One-Year Retrospective Analysis of Emergency Obstetric Hysterectomy: Insights from Sheth Lallubhai Gordhandas Municiapal General Hospital, Maninagar, Ahmedabad

Abstract

Background: The procedure known as Emergency Obstetric Hysterectomy (EOH) involves the removal of the uterus in response to life-threatening conditions during the postpartum period. While this intervention is crucial for saving lives, it is also linked to severe complications. Material and Methods: This retrospective observational study was conducted at Sheth Lallubhai Gordhandas Municipal General Hospital in Maninagar, Ahmedabad, over one year, focusing on Emergency Obstetric Hysterectomy (EOH) cases. The study included cases with complete medical records and excluded those with incomplete documentation. Data variables included demographic details, indications for EOH, maternal outcomes, surgical details, and neonatal outcomes. Descriptive statistics were used to analyze the data, along with comparative analysis based on demographics and indications for EOH. Statistical tests, such as chi-square or t-tests, were applied to assess outcomes, including maternal morbidity and mortality rates. Results: Study revealed the majority of cases (37.1%) were women aged 26-30, with multiparity (65.7%) and abnormal placentation (45.7%) as common risk factors. Caesarean hysterectomy had a higher survival rate at 65.7% compared to 11.4% for postpartum hysterectomy. The average operating time was 74.57 minutes, and patients had an average hospital stay of 9.34 days. Conclusions: This study underscores the need for enhanced antenatal care and emergency management strategies to address severe obstetric conditions, as evidenced by the high incidence of complications and variability in outcomes observed.

Keywords

• emergency obstetrics hysterectomy
• obstetrics emergency
• post-partum complications
• pph