EMERGENCY OBSTETRIC HYSTERECTOMY; A Study of 26 cases over a period of 1 yr in JLNMCH, Bhagalpur, Bihar

Geeta Rani; Dr sachin kumar Singh; Dr Bindu Sinha; Dr Anupama Sinha

Volume : VI, Issue : VII, July - 2016

EMERGENCY OBSTETRIC HYSTERECTOMY; A Study of 26 cases over a period of 1 yr in JLNMCH, Bhagalpur, Bihar

Geeta Rani, Dr Sachin Kumar Singh, Dr Bindu Sinha, Dr Anupama Sinha

Abstract :

OBJECTIVES:–To study the cases of obstetric hysterectomy over a period of 1 yr (Jan 2015– Dec 2015) in JLNMCH (Jawaharlal Nehru Medical College & Hospital), Bhagalpur, to determine the incidence, indications & associated complications with a view to suggest way of improving outcome. METHOD– 26 cases of emergency obstetric hysterectomy performed during the study period were analyzed. RESULTS– During the study period there were 26 cases of obstetric Hysterectomy out of 5081 deliveries giving an incidence of 0.5%. The Incidence of Hysterectomy following vaginal delivery was 0.2% and following caesarean section was 3% . >90% of pts were unbooked & maximum parity were in the age group 20–35 yrs (19/26). Common parity group was > 4. Majority were referred cases from rural PHCs and were due to injudicious use of oxytocin for induction of labour by local dais & untrained nurses. There were 2 maternal deaths in the study. CONCLUSION– Emergency obstetric hysterectomy is a rare operation (1 in 200) in spite of intra–operative risk & postop complications it remains a life saving procedure.