Emergency Obstetric Hysterectomy Over a Period of Seven Years – A Clinical Review
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 10
Abstract
This study is to determine the incidence, indications and maternal complications of emergency obstetric hysterectomies performed in a tertiary hospital over a period of seven years from January 2003 to December 2009. Maternal age, parity, indication for hysterectomy, type of the surgery performed, amount of blood transfused and complications were evaluated. During the study period there were 1,42,130 deliveries, out of which 40,399 (28.4%) were by cesarean section. Of the total deliveries, there were 197 emergency obstetric hysterectomies, with an incidence of 1.38 per 1000 deliveries. The commonest indication for emergency obstetric hysterectomy was atonic post partum hemorrhage followed by rupture uterus and abnormal placentation. Among the emergency obstetric hysterectomies, there were 24 (12.2%) cases of maternal death. Hypovolemic shock, disseminated intravascular coagulation and urinary bladder injury were the other complications. Facility for blood transfusion with early and timely referral of high risk cases to a tertiary centre can avoid emergency obstetric hysterectomies to a certain extent, thereby reducing maternal morbidity and mortality. Active management of third stage of labor should be practiced in all centers including peripheral hospitals for a better maternal outcome.
Authors and Affiliations
Dr Jishabai C P
Keywords
Related Articles
- EP ID EP365054
- DOI -
- Views 75
- Downloads 0
PREVALENCE OF VITAMIN D DEFICIENCY IN HASHIMOTO’S THYROIDITIS AND ITS RELATION TO ANTI-THYROID PEROXIDASE ANTIBODIES
Context: vitamin D deficiency has been considered a risk factor for several autoimmune diseases. Few studies examined prevalence of vitamin D deficiency in autoimmune thyroid disease and have produced conflicting results...
A Detailed Study of Severity of Eosinophilia and its Relation With Number of Hookworms in Duodenum in Patients With Hookworm Infection Found While Doing Endoscopy
Objective: Eosinophilia occurs very commonly in hookworm infection. Hence a detailed study was done to know about the severity of eosinophilia and its relation with number of hookworms in duodenum in patients with hookwo...
SOLAR POWERED ARDUINO UNO BASED AUTO IRRIGATION SYSTEM
In the field of agriculture, the use of proper method of irrigation is important because the main reason is the lack of rains & scarcity of land reservoir water. The continued extraction of water from earth is reducing t...
CLINICOPATHOLOGICAL CORRELATION OF HANSEN'S PATIENTS OVER A PERIOD OF 1 YEAR - A RETROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL, AT KANCHIPURAM DISTRICT
Leprosy an ancient curable chronic infectious granulomatous disease. In the absence of the classic involvement of the peripheral nerves, the clinical manifestations of leprosy are diverse and can mimic a host of other sk...
MAXILLOFACIAL SILICONE PROSTHESIS FOR A PATIENT WITH UNILATERAL EAR DEFECT: A CLINICAL CASE REPORT
Congenital or acquired loss of body parts is of common occurrence and replacement of such parts for restoring their lost function and esthetics is done by using various bio-compatible materials. Proper assessment of the...