Publication:

Emergency peripartum hysterectomy: a retrospective study at a tertiary care hospital

Background The main objective is to study the incidence, demographic profile, indications and feto-maternal outcome associated with emergency peripartum hysterectomy (EPH).

Methods We conducted a retrospective, observational study over a period of 5 years; from January 2011 to December 2015.We studied 81 patients who underwent EPH for various indications in Department of Obstetrics & Gynaecology, MGM Medical College, Indore.

Results The rate of EPH in present study was 1.46 per 1000 deliveries. Uterine rupture (64.2%) was the most common indication followed by morbidly adherent placenta (11.1%), uterine atony (11.1%).The most common morbidities were wound sepsis and pyrexia. Maternal mortality was 8.6% whereas perinatal mortality was 62 %.

Conclusions Proper antenatal intrapartum care, early referral and judicious decision making regarding caesarian section are the potential methods which can be implemented to prevent this catastrophic event.