Volume : IX, Issue : II, February - 2020

Emergency peripartum hysterectomy: A retrospective study of 1 year.

Dr. K. Madhavi, Dr. P. Swarupa Rani

Abstract :

Background: Emergency peripartum hysterectomy (EPH) is a rare but a lifesaving procedure done as a last resort to save life of mother. We conducted this study to know the incidence, leading causes, risk factors and complications of EPH. Methods: We conducted a retrospective analysis of all the patients who underwent EPH from Feuary 2019 to January 2020 at GGH,Kadapa. All patients who underwent EPH from 28 weeks of gestation to 6 weeks postpartum were included in the study. Results: There were 6 emergency peripartum hysterectomies, with deliveries during the same period being 8930 and the rate of EPH was 0.67 per 1000 deliveries. Most common indication for EPH was uterine rupture (33.3%) and morbidly adherent placenta (33.3%) followed by uterine atony (16.6%), Most of the patients (66.6%) had primary cesarean deliveries. EPH was done following cesarean in 100% patients. Conclusions: Uterine rupture and morbidly adherent placenta are the most common causes for EPH in our population. Multiparity is an important risk factor among patients with rupture uterus. Cesarean delivery and repeat cesarean deliveries are the likely risk factors for EPH.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

EMERGENCY PERIPARTUM HYSTERECTOMY: A RETROSPECTIVE STUDY OF 1 YEAR., Dr. K.Madhavi, Dr. P.Swarupa Rani PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-2 | February-2020

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