Cesarean and postpartum hysterectomy at Zagazig University Hospital

ABSTRACT

There have been 65 emergency and postpartum hysterectomies over a period of 5 years at Zagazig University Hospitals [0.58% of all deliveries]. The commonest indication was ruptured uterus [47.7%] followed by postpartum haemorrhage [36.9%]. Severe uncontrollable bleeding and adnexal haematoma requiring resection were the commonest operative complications while febrile morbidity was the commonest postoperative complication. There were 4 maternal deaths [6. 15%] two were due to severe bleeding, one due to pulmonary embolism and the fourth was due to acute renal failure. There were 25 fetal deaths [38.5%]. 62 cases required blood transfusion and the mean amount of blood transfusion in all cases was 1400 ml