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International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2019, Vol. 3, Issue 1, Part C

Emergency peripartum hysterectomy: A five year study from a tertiary care hospital in Mysore, South India
Author(s): Dr. Priyanka Mudashi, Dr. Mamatha Shivanagappa, Dr. Vinutha K Veerabhadrappa and Madhumitha Mahesh
Abstract: Introduction: Peripartum hysterectomy is defined as a hysterectomy performed at the time, or within 24 hours, of delivery. It is certainly a lifesaving procedure when all medical and surgical methods fail to control bleeding.
Objective: To determine the incidence, indications, maternal and perinatal outcome of emergency peripartum hysterectomy (EPH).
Methods: A retrospective, analytical study of all patients who underwent peripartum hysterectomy over a period of 5 years from January 2014 to September 2018 in the Department of Obstetrics and Gynecology, JSS Hospital an associated hospital of JSS Medical College, Mysuru.
Results: There were 12 cases of peripartum hysterectomy (9 caesarean hysterectomies 75%, 3 postpartum hysterectomy 25%, making an incidence of 0.498/1000 deliveries. Most of the patients were para 8 (66.6%) were mostly in age group of 20-30 years and 10 (83.3%) belonged to rural areas. Overall the most common indication for emergency peripartum hysterectomy was uterine atony 9 (75%), abnormal placentation 3 (25%), uterine rupture 1(8.3%). One patient required total abdominal hysterectomy, 11 (91.6%) patients required subtotal hysterectomy. There were 2 (16.6%) maternal and 1 (8.3%) perinatal deaths; all were due to severity of conditions necessitating hysterectomy.
Discussion: Atonic uterus was the commonest indication for emergency peripartum hysterectomy. Previous scar, multiparity and abnormal placentation were the significant risk factors.
Conclusions: Emergency peripartum hysterectomy is potentially a lifesaving procedure, at times when all conservative surgical modalities fail and interventional radiology is not immediately available. It is associated with significant maternal morbidity and mortality.
Pages: 159-161 | 1184 Views | 355 Downloads
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How to cite this article:
Dr. Priyanka Mudashi, Dr. Mamatha Shivanagappa, Dr. Vinutha K Veerabhadrappa, Madhumitha Mahesh. Emergency peripartum hysterectomy: A five year study from a tertiary care hospital in Mysore, South India. Int J Clin Obstet Gynaecol 2019;3(1):159-161. DOI: 10.33545/gynae.2019.v3.i1c.28
International Journal of Clinical Obstetrics and Gynaecology