Emergency Peripartum Hysterectomy - A Study at Tertiary Care Center, Jodhpur, Western Rajasthan
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064

Case Studies | Gynaecology | India | Volume 9 Issue 6, June 2020

Emergency Peripartum Hysterectomy - A Study at Tertiary Care Center, Jodhpur, Western Rajasthan

Dr Hanslata Gehlot, Dr Urmila

Background: Post-partum hemorrhage is a significant cause of maternal mortality and morbidity. The objective of the study was to evaluate the incidence, predisposing factors & associated complications and outcome of emergency peripartum hysterectomy. Methods: It is a prospective analysis of emergency peripartum hysterectomy conducted at tertiary care center at Umaid Hospital Jodhpur, Western Rajasthan between Jan 2017 to December 2018. Results: 41 women underwent peripartum hysterectomy among 43552 deliveries, accounting to an incidence of 0.094 %. Incidence of subtotal hysterectomy after vaginal deliveries was higher as compared to cesarean deliveries. The most common indications were uterine rupture (scarred and unscarred uterus) 56.09 % (23), uterine atony 41.4 (17.07 %). Post- operatively 17.07 % patients developed DIC (7), 17.07 % patients developed febrile illness (7), 9.75 % patients of ruptured uterus experienced injury to the bladder (4). Maternal mortality in this study was 12.1 % (5 %). Conclusions: Hysterectomy is a lifesaving procedure to control postpartum hemorrhage, but is associated with significant maternal morbidity and mortality. Uterine atony, uterine ruptures, placenta previa were identified as risk factors.. Hence only proper awareness, timely referral and correction of anemia are the key factors to be addressed in this part of the state.

Keywords: Peripartum Hysterectomy, Postpartum hemorrhage, Obstetric Hysterectomy, Western Rajasthan, Uterine rupture

Edition: Volume 9 Issue 6, June 2020

Pages: 345 - 346

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How to Cite this Article?

Dr Hanslata Gehlot, Dr Urmila, "Emergency Peripartum Hysterectomy - A Study at Tertiary Care Center, Jodhpur, Western Rajasthan", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=SR20319003834, Volume 9 Issue 6, June 2020, 345 - 346

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