Changing Trends In Peripartum Hysterectomy In Tertiary Care Centre Of Western India In 25 Years

Aarti Meena Sharma; Sumant R. Desai; Anand D. Bhatt

Volume : VII, Issue : III, March - 2018

Changing Trends In Peripartum Hysterectomy In Tertiary Care Centre Of Western India In 25 Years

Aarti Meena Sharma, Sumant R. Desai, Anand D. Bhatt

Abstract :

To evaluate the changes in incidence, indications, complications, maternal outcome in cases of peripartum hysterectomy over 1987 to 2014. This is a retrospective observational study. All case records of peripartum hysterectomy from July 1987 to June 1989 and July 2012 to June 2014 performed at a tertiary care referral centre were analysed and results were compared to identify the changing trends. Total number of deliveries in the study period was 28444 and peripartum hysterectomy cases were 73. On comp� the study data of 1987–89 and 2012–14 incidence of peripartum hysterectomy increased from 0.21% to 0.28%. Major change in indications observed. Morbidly adherent placenta as a cause increased from 4% to 25% . Most common indication remained rupture uterus but cause of rupture shifted from obstructed labour 20% to 6.25% to previous caesarean scar rupture 4% to 16.6%. Rate of caesarean section increased from 9.2% to 29%. Maternal death in 1987–89 was 4% and in 2012–14 was 18.75%. < clear="all" style="page–eak–before:always;mso–eak–type:section–eak" />