In depth study of the etiological factors resulting in obstetric hysterectomy

Abstract

Method: This is an evaluatory retrospective as well as prospective study to know the incidence and maternal outcome of obstetric hysterectomy as well as to analyze the changing trends in obstetric hysterectomy. The study is performed in Department of Obstetrics & Gynecology in SAIMS, Indore from December 2018 to November 2019. Result: Maximum patients 70.45% belong to age group 21-30 years. Specifically 39.77% in 26-30 & 30.68% 21-25 years. Morbidity found in 73 cases 89.02% the major morbidity associated with is hemorrhagic shock 28.41%. Febrile illness 34.09% wound infection 12.50% Septicemia-5.68%. Bladder injury occurred in 4.55% during operation resulting in 1.14% of vesico vaginal fistula. Conclusion: The indication of elective obstetric hysterectomy for purpose of preventing future gynecological diseases be deprecated and not practiced. The Study concludes that it may be advisable to do total obstetric hysterectomy though some authors prefer to do subtotal hysterectomy due to anesthetic risk and increased operative mortality and morbidity. Final decision making is by the operating surgeon which depends upon his or her skill, experience, condition of the patients on the operating table and facilities available.