HOPE AMIDST CRISIS: EMERGENCY OBSTETRIC HYSTERECTOMY

Aim: To evaluate the incidence, cause, age distribution, parity status, risk factors associated with emergency obstetric hysterectomy. Methodology: Medical records of 22 patients from the year 2020, till date, who had undergone emergency hysterectomies were evaluated retrospectively. The main outcome measures were the factors associated with obstetric hysterectomy as well as the indications for the procedure. Results: During the study period there were 11,511 deliveries and 5398 of them (46.8%) were by caesarean section. In this period, 22 emergency hysterectomies were performed, with an incidence of 1 in 278 vaginal deliveries and 1 in 245 caesarean sections. All of them were due to postpartum haemorrhage. The most common underlying pathologies were Atonic PPH (59%) and Placenta Accreta (27.2%). There was no maternal mortality. Conclusions: Obstetric hysterectomy, although curtails the future childbearing potential of women, yet in many cases saves the life of the Mother. Hence, can be called: Hope Amidst Crisis.