Analysis of peripartum hysterectomy at tertiary care hospital in rural Bangalore
Umashankar Km, Sandhya Alletty, Madhushri N, Dharmavijaya Mn
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.