A comprehensive study of obstetric hysterectomy

Abstract

Aim: This study was conducted to find out the incidence of obstetric hysterectomy and to study and analyze indications, risk factors, complications, morbidity, and mortality in both mother and fetus associated with obstetric hysterectomy. Methods: It is an observational prospective study conducted at Government Medical College & Hospital, Aurangabad, Maharashtra, India with cases of obstetric hysterectomy done from the conception of pregnancy till the end of puerperium over 2 years. Result: During the study period, there were 43768 confinements out of which 55 cases underwent obstetric hysterectomy giving an incidence of 0.13%. Incidence following vaginal delivery was 0.05% and following cesarean section was 0.30%. The most common indication was morbidly adherent placenta (50.90%), followed by uterine atony (36.36%) and rupture uterus (14.55%). 63.64% had previous cesarean deliveries as a risk factor. Maternal mortality was 9.09% cases. 63.60% of babies went home alive. Conclusion: Caesarean section and its sequel like morbidly adherent placentae have changed the trend and topped now as an indication of obstetrics hysterectomy.

Keywords

• morbidly adherent placenta
• obstetric hysterectomy
• peripartum hysterectomy