Lived experiences of women undergoing emergency hysterectomy following uterine rupture in Ethiopia: a descriptive phenomenological study

Uterine rupture is a life-threatening obstetric emergency that often requires immediate surgical intervention to prevent maternal death and severe morbidity. In some cases, hysterectomy is performed as a life-saving procedure. Although hysterectomy can save women’s lives, it may have long-term physical, reproductive, psychological, and social consequences. This study explored the lived experiences of women who underwent hysterectomy following uterine rupture in Gedeo Zone, Ethiopia. A descriptive phenomenological qualitative study was conducted among 13 women who underwent hysterectomy secondary to uterine rupture at Dilla University Teaching Hospital, Ethiopia, between February and August 2022. Participants were recruited using purposive sampling to capture a range of lived experiences. Data were collected through semi-structured in-depth interviews, supported by audio recordings, and field notes. Interviews were transcribed verbatim, translated into English, and analysed using thematic analysis to identify and interpret recurring themes describing participants’ experiences. Thirteen women participated in the study. Three major themes emerged from the analysis: (1) limited working activity, (2) reproductive and sexual problems, and (3) social and psychological changes. Participants reported persistent difficulties with physical activities, pain during movement, inability to perform routine work, concerns about infertility, challenges in marital and sexual relationships, social stigma, discrimination, and emotional distress. Fertility loss and uncertainty about future family life were particularly important concerns among women with fewer surviving children. Women who undergo hysterectomy following uterine rupture experience substantial physical, reproductive, psychological, and social challenges that extend beyond recovery from the obstetric emergency. Comprehensive post-hysterectomy care should incorporate fertility counselling, sexual health services, psychosocial support, and long-term follow-up.