ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

OCCURRENCE OF EMERGENCY OBSTETRIC HYSTERECTOMY AND ASSOCIATED COMPLICATIONS

Dr Usama Ahmed Bakhtiari, Dr Bilal Ahsan, Dr Adnan Abbas Nizami

Objective: The aim of this research work is to find out the rate of incidence, associated complication and etiology of Emergency Obstetric Hysterectomy in Civil Hospital, Bahawalpur. Methodology: This research work was a retroactive study conducted in the Obstetric Department of Civil Hospital, Bahawalpur from June 2017 to June 2019. All the patients who were scheduled to undergo emergency obstetric hysterectomy were the part of this research work. We collected the information from the registers of labor room and clinical files of the patients following the ethical instruction. The data contained the information about emergency obstetric hysterectomy causes, traits of demography, and method linked with the rate of morbidity and mortality. We collected the information on a Performa. SPSS V.18 was in use for the statistical analysis of the collected information. Results: Total eight thousand deliveries took place in these years in which thirty-two patients underwent emergency obstetric hysterectomy. The rate of the incidence was 4.01 per one thousand births. The average age of the patients was 30 ± 5.20 years. Seventy-five percent females of this study were multipara. Cesarean Section was the main delivery mode (80.0%), and mostly it was performed as a procedure of emergency (81.0%). In 30.0% (n: 10) patients, emergency obstetric hysterectomy carried out due to not controllable hemorrhage of uterine atony. This was followed by the MAP (Morbidly Adherent Placenta) in twenty-eight percent patients. Morbidity contained Disseminated Intra-vascular coagulation in 19.0% (n: 4) patients (19%) and 3 patients had to undergo recurrent laparotomy due to hemorrhage which was not controllable. Three mothers died during this study providing an index of case-fatality as 9.30%. Conclusion: MAP and uterine atony were the most important causes for the emergency obstetric hysterectomy in this current research work. Keywords: Hemorrhage, Morbidity, Disseminated Intra-Vascular Coagulation, Emergency Obstetric Hysterectomy, Obstetric.

FULL TEXT