ABSTRACT
Background: Obstetrical hysterectomy is one major marker of obstetric morbidity. It still complicates the substantial number of pregnancies in third world
Objective: This study was carried out to determine the frequency and causes of obstetric hysterectomy and morbidity and mortality related to it in Sheikh Zayed Hospital, Rahim Yar Khan
Patients and Methods: This was a descriptive study including all the patients who underwent obstetrical hysterectomy from 1[st] January 2010 to 30[th] June 2010, in Sheikh Zayed Hospital. Data was collected through predesigned proforma and analyzed through SPSS version 10
Results: During the study period 6,541 deliveries were conducted including both vaginal and through cesarean section. 19 [0.29%] patients underwent obstetrical hysterectomy. Among them 42% were due to atonic uterus, septic RPOCs [10%], 21% due to morbid adherence of placenta and 5% due to uterine inversion. The developed complications were bladder trauma [21%], repeat Laparotomy [15.8%], fever [21%], wound infection [21%], DIC [15.8%] and mortality [5%]. All the patients were unbooked
Conclusion: Incidence of obstetric hysterectomy in our area is relatively high probably due to large number of referred cases from rural Sindh, Boluchistan and Punjab. These patients had many avoidable factors such as high parity, inadequate maternity and family planning services and unbooked status