Background: The purpose of the study is to identify the incidence, risk factors, indications, outcomes and complications following emergency peripartum hysterectomy.
Methods: This was an Retrospective observational study done at Chengalpattu Medical College Chengalpattu from January 2019 to January 2021. Case records of all the women who underwent emergency peripartum hysterectomy were studied.
Results: There were 16 cases of emergency peripartum hysterectomies done during the study period from January 2019 to 2021 for 2 years the incidence is 0.7/1000 deliveries. The commonest age group undergone EPH is 20 to 25 years of age the are usually multiparous women (31.25%), > 35 weeks of gestation about (68.75%). Uterine atonicity (43.75%) is the most commonest indication for EPH followed placenta previa with morbidly adherent placenta previa (31.2%), rupture uterus (18.5%), Broad ligament hematoma(6.25%). Total hysterectomies were done for 11 cases (68.75 %), sub total hysterectomies were done for 5 cases (31.25%), fever 4 cases (25%) and wound infection 3 cases (18%) are the most common complication, there were 3 maternal death in this study.
Conclusion: Early decision and performance of EPH before the general condition of the patient deteriorates is the key in success and less post operative complications. EPH is the most commonly performed life saving procedure in obstetrics. The incidence is lower in our study compared to the developing countries. Early identification of the high risk patients, effective antenatal care, early decision on hysterectomy, blood components transfusion, improvement in surgical skills will reduce the further incidence and complications, mortality, morbidity of Emergency Peripartum Hysterectomy.