Cesarean and postpartum hysterectomy: a study from Lahore

ABSTRACT

A total of 29 women underwent caesarean and postpartum hysterectomy over a period of 5.25 years in one unit of Lady Aitchison Hospital, Lahore. The frequency of obstetric hysterectomy was 2.6/1000 deliveries. In all cases, this procedure was done as an emergency life saving measure. Twenty women had a total and 9 a sub-total hysterectomy. The most common indications included uterine rupture, intractable postpartum haemorrhage and placenta praevia / accreta. Twenty-six [89.66%] patients were either unhooked or referred in labour. Age varied from 19-46 years and parity from 1-12. Seventeen [58.62%] patients developed intraoperative and/or postoperative complications. There were 4 [13.79%] maternal deaths and 12 [41.38%] perinatal deaths. Late presentation of the patients in a poor condition accounted for a high proportion of morbidity and mortality