Publication:

Obstetric hysterectomy: aretrospective study at a tertiary care centre

Background To analyzethe cases of Obstetric Hysterectomy in view to evaluate the incidence, indication, maternal risk factors and complications associated with the surgery.

Methods Retrospective Observational analytical study of cases of obstetric hysterectomy performed at Obstetrics and Gynecology department of People’s Medical College and Research Centre, Bhanpur, Bhopal over a period of seven years was done. Evaluation of Maternal age, parity, gestational age, indication for hysterectomy, the type of operation performed, blood loss, blood transfused, complications, and hospitalization period was done.

Results The overall incidence of Obstetric hysterectomy in our study was found to be 0.33%, with a maximum number of patients 7 (33%) inthe age groupof 26-30 yrs.Patients who were para 3 or more were -12 (63%). The causes for an obstetric hysterectomy werePPH – 12 (63%); placenta previa – 5 (26%); ruptured uterus – 4 (21%). 9(47%) patients had a history of previous caesarean section. Out of the 19 hysterectomies performed, 12(63%) were total hysterectomy and 7(37%) were subtotal hysterectomy. Fever was the commonest complication 7(37%). There were two maternal deaths.

Conclusions Obstetric hysterectomy is a lifesaving procedure. The outcome depends on timely decision, good clinical judgement and professional surgical technique. It reduces maternal morbidity and mortality.