Emergency Obstetrical Hysterectomy

Authors

  • Rozina Mustafa
  • Rubina Mustafa
  • Haleema Hashmi
  • Muhammad Jawed

Keywords:

Emergency obstetrical hysterectomy, postpartum hemorrhage, ruptured uterus, pregnancy outcomes

Abstract

This study was designed to determine the incidence, indications and complications of emergency obstetrical hysterectomy. The cases
were analyzed from January 2003 to December 2008 in the obstetric unit of Fatima Hospital, Baqai Medical University, Karachi. The
Demographic and clinical variables were obtained from the maternal records. Incidence of emergency obstetrical hysterectomy was found out to be 1:238 deliveries. Out of these 6(40%) of patients were in the age group between 31-35 years. Average age was 31years. Multiparous patients were 7(46.6%) and grand multiparous were 6(40%) with mean parity of 5. The most common indication leading to obstetrical hysterectomy was Atonic uterus causing postpartum hemorrhage in 7(46.6%) of patients. Ruptured uterus was responsible for this procedure in 2(13.3%) patients. Regarding complications, deep venous thrombosis developed in 1(6.6%) patient. The maternal deaths occurred in 3(20%) patients. The incidence of emergency obstetrical hysterectomy is not very much high. Majority of the patients were referred by traditional birth attendants (TBA’s) with complications of labor and delivery. To further reduce the incidence, education of TBA’s and early referral along with community awareness are essential.

References

Castaneda S, Karrison T Cibils L. Peripartum hysterectomy. J Perinat Med. 2000; 28: 472-81.

Bakshi S Meyer B. Indications for and outcomes of emergency peripartum hysterectomy: A five year review. J Reprod Med., 2000; 45: 733-17.

Plauche W. Peripartal hysterectomy. Obstet. Gynecol. Clin. North. Am., 1988; 15: 783-95.

Rahman J, Al-Ali M, Qutub H.O, et al. Emergency obstetric hysterectomy in a university hospital: A 25-year review. J Obstet Gynecol 2008; 28: 69-72.

Yucel O, Ozdemir I, Yucel N, et al. A. Emergency peripartum hysterectomy: a 9-year review. Arch Gynecol Obstet 2006; 274: 84-7.

Aleem M Bashir A. Caesarean and postpartum hysterectomy1991-1993. Specialist 1994; 10: 233-7.

Noor S, Majid S Ruby N. An audit of obstetrical hysterectomy. JCPSP 2001; 11: 642-5

Mayi-Tsonga S, Pither S, Meye JF, et al. Emergency obstetrical hysterectomy: about 58 cases at Libreville Hospital Centre. Sante 2004; 14: 89-92.

Selo-Ojeme DO, Bhattacharjee P, Izuwa-Njoku NF et al. Emergency peripartum hysterectomy in a tertiary London hospital. Arch Gynecol Obstet 2005; 271: 154-9.

Diouf A, Faye EO, Moreira P, et al. Emergency obstetrical hysterectomy 1998; 26: 167-72.

Kacmar J, Bhimani L, Boyed M, et al. Route of delivery as a risk factor for emergent peripartum hysterectomy; A case –control study. Obstet Gynecol 2003; 102: 141-5.

Ding DC, Hsu S, Chu TW et al. Emergency perpartum hysterectomy in a teaching hospital in Eastern Taiwan. J Obstet Gynecol 2006; 26: 635-68.

Bai SW, Lee HJ, Cho JS. Peripartum hysterectomy and associated factors. J Reprod Med 2003; 48: 148-52.

Sheiner E, Sarid L, Levy A. Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population based study. J Matern Fetal Neonatal Med 2005;18: 149-54.

Tahir S, Aleem M Akram S. Indication and maternal outcome of emergency peripartum hysterectomy. Pak J Med Sci 2003; 19: 182-6.

Shojai R, Desbriere R, Cravello L. Surgical management of primary postpartum hemorrhage. J Gynecol Obstet Biol Reprod 2004; 33: 4s103-4s19.

Sergent F, Resch B, Verspyck E Surgical management of intractable postpartum hemorrhage. Ann Chir 2006; 131: 236-43.

Kwee A, Bots ML, Visser GH. Uterine rupture and its complications in the Netherlands: a prospective study. Eur J Obstet Gynecol Reprod Biol 2006; 128: 257-61.

Malik HS. Frequency, predisposing factors and fetomaternal outcome in uterine rupture. JCPSP 2006; 16: 472-5.

Khan S, Parveen Z, Begum S. Uterine rupture: A review of 34 cases at Ayub teaching hospital Abbottabad. J Ayub Med Coll Abbottabad. 2003;15:50-2.

Ezechi OC, Kalu BK, Njokanma FO. Emergency peripartum hysterectomy in a Nigerian hospital: a 20 year review. J Obstet Gynecol 2004; 24: 372-3.

Chaudhari KR Vaswani MN. Analysis of 18 cases of obstetric hysterectomy. www.bhj.org/journal/2000-4204-oct00/ or583. htm.24k

Sanjay B, Shah PK, Dholakia S. Emergency hysterectomy: The Hobsons Choice in Massive J www.bhj.org/journal/2001-4302-apr01/org-265.htm.26k.

Yamani Zamzami TY. Indication of emergency peripartum hysterectomy: review of 17 cases. Arch Gynecol Obstet 2003; 268: 131-5.

Rabenda-Lacka K, Wilczynski J, Radoch Z. Obstetrical hysterectomy. Ginekol Pol 2003; 74: 1521-15

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Published

2011-01-01

How to Cite

Mustafa, R. ., Mustafa, R. ., Hashmi, H. ., & Jawed, M. . (2011). Emergency Obstetrical Hysterectomy. Journal of Bahria University Medical and Dental College, 1(1), 3–7. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/10

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Original Articles