Publication:

A study on association of preoperative anaemia and obesity with causes and postoperative outcome in women undergoing hysterectomy for abnormal uterine bleeding

Background Abnormal uterine bleeding is most commonly encountered in 10-20% of women in reproductive age.  The objectives of the study are to assess the proportion and association with causes and postoperative outcome of preoperative anaemia and obesity in women with abnormal uterine bleeding who underwent hysterectomy.

Methods This was a retrospective observational record-based study conducted in the Dept. of Obstetrics and Gynaecology of Sri Manakula Vinayagar Medical College and Hospital(SMVMCH), Pondicherry. The study population consisted of 169 patients who were admitted for abnormal uterine bleeding and underwent hysterectomy from January 2016 to December 2016 for a period of one year.

Results The mean age was 43years.The mean value of haemoglobin on admission was 9.89g/dl. The distribution frequencies of patients by WHO BMI classification as underweight, normal, overweight and obesity are 8, 59, 78 and 24 respectively. The distribution frequencies of patients by WHO anaemia classification as no anaemia, mild, moderate are 34, 37 and 98 respectively. Seventy-six patients had blood transfusion. Six patients had urinary tract infection and all of them were anaemic and obese. Two patients had developed respiratory tract infection and none of the patients had developed deep vein thrombosis.

Conclusions Preoperative anaemia was more common in patients with fibroid and associated with increased morbidity in immediate postoperative period. There is more prevalence of SSI among overweight and obese women.