Emergency obstetric hysterectomy in Al-Wahda Teaching Hospital - Aden-[2004-2007]

ABSTRACT

The aim of this paper is to study the emergency obstetric hysterectomy by determining the incidence, maternal characteristics, indications, maternal and perinatal outcome. A retrospective descriptive hospital based study was conducted at at Al-Wahda Teaching Hospital, during the period January 1[st] 2004 to December 31[st] 2007. including all women underwent emergency obstetric hysterectomy. During the study period, 39 cases underwent emergency obstetric hysterectomy with incidence of 1.85/1000 deliveries and 14.09/1000 cesarean deliveries. EOH was more common in age group 26-35 years [59%]], as well as in Pluripara [48.7%] and grandmutlipara [38.5%]. The main indication was ruptured uterus [38.4%], followed by sepsis [30.8%], uterine atony [12.8%], and placenta accrete [10.3%]. The leading risk factor was primary cesarean section [30.8%], followed by obstructed labor [25.6%], and previous cesarean delivery [23.1%]. The Perinatal mortality was [51.3%], and case fatality rate was [17.9%]. We conclude that increased the incidence of emergency obstetric hysterectomy, associated with high maternal and perinatal mortality, uterine rupture and sepsis are the common indications, while primary cesarean section, obstructed labor, and previous cesarean sections are the leading risk factors