPH) is performed when there is unresponsive to conservative management as a lifesaving procedure. Peripartum hysterectomy is a major operation and is invariably performed in the presence of life threatening haemorrhage during or immediately after abdominal or vaginal deliveries.The aim of the study was to find the incidence, indications, outcome and complications of EPH performed in Tertiary care teaching hospital. Materials and Methods: A retrospective study of cases of emergency peripartum hysterectomy which were performed in the period January 2013 to December 2014 at Belgaum Institute of Medical Sciences Tertiary care teaching hospital. Records of all cases who had undergone EPH were analyzed for age, parity, rural/urban, mode of delivery, place of delivery, indications, number of blood and blood component transfusions, complications, duration of stay, maternal and neonatal outcome. The data was analyzed for descriptive statistics using SPSS software. Results: Out of 13,607 deliveries ‘between’ January 2013 to December 2014. A total of 24 patients underwent emergency peripartum hysterectomy (EPH). Mean age of patients was 26.08±3.63.Patients with multigravida were 21(87.50 %), Primigravida were 3 (12.50%). and all were from rural population. Incidence of EPH in our study is 1.764/1000 births. The highest risk factor was abruption in 33.33% of the patients (n=8). Conclusion: Peripartum hysterectomy is a foremost lifesaving operation. The incidence of EPH was high in our study. Most common indication is uterine atony. It was more in multigravida and unregistered cases. Along with EPH blood component transfusions and obstetric intensive care were associated with quick recovery. There is need to improve basic and emergency obstetric care at peripheries in order to prevent post-partum hemorrhage and EPH.