Emergency obstetric hysterectomy: A retrospective study to evaluate incidence, indications and fetomaternal complications in a tertiary care hospital in Jammu

Abstract

Objectives: We aim to evaluate the incidence, indications, and feto-maternal complications associated with emergency obstetric hysterectomy (EOH) in a tertiary care hospital in Jammu. Methods: The present retrospective study was conducted in the Department of obstetrics and gynecology, SMGS hospital, Jammu from March 2019-Feb 2020. The details of patients who underwent EOH were collected from operative room, labor room and ICU record book maintained by the hospital administration. A total of 38 cases of hysterectomies were included in the study. Results: The incidence of EOH corresponding to normal deliveries is 0.07 while it is 0.30 corresponding to cesarean deliveries. The overall incidence was 0.17. The most common indication for EOH is morbidly adherent placenta (52.6%). The maternal complications with ICU admission constitute 31.6% followed by 28.9% who were in dire need of vasopressors. Fever was observed in almost (24%) of the cases. The fetal complications with NICU admission was observed in 21.1% while 18.4% resulted in neonatal deaths. Conclusion: Even though EOH ends the child bearing capacity of women but at the same time it saves the life of a mother. The increasing trend of cesarean sections and multiple pregnancies increases the incidence of EOH and hence the associated morbidity.