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ANALYSIS OF MATERNAL OUTCOME OF THE PERIPARTUM HYSTERECTOMY AMONG PATIENTS IN EMERGENCY CONDITION

Dr Alina Tariq, Dr Nigum Irshad, Dr Tayyaba Sultan

Objectives: This research work carried out to examine the maternal outcome of Peripartum Hysterectomy in adversely handled patients present with the severe hemorrhage after child birth and rupture of uterus. Methodology: This retroactive research work was carried out in the Department of Gynecology of Lahore General Hospital in the period of two years. Total 30 patients who experienced emergency peripartum hysterectomy in the duration of this research work were the part of this research work. We examined the indications of peripartum hysterectomy as well as linked occurrence of morbidity as well as mortality. Results: Total thirty patients who underwent emergency peripartum hysterectomy were the part of this research work in the duration of this research work. The major frequent indication was the rupture of the uterine (42.90%), followed by the atony of the uterine (26.60%). All the females needed transfusion of blood, 17.0% (n: 5) females developed the co-oculopathy, 13.30% (n: 4) patients were present with injuries to bladder, 6.0% (n: 2) patients were in need of salpingoophorectomy for not controllable adnexal hemorrhage & 6.0% (n: 2) patients had to experience the repeat laparotomy to prevent the internal bleeding. The rate of the maternal mortality was 6.0%. Conclusion: There is very occurrence of the peripartum hysterectomy in our society. High number of parity, high illiteracy rate and unawareness coupled with improper maternity health care services, ill-advised utilization of the syntocinon, and inadequate management at 3rd stage, anomalous placentation and atony of the uterine were the main factors involved for the occurrence of the peripartum hysterectomy in emergency condition. The timely decision of the professionals can save the loss of the blood and it can also prevent the related complications. KEY WORDS: Peripartum Hysterectomy, Hemorrhage, Indication, Uterine, Rupture, Morbidity, Mortality, Gynecology, Transfusion, Maternal.

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