Nasima Siddiq, Asifa Ghazi, Shazia Jabbar, Tehmina Ali.
Emergency obstetrical hysterectomy (EOH): a life saving procedure in obstetrics.
Pak J Surg Jan ;23(3):212-6.

Objective: To assess the frequency, causes and sequelae of Obstetrical Hysterectomies in a tertiary care unit. Design and Duration: Prospective, observational study from 1st Jan. 2001 to 28th Feb. 2006. Setting: Department of Gynaecology & Obstetrics, Unit 111, Civil Hospital, Karachi. Patients: All Obstetrical Hystrectomies done during the study period. Methodology: Out of 11,032 obstetrical patients admitted during the study period, 62 underwent EOH. Their biodata, clinical features, investigations, blood transfusions, operative procedures, morbidity, mortality and follow-up was recorded on a profoma. The data thus obtained was compiled and analyzed. Results: The frequency of EOH was 5.611000 obstetric cases. Majority (85.5%) of the cases were referred from else where, while only 9 (14.5%) cases were booked. Multipara and grand multipara (94%) cases were mostly involved and the commonest cause was ruptured uterus(34%). The maternal mortality was 9.7%. Conclusion: Proper antenatal care, early referral, liberal blood transfusion, timely decision and surgery by an experienced obstetrician are milestones on the road to justify EOH.

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