ROLE OF EMERGENCY OBSTETRIC HYSTERECTOMY TO REDUCE MATERNAL DEATH

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Dr. Nibedita Chattopadhyay
Dr. Mrinal Kanti Kund
Dr. Sandhya Das
Dr. Sajal Kumar Mondal
Dr. V Aruna Kumari
Dr. Arati Biswas

Abstract

Abstract

Emergency obstetric hysterectomy, although rare in modern obstetrics remains a life saving procedure in cases of severe haemorrhage.

Objectives: To analyse the cases of emergency hysterectomy due to obstetrical causes with a view to know the incidence, indications, maternal profile, postoperative complications and maternal mortality.

Methods: This was a retrospective review of 25 obstetric hysterectomies performed over a period of one year in a tertiary care referral hospital.

Results: The incidence of emergency hysterectomy in our study was 2.45/1000 deliveries. Postpartum haemorrhage (PPH) due to uterine atony (n = 14, 56%) not responding to medical management and rupture of uterus (n = 6, 24%) were the common indications for which this surgery was performed.

Conclusion: Proper antenatal care and early referral are very important in preventing this catastrophic event. Moreover, timely decision, liberal blood transfusion and speedy surgery by an experienced obstetrician are the main pillars in the management of this life saving procedure.

Keywords: Emergency obstetric hysterectomy, Atonic postpartum haemorrhage, Ruptured uterus

Published Sep 30, 2014

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