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Doctoral Thesis | Obstetrics and Gynecology | India | Volume 13 Issue 3, March 2024 | Rating: 6 / 10
Maternal Outcome of Emergency Obstetrics Hysterectomy
Dr. Misbah Mulla, Dr. Medhavi Anil Chaudhari, Dr. Kavita Velankar, Dr. Jayanarayan Senapati
Abstract: Background: Emergency obstetric hysterectomy (EOH) is a life-saving surgical procedure used to manage severe maternal morbidity and mortality during childbirth, involving the removal of the uterus in critical situations where other measures fail. However, research on EOH's specific maternal outcomes is limited. Method: It was a Retrospective Observational study conducted among 60 study subjects who attended OPD in department Obstetrics and Gynecology, in a tertiary healthcare teaching hospital. All of them were examined and their clinical, demographic, past medical and surgical information was filled in the predesigned, semi-structured, pre-validated case record proforma after getting their written informed consent. The study subjects were examined for their general and systemic examination parameters. Results: The study involved 31.46-year-olds with 65% booked at the current center and 13.33% unbooked pregnancies. The majority of subjects had parity 5 or above, with 26.67% being Grand multipara. Emergency obstetric hysterectomy was common for rupture uterus (40.00%) and atonic PPH (31.67%). Causes of rupture uterus included previous LSCS and obstructed labor (33.33%). Subtotal hysterectomy was the most common procedure (71.67%). Morbidities included fever (47.33%), wound infection (11.77%), paralytic ileus (3.33%), maternal death (10.00%), endotoxic shock (50%), DIC (33.33%), and sepsis (16.67%). Conclusion: Studying maternal outcomes after emergency obstetric hysterectomy is crucial for understanding the procedure's effectiveness, safety, potential complications, psychological impact, and long-term health outcomes. This knowledge can inform clinical decision-making, improve patient care, and improve the overall well-being of women undergoing EOH.
Keywords: Retrospective Studies, Postpartum Hemorrhage, Cesarean Section, Maternal Mortality, Hysterectomy
Edition: Volume 13 Issue 3, March 2024
Pages: 384 - 388