PERIPARTUM HYSTERECTOMY AND ITS RISK FACTORS

Authors

  • Renuka Tamrakar
  • Upendra Pandit
  • Sabita Shrestha
  • Basant Sharma
  • Rakshya Joshi

DOI:

https://doi.org/10.54530/jcmc.387

Keywords:

Cesarean hysterectomy; Peripartum hysterectomy; Postpartum hysterectomy.

Abstract

Background: Emergency Peripartum Hysterectomy (EPH) is an important lifesaving surgical procedure considered in cases of severe hemorrhage unresponsive to medical and conservative management. The objective is to review incidence, identification, intervention and impact of emergency peripartum hysterectomy.

Methods: The retrospective, cross-sectional study designed was to used. EPH data were collected from January 2014 to December 2018.Descriptive statistics was used to analyzed data and presented in tables and charts.

Results: Incidence of Emergency Peripartum Hysterectomies was 2.3% out of 252(2.6%) cases of obstetrical emergencies and 0.06% that is 1 in 1600 deliveries. Most common indications for EPH were uterine rupture (33.3%); placenta accreta (33.3%) followed by retained placenta (16.6%) and endometritis with pyometritis (16.6%). Estimated blood loss 1916 ml., timeliness from delivery to hysterectomy was 140 minutes; most common post-operative complication was surgical site infection (33.3%) and length of hospital stay 11.7 days. Maternal morbidity rate was 33.3%. There was no maternal mortality recorded.

Conclusions: The timely intervention improves the outcome in Peripar­tum Hysterectomy, which is frequently associated with abnormal placen­tation as a consequence of increasing caesarean deliveries rate.

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Published

2021-03-09

Issue

Section

Original Articles

How to Cite

1.
PERIPARTUM HYSTERECTOMY AND ITS RISK FACTORS. JCMC [Internet]. 2021 Mar. 9 [cited 2024 Mar. 29];9(1):27-31. Available from: https://www.jcmc.com.np/jcmc/index.php/jcmc/article/view/387

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