DOI: 10.36347/sjams.2017.v05i10.079

Pages: 4205-4208

Peripartum hysterectomy is a lifesaving procedure which is often performed in obstetric complications such as postpartum haemorrhage, rupture uterus etc. It is sometimes associated with both maternal and perinatal mortality. To study the incidence, various indications, risk factors, surgical complications, maternal and fatal outcome. A prospective, observational study on cases of peripartum hysterectomy was carried out over a period of 1 year from 1st July 2016 to 31st June 2017. Maternal characteristics, indications, maternal morbidity and mortality were analysed. During the study period there were total of 15259 deliveries and 40 cases underwent hysterectomy leading to an incidence of 0.26%. It was more common in multigravida (77.5%) and in the age group of 26-30 years. The majority of cases were from rural areas (87.5%) and uncooked (55%). Most common indication was rupture uterus (57.5%) and second common indication were morbidly adherent placenta (20%) and atonic PPH (20%). Incidence of maternal mortality is 7.5 % and perinatal mortality is 75%. Its prevention is the fore most goals in modern obstetrics. Availability of obstetrician, anaesthetist, neonatologist, physician, surgical services, blood transfusion facilities, dialysis facilities, good ventilator support is necessary round the clock.