Bushra Sher Zaman, Joveria Sadaf, Sher Zaman Bhatti, Nusrat Shamas.
Indications and Complication of Emergency Peripartum Hysterectomy in Bahawal Victoria Hospital Bahawalpur.
Pak J Med Health Sci Jan ;7(3):726-9.

Aim: To determine the incidence, indications, risk factors, and complications of emergency peripartum hysterectomy in Bahawal Victoria Hospital Bahawalpur. Methods: This is a retrospective study of 24 cases of emergency peripartum hysterectomy performed for various obstetrical indications in one year from January 2007 to December 2007 in Obstetrics and Gynaecology Department Bahawal Victoria Hospital Bahawalpur. Results: There were 24 cases of emergency peripartum hysterectomy among 8556 deliveries performed during the period of study. So the case incidence was 0.28% i.e.one in 356 deliveries. 7(29.2%) patients were of age group 20 to 30 years and 17(70.8%) were of age group 31 to 43 years. More than 80% (19) women were unbooked while 5(20%) patients were booked. , underlying cause for PPH was low lying placenta in 12 cases out of them 6 patients were having morbidly adherent placentae and along with them placental abruption was the main indication for the emergency peripartum hysterectomy. There were three maternal deaths (12.5%) out of them 2 maternal deaths happened in patients with placental abruption and one in major degree placenta praevia. Conclusion: The incidence of emergency peripartum hysterectomy was high and majority of patients were unbooked. Placenta praevia has emerged as its primary indication. Booking for antenatal care, anticipation, prompt resuscitation, and early surgical intervention by a skilled surgeon are crucial.

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