Obstetric Hysterectomy: Retrospective analytical study at P D U Medical College, Rajkot

Abstract

Objective: To find out indications of obstetrics hysterectomy, related complications and associated maternal morbidity and mortality. Methods: A Retrospective Analytical Study was performed at Dept of obs and gynec P D U Medical College, Rajkot over a period of 3 yrs during 2011-2013.Evaluation of Maternal age, parity, SE status, booking status, obstetric risk factors, duration of hospital stay, indications of hysterectomy, type of hysterectomy, intra-op and post-operative complications, blood transfusions and maternal morbidity and mortality was done. Results: Total 37 cases were noted during period of 3 yrs. Out of which most common indication of obstetric hysterectomy is rupture uterus -19(51%). No maternal mortality was noted in all 37 cases. In 70% cases total and 30% cases subtotal hysterectomy were done. Wound gap is most common complication in 5 cases followed by bladder injury in 3 cases. Conclusion: Our retrospective analytical study has concluded that though morbidity is associated with obstetrics hysterectomy, it is a life saving procedure if decision was taken timely with available resources and blood transfusions and maternal mortality can be reduced.