Peripartum Hysterectomy in a Teaching Hospital in India

Authors

  • Swati Agrawal Lady Hardinge Medical College
  • Reena Yadav Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi
  • Chitra Raghunandan Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi.
  • Shilpa Dhingra Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi
  • Harvinder Kaur Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi

DOI:

https://doi.org/10.3126/ajms.v4i1.6967

Keywords:

Morbidly adherent placenta, uterine rupture, Peripartum hysterectomy, coagulopathy

Abstract

Objectives: To find the incidence and clinical implications of peripartum hysterectomy in a tertiary care centre of India.

Methods: A retrospective study of all cases of caesarean and postpartum hysterectomy between January 2006 and December 2011. Maternal characteristics, method of delivery, indications for hysterectomy and complications were reviewed.

Results: The rate of peripartum hysterectomy was 0.47:1000 deliveries. Most were operative deliveries. The main indications were placenta accreta (38.88%), massive atonic PPH (36.11%) and uterine rupture (22.22%). Half the hysterectomies were subtotal while the rest were total. Maternal morbidity was high and there were seven maternal deaths (19.44%). All deaths were in patients brought in a critical condition to the hospital after massive blood loss.

Conclusion: Peripartum hysterectomy is potentially a life saving procedure but the mortality and morbidity is high, especially if performed late when the hemodynamic instability has already set in.

DOI: http://dx.doi.org/10.3126/ajms.v4i1.6967

Asian Journal of Medical Sciences 4(2013) 5-9

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Author Biography

Swati Agrawal, Lady Hardinge Medical College

Assistant Professor, Department of Obstetrics & Gynaecology

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Published

2013-04-24

How to Cite

Agrawal, S., Yadav, R., Raghunandan, C., Dhingra, S., & Kaur, H. (2013). Peripartum Hysterectomy in a Teaching Hospital in India. Asian Journal of Medical Sciences, 4(1), 5–9. https://doi.org/10.3126/ajms.v4i1.6967

Issue

Vol. 4 No. 1 (2013)

Section

Original Articles

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