Abstract

Objective of study: Obstetric hysterectomy is the last resort in management of life-threatening obstetric hemorrhage when all conservative measures have failed to achieve hemostasis. The objectives of this study are to examine the incidence, indications, outcomes and complications of obstetric hysterectomy in our tertiary care hospital.

Materials and Methods: This was a retrospective analytical study undertaken in Department of Obstetrics and Gynecology, Civil Hospital-Ahmedabad for a period of two years. A total of 52 patients were enrolled for the study. Results: Overall incidence of obstetrics hysterectomy was 0.05%. Most common indication was atonic PPH in 37% cases followed by rupture uterus in 24% cases. Most common complication associated was DIC in 48% patients followed by bladder injury in 31% cases. Incidence of mortality was 15.38%. This study shows if the patient is operated after 4 hours postpartum, there is chance of increase in mortality as compared to cases operated before 4 hours which is statistically significant.

Conclusion: Obstetric hysterectomy is still a lifesaving surgery in modern obstetrics and quick decision reduces maternal mortality. Reduction in primary cesarean section rate will be helpful to reduce its devastating complications. This will be helpful to reduce maternal morbidity and mortality in long run.