Published 21-09-2021
Keywords
- Peripartum hysterectomy,
- placenta accreta,
- postpartum hemorrhage
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This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Abstract
Background and Aims: We reviewed all peripartum hysterectomies at our institute over a 4 yearsperiod. The aim of this study was to determine the incidence, risk factors, indications and outcomesof peripartum hysterectomies. Material and Methods:This was a retrospective analysis of recordsof women who underwent emergency or elective peripartum hysterectomy in Sher-E-BanglaMedical College Hospital over a span of 4 years (Jan’2016 to Dec’2019). Association of variableswas based on Chi-square test. Results: Sixty One (61) women underwent peripartum hysterectomyduring the study period. The incidence was 2.19/1000 deliveries. In 20 (32.78%) cases, peripartumhysterectomy was planned electively while emergency hysterectomy was done in 41 (67.22%)cases. Main indications of peripartum hysterectomies were abnormal placentation (52.5%),Rapture Uterus (29.5%), atonic postpartum hemorrhage (PPH) (18%). The common maternalcomplications were wound infection, febrile illness and urologic injuries. There were 02 maternaldeaths following emergency peripartum hysterectomy done due to placenta percreta. Thirty Two(32) hysterectomies were performed after cesarean delivery and Twenty Nine (29) hysterectomieswere performed after vaginal delivery. Risk factors are Age (29.8) parity, previous history of C/Sand previous history of MR/Abortion. Conclusions: Postpartum hemorrhage is one of the leadingcauses of maternal mortality and morbidity and represents the most challenging complication thatan obstetrician will face. There are some risk factors for peripartum hysterectomy. The mostcommon indication was abnormal placentation (Placenta Acrreta). The date also illustrate theincidence of emergency peripartum hysterectomy increase significantly with prior cesareansection.
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