Abstract
EMERGENCY PERIPARTUM HYSTERECTOMY: A LIFE SAVING PROCEDURE

Prema Prabhudev* and Shravya S.

ABSTRACT

Emergency peripartum hysterectomy (EPH), although rare in modern obstetrics, remains a lifesaving procedure in cases of severe haemorrhage. Purpose: To determine the incidence, risk factors, indications, outcomes, and complications of EPH performed in a tertiary teaching hospital. Methods: The medical records of 10 patients who had undergone EPH, between may 2016 and april 2018, were reviewed retrospectively. Maternal characteristics and characteristics of the present pregnancy and delivery, indications for hysterectomy, intraoperative complications, postoperative conditions and maternal outcomes were evaluated. Results: A total of 2576 deliveries conducted, there were 10 cases of emergency peripartum hysterectomy. Rate of 3.8 per 1,000 deliveries was observed. The most common indication being uterine atony (9/10) followed by placenta previa, abnormal placentation. Out of 10 cases 7 hysterectomies were performed following emergency LSCS. 2 following vaginal delivery and 1 after elective LSCS. There was one case of relaparotomy because of post-partum hemorrhage following elective LSCS. No cases of maternal morbidity and mortality. Conclusion: Abnormal placentation has become the most common indication for emergency peripartum hysterectomy.

Keywords: Emergency peripartum hysterectomy.


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