Analysis of peripartum hysterectomy at tertiary care hospital in rural Bangalore
Journal Title: The New Indian Journal of OBGYN - Year 2017, Vol 3, Issue 2
Abstract
Objective: This study was conducted to evaluate the indications and outcomes of emergency peripartum hysterectomy (EPH) as a life-saving procedure. Methods: A series of 60 cases of EPH were analyzed, between June 2006 and June 2016. The data were collected from the patients’ files. Results: The incidence of EPH was 3 per 1,000 deliveries. The mean age was 34.10 ± 6 years, gravidity was 6.84 ± 3.38 and parity was 5.58 ± 3.0. Of the 60 cases, 40 were delivered by cesarean section and 20 were vaginally delivered. Forty-five cases had subtotal hysterectomy and 15 had total abdominal hysterectomy. The most common indications for EPH were uterine atony followed by uterine rupture and abnormal placentation. Mean operation time was 142.23 ± 43.70 minutes. The average blood transfusion was 4.79 ± 3.36 units. Relaparotomy was performed in 22 cases. Maternal mortality was seen in 10 cases. Conclusion: This study suggests that the most common indications for EPH are uterine atony, uterine rupture and abnormal placentation. This is probably due to the advanced age of pregnancies and multiparity in our region.
Authors and Affiliations
Umashankar Km, Sandhya Alletty, Madhushri N, Dharmavijaya MN
Keywords
Related Articles
- EP ID EP452133
- DOI 10.21276/obgyn.2017.3.2.6
- Views 132
- Downloads 0
Comparison between effectiveness of umbilical cord care using topical breast milk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis
Objectives: To compare umbilical cord separation time and incidence of omphalitis in newborns receiving three different umbilical cord care techniques: topical breast milk, open dry, and closed dry techniques. Methods: T...
A retrospective study of maternal and fetal outcome of viral hepatitis in pregnancy
Objectives: This study was conducted to evaluate the cause, course of the condition in pregnancy, maternal and fetal outcome in diagnosed cases of viral hepatitis in pregnancy. Methodology: A retrospective study was cond...
Internal iliac artery ligation - A life saving procedure in Obstetrics and Gynaecology practice
None
Optimising management of oligohydramnios
Objectives: This study is carried out to observe the feto-maternal outcome with optimal management of oligohydramnios after 28 weeks of gestation. Methodology: The present study was conducted on 50 pregnant women with o...
Maternal deaths in a tertiary health care centre of Assam - a one year report
Objective: The present study was undertaken to find out the contributing factors of maternal deaths. Methodology: Data for the study was collected from all the maternal deaths that occurred over a period of one year from...