Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-2 | Issue-05 | 140-143
Original Research Article
Life Saving Obstetric Hysterectomy in Tertiary Care Hospital, Risk Factors and Indications
Jini Gupta, Abha Samar, P. K Bhatnagar
Published : May 30, 2019
Abstract
Maternal mortality ratio in India is 199per 100000 births, MMR in Rajasthan is 208 per 100000 live births and MMR in Udaipur is 284 per 100000 live births (2016) [1]. Leading causes include post partum hemorrhage (30%), sepsis, unsafe abortions, rupture of uterus and obstructed labor [2]. Emergency hysterectomy in obstetrics is rarely indicated and is always debatable but if performed timely and wisely can be life saving [3]. In the present study 24 cases (92.30%) belonged to age group of 26-35 years. 22cases (84.61%) belonged to Para 3 and 4. 14 cases (53.84%) required emergency obstetric hysterectomy to control atonic post partum hemorrhage . 6 cases (23.07%) were due to rupture of uterus , 4 case (15.38%) was due to sepsis 1 case due to cervical ectopic pregnancy. 20(76.92%) were unbooked cases with no antenatal care. There was no maternal mortality. Aim of the present study is to help reducing maternal morbidity and mortality and to suggest ways of improving maternal outcome