Study on emergency obstetric hysterectomy over a two year period–Saving mothers
Keywords:emergency obstetric hysterectomy, rupture uterus, post partum hemorrhage, maternal mortality, EOH.
Introduction: Emergency obstetric hysterectomy needs a timely decision and good clinical judgment as undue haste can result in maternal morbidities like bladder injuries and unnecessary delay can cause maternal mortality. Maternal outcome greatly depends on the timely decision, surgical skills along speedy interventions taken by the team of obstetricians, anesthetists, and physicians. Aim: The study has been done with the purpose to know the incidence, etiology, maternal age, parity, risk factors, maternal morbidity and mortality, and fetal outcome and analyze the factors associated with it. The study was conducted in a tertiary care hospital which caters to the rural population of Jharkhand, India. Materials and Methods: Sixty-five women underwent emergency obstetric hysterectomy during the study period of 2 years. All women who needed emergency obstetric hysterectomy for any obstetric reason during antenatal, intra-natal period or postnatal period up to 6 weeks were included in the study. Results: In this study, the main etiological factor was rupture uterus (58.5%). The incidence of emergency obstetric hysterectomy in this study was 0.52%. Maternal mortality in the study was 6.1%. Conclusion: Maternal and perinatal mortality are sensitive indicators of the health care system, thus identifying and avoiding the factors which lead to maternal mortality which will, in turn, improve maternal health and perinatal outcome.
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Copyright (c) 2022 Darukhshan Anjum, Kiran Trivedi, Suman Kumari
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