EMERGENCY OBSTETRIC HYSTERECTOMY:A 11 YEARS STUDY. A RETROSPECTIVE ANALYTICAL STUDY

MOHANA DHANAPAL; SUBHA SIVAGAMI SENGODAN; VIJAYA SUBRAMANIYAN; UMARANI PACHAMUTHU

Volume : VI, Issue : VIII, August - 2016

EMERGENCY OBSTETRIC HYSTERECTOMY:A 11 YEARS STUDY. A RETROSPECTIVE ANALYTICAL STUDY

Mohana Dhanapal, Subha Sivagami Sengodan, Vijaya Subramaniyan, Umarani Pachamuthu

Abstract :

BACKGROUND : Hysterectomy was originally employed in obstetrics a 100 years ago as a surgical attempt to manage life threatening obstetrical hemorrhage and infection. Nowadays, it is generally performed as life saving procedure in a case of rupture uterus, resistant PPH, morbid adhesion of placenta and uterine sepsis. METHODS : STUDY DESIGN: Retrospective analytical study STUDY PERIOD: 2005–2015. To evaluate the incidence , maternal profile, type and maternal outcome in emergency obstetric hysterectomy over 11 years (2005–2015) in Institute of social obstetrics, Govt. Kasturba Gandhi hospital, Chennai. RESULTS : Total number of deliveries between 2005–2015 was 1,05,630. Total number of peripartum hysterectomies was 49. Incidence of emergency hysterectomy in our hospital was 0.42/1,000 live births. CONCLUSION : The incidence of emergency obstetric hysterectomy in our study was 0.42/1000 live births. Majority of women 69.4% belonging to the age group 26 to 35 years. Parity distribution also positively skewed, no of cases increases with parity. Atonic PPH being the most common indication for emergency hysterectomy. It accounts for 51% cases. Rupture uterus in 30.6% of cases. Placenta accreta in 16.3 % of cases. Placenta percreta in 2% of cases. In 71.43% of cases subtotal hysterectomy was done as it has less operating time and less morbidity compå with total hysterectomy. Maternal mortality was 8% in our study