Indications and outcome of emergency obstetrics hysterectomy in last 5 years at ACPM medical college Dhule

Abstract

Emergency Obstetric Hysterectomy (EOH) is the process of surgical removal of the uterus after an unexpected & sudden event. EOH acts as a bridge between life-threatening postpartum hemorrhage & death. 1. To study the indications & risk factors responsible for emergency obstetrics hysterectomy. 2. To study the outcome of emergency obstetrics hysterectomy. The present study is a retrospective descriptive study conducted at the department of Obstetrics and Gynecology, ACPM Medical College, Dhule over a span of 5 years from 2016 to 2021. In the present study, out of the 6250 patients, 50 patients underwent EOH. The incidence rate was 8 per 1000 deliveries. 32 (64%) were within the age group of 26-30 years, with a mean age of 27.8 ± 2.4 years. Atonic PPH (48%) was the commonest indication. Previous LSCS (76%) & antepartum hemorrhage (48%) were found the main risk factors for EOH. Uterine atony & morbidly adherent placenta are the most common indications for EOH. Previous LSCS & antepartum hemorrhage were found the main risk factors. Needs much more research to decrease mortality and morbidity in cases requiring EOH cause of advances in interventional radiology.