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Category: Volume 06 Issue 05 May 2018
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Title: A Retrospective Study of Obstetric Hysterectomy in a Tertiary Care Hospital

Authors: Garg Pratibha, Gandhi Pooja

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.164

Abstract

Background: Obstetrical haemorrahge is a life threatening condition. This postpartum hemorrhage remains an important cause of significant maternal morbidity and mortality throughout the world. This study was done to analyze the indications, predisposing factors and associated complications of caesarean hysterectomy.

Method: This is a retrospective observational study conducted in Kamla Raja Hospital, Department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior from October 2014 to September 2016 over a period of two years. Each patients records was reviewed and detailed. Data were abstracted from chart reviews. Primary outcomes included indications, risk factors, maternal morbidity and mortality.

Results:   of the total of 17,293 deliveries in a span of 2 years of study period 29 women underwent cesarean hysterectomy giving an incidence of 1.67 per 1000 deliveries. Most were of the age group of 20-30 years. Majority of patients had current or prior cesarean delivery. Most common cause were abnormal placentation i.e. placenta accrete, placenta increta percreta and PPH. There were two maternal death occurred. Most common post op complication was febrile illness.

Conclusion: Caesarean hysterectomy for control of obstetric hemorrhage is a life saving procedure however it is usually associated with significant morbidity and mortality. . This could be avoided by good antenatal care and careful selection of patients for cesarean delivery as it has immense impact on both present and future child bearing.

Keywords: Emergency obstetric hysterectomy [EPH], PPH ,  placenta accrete.

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Corresponding Author

Garg Pratibha

Assistant Professor, Gajra Raja Medical College and Kamla Raja Hospital, Gwalior, Madhya Pradesh