We sought to determine the frequency, demographic characteristics, indications, and feto-maternal outcomes associated with emergency peripartum hysterectomy in a Tertiary care centre. Methods:
We conducted a retrospective study over a period of one year, from July 2019 to August 2020. A total of 20 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, Maharaja Yashwant Rao Hospital, Indore.
Results: The incidence of EOH in our study was 0.07% following vaginal delivery and 0.34% following cesarean section. The overall incidence was 0.16% deliveries. Uterine rupture (40%) was the most common indication followed by placenta accreta (15%) and atonic postpartum hemorrhage (15%). The most frequent sequelae were febrile morbidity (50%) and disseminated intravascular coagulation (20%). Maternal mortality was 20% whereas perinatal mortality was 50%.
Conclusions: EOH is a necessary evil in obstetrics. Although it curtails the future child bearing potential of the woman, in many cases it saves the life of the mother. Most of its morbidity is attributable to its indications and underlying disorders rather than to the procedure itself. Rising rates of cesarean section and multiple pregnancies are bound to increase the incidence of EOH in the future.