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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 16, Issue 2, Sept 2015 pp 318-320

Research Article

Obstetric hysterectomy

Gauri Dank*, Shubhangi Mande**, Kunal Jadhav*, Swati Shiradkar***

*Assistant Professor, **Associate Professor, ***Professor and HOD, Department Of OBGY, MGM Medical College and Hospital Aurangabad – 431003, Maharashtra, INDIA.

Objectives: To study indications and maternal outcome of obstetric hysterectomy. Methods: The retrospective observational analytical study was conducted at the Department of Obstetrics and Gynaecology, MGM Medical College and Hospital, Aurangabad from January 2012 to December 2014. Medical records of 11 patients who had undergone obstetric hysterectomy were scrutinized and evaluated retrospectively. Maternal characteristics, indications, and maternal morbidity and mortality were analysed. Results: During the study period there were 11 e obstetric hysterectomies and 5000 deliveries, giving an incidence of 0.22%. Majority of the cases were unbooked (73.1%). It was more common in para three and four (54.4%). Refractory atonic post-portumhemorrhage and ruptured uterus were the common indications (81.7%).The maternal mortality was 9.7%. Conclusion: Obstetric hysterectomy is a life saving procedure. The maternal outcome greatly depends on timely decision and good clinical judgment because unnecessary delay can cost life and undue haste can cause morbidity.