Emergency Obstetric Hysterectomy: A Life Saving Procedure in Primary and Secondary Post Partum Haemorrhage

D KARMALI; G PEDNEKAR

Volume : V, Issue : III, March - 2016

Emergency Obstetric Hysterectomy: A Life Saving Procedure in Primary and Secondary Post Partum Haemorrhage

D Karmali, G Pednekar

Abstract :

Objectives: To study the cases of obstetric hysterectomy performed over a one year period (August 2014–July 2015) in a tertiary institute to determine the incidence, indications, risk factors, complications and clinical outcome of the same. Materials and Methods: Data was collected from the records and 15 cases were identified over the study periods which were studied in detail. Results: There were a total of 4979 deliveries in the study period and 15 patients needed an obstetric hysterectomy giving an incidence of 0.3%. Atonic primary post partum haemorrhage (PPH) was the most common indication which was seen in 60% of cases. There were two cases of secondary PPH (13.3%) which required hysterectomy. Maternal death was seen in two cases. Conclusion: Obstetric hysterectomy continues to be a life saving procedure in cases of intractable haemorrhage in the immediate post partum period as well as beyond 24 hours in certain cases of massive secondary PPH.