Current trends in peripartum hysterectomy in a tertiary care hospital of Kolkata, India over a period of five years

Abstract

Background: Emergency peripartum hysterectomy is a lifesaving procedure done as a last resort to save mother’s life. This study is to analyse the incidence, maternal characteristics, indications and complications following peripartum hysterectomy. Methods: A descriptive and retrospective study of obstetric hysterectomy was done at Medical College and Hospital, Kolkata, India from March 2016 to October 2021. Case records were analysed to record the incidence, indications, risk factors and complications associated with peripartum hysterectomy during the study period. Total 129 cases of obstetric hysterectomy fulfilling the inclusion criteria were included in the study. Template was generated in MS excel sheet and analysis was done on SPSS software. Results: Incidence of peripartum hysterectomy was 0.045%. The most common indication for peripartum hysterectomy was Placenta Percreta with 29 cases (22.5%) followed by 27 cases of Atonic PPH (20.9%). most common maternal complications were repeated transfusion 47 (36.4%), followed by shock 43 (33.3%). Most common fetal complications were Perinatal Asphyxia 37 (28.7%), followed by jaundice 12 (9.3%). Conclusions: Emergency peripartum hysterectomy remains a lifesaving procedure. Proper antenatal care, early referral, blood bank facilities and timely decision greatly influences maternal outcome.