Obstetric hysterectomy: A life saving emergency.
Indian J Med Sci
;
2013 May-Jun; 67(5): 99-102
Article
in English
| IMSEAR
| ID: sea-157128
ABSTRACT
Objective:
To study the cases of obstetric hysterectomy performed over a period of 1 year (January 2008 to December 2008) in tertiary care center to estimate the incidence, indications, and maternal outcome following the procedure. Materials andMethods:
A retrospective analysis of 20 cases of emergency obstetric hysterectomies performed during the study period.Results:
During the study period, there were 11,356 deliveries and 20 emergency hysterectomies were done, giving an incidence of 0.17%. 75% cases were unbooked. Ruptured uterus was the most common indication for the procedure, followed by atonic Post-partum haemorrhage (PPH). Six out of 10 cases of rupture uterus had a previous cesarean delivery. Maternal mortality was 15% due to late referral.Conclusion:
Emergency obstetric hysterectomy though a rare operation, still remains a life-saving procedure with which every obstetrician must be conversant. Regular antenatal care, identification of high-risk cases, and prompt referral can reduce the incidence of this operation.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Language:
English
Journal:
Indian J Med Sci
Year:
2013
Type:
Article
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