Introduction

Emergency obstetric hysterectomy is defined as the removal of uterus either after vaginal delivery or during cesarean section or during post partum period. It is a vital procedure to save the life of a mother, although it is opted as a desperate attempt when all measures fail to control catastrophic haemorrhage.

This is a trying situation for the obstetrician as on one hand it is a life saving procedure, but on the other hand it puts an end to the women’s reproductive capability.

Objective

To study the incidence, risk factors and the maternal and fetal outcomes in the cases of emergency obstetric hysterectomy

Methodology

Study Design: It is a hospital based retrospective study.

Study Place: Katihar Medical College, Obst and Gynae Department

Study Period: January 2018 to December 2018

Study population: Total deliveries during this period was 11500 and 40 patients out of them underwent obstetric hysterectomy

A detailed history including gestational age, antenatal care, obstetric history and high risk factors were taken into account

1. Cunnigham F. Gary, Leveno Kenneth J, Bloom Steven L, et al, Cesarean Delivery & Peripartum Hysterectomy In: eds, williams obstetrics. 25^th New York: McGraw - Hill; 2018 : 567-590.
2. Jones III Howard W, Rock John A, Bennett Kelly A, Surgical Management of obstetric complications In : Te Linde's Operative Gynaecology, 11^thed, Philadelphia; Lippincott Williams & Wilkins ; 2015 : 799 – 816.
3. Bhat S, Bhave S. Obstetric Hysterectomy a life saving procedure and its complication Int Med and Dent Sci 2016; 5(I): 996-1001.
4. Mukerjee S, Agarwal L. Dahiya S, Amrin S, Singh P.A. retrospective study of obstetric hysterectomy in a tertiary care hospital Int J Med Sci Public Health 2016; 5:1644-46.

Dr Bhagyashree

PGT 2nd year, Dept. of Obstetrics and Gynaecology, KMCH