Title: Emergency Peripartum Hysterectomy a 5 Year Retrospective Study from A Tertiary Referral Centre
Authors: Dr Rashmi Ajit, Dr J.Chitra
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.167
Abstract
Objective: To study the incidence indications and outcomes of emergency peripartum hysterectomy at a tertiary Medical College hospital in Kanyakumari, Tamilnadu, India.
Materials and Methods: This was a retrospective study carried out in KKGMCH from January 2012 to December 2016. Case records were received from the medical records among 12535 deliveries there were 25 EPHS giving a rate of 1.9/1000 deliveries of the 25 cases analysed there were 2 (8%) Primi Gravida and 23(92%) multi gravid. The mean age group was between 20 – 40. The indications were mostly uterine atony 28% morbid adherent placenta 20% and Placenta praevia 20%. The complications of EPH were febrile morbidity 80% need for vasopressor 88% , DIC 28% and the maternal death 24%, Re-exploration 8%
Conclusion: Emergency hysterectomy is a most demanding obstetric surgery performed in life threatening haemorrhage. Antenatal anticipation of the risk factors, involvement of an experienced obstetrician at an early stage of management and a prompt hysterectomy after adequate resuscitation would go a long way in reducing morbidity and mortality.
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