DOI: 10.36347/sjams.2016.v04i05.071

Pages: 1797-1799

Emergency peripartum hysterectomy (EPH) is an uncommon obstetric procedure, usually performed as a lifesaving measure in cases of intractable obstetric haemorrhage. In modern obstetrics, the overall incidence of EPH is 0.05%, but there are considerable differences in incidence in different parts of the world, depending on modern obstetric services, standards and awareness of antenatal care. The objectives of this retrospective case series study are to examine the incidence, risk factors, indications, outcomes and complications of EPH performed in a tertiary hospital of Kumaon region, Dr. Sushila Tiwari Hospital and Medical college, between January 2013 and June 2015. Medical and pathological records of the 14 patients who had undergone emergency hysterectomy provided the incidence of 2.03 per 1,000 deliveries (0.2%).The most common indication for EPH was uterine rupture ,and placenta previa and/or accreta in 38.40% cases each and 30.76% cases of uterine atomicity. There was one case of intraoperative bladder injury and one mortality due to sepsis. Lack of proper antenatal visits, lack of awareness, delayed seeking of hospital facilities are the major causes of the morbidity of these patients. The risk factors associated with emergency peripartum hysterectomy should be identified antenatally and managed before the complication arises.