Obstetric hysterectomy – An analysis
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Objectives To study the etiological factors maternal morbidity and mortality in patients who underwent obstetric hysterectomy at our tertiary care centre during the period from April 2014 September 2016Study Design It is a hospital based study during the period of April 2014 September 2016Materials and Methods Critical review of 14 patients who underwent obstetric hysterectomy during the period of April 2014 September 2016 The indications for the hysterectomy maternal morbidity and mortality neonatal outcome were studiedResults During the study period in our tertiary care centre there were11609 deliveries of which 14 emergency obstetric hysterectomies were done The majority of cases were unbooked N9 64 There was one maternal death The commonest indications for obstetric hysterectomy were placenta accreta followed by postpartum haemorrhageConclusion Skill in emergency obstetric hysterectomy remains a necessary tool for consultant obstetricians In spite of intra operative risks and postoperative complications it remains a potentially life saving procedure The maternal outcome greatly depends on timely decision and good clinical judgment because unnecessary delay can cost life and undue haste can cause morbidityKeywords Postpartum haemorrhage Obstetric hysterectomy Morbidly adherent placenta
Authors and Affiliations
Archana S, O Syamala
Keywords
Related Articles
- EP ID EP476008
- DOI 10.18231/2394-2754.2018.0126
- Views 82
- Downloads 0
Vulvar fibroma with coexisting uterine fibroma in a postmenopausal patient: A Case Report
Vulval growths though rare, may be cause of discomfort as well as social withdrawal. The patient usually complains only of swelling or of bleeding and discharges from it. The treatment is excision and removal, recurrence...
Minimizing bleeding in laparotomic myomectomy: A comparative study
Objective: To compare the effectiveness of pericervical tourniquet versus intra-myometrial injection of epinephrine in reducing blood loss in abdominal myomectomy. Study Design: A prospective analysis, over 1 year. Setti...
Pregnancy –check point for diagnosis of CKD in developing countries
Pregnancy is challenging among females with chronic kidney disease (CKD), and requires multidisciplinary approach comprising of obstetrician, nephrologists and neonatologist. Chronic kidney disease is often clinically an...
Maternal and fetal outcome in eclamptic convulsion with Magnesium sulphate therapy
Eclampsia accounts for 50,000 maternal deaths a year worldwide. The maternal case fatality rate is 1.8% and 35% of eclamptics will have one major complication. Objective: objective of study was to improve maternal and fe...
The outcome of labour in primigravida with term gestation and unengaged head at onset of labour
Introduction: Primigravida are the group at risk. As Ian Donald has said that “Primigravida is a dark and untrained horse and potential for child bearing is determined by the outcome of labour”. Labour is onset of regula...