EMERGENCY PERI PARTUM HYSTERECTOMY--A LIFE SAVING PROCEDURE

Area of Science:

• Obstetrics and Gynecology
• Surgical Procedures
• Maternal Health

Background:

• Sub-total abdominal hysterectomy involves removing the uterus while preserving ovaries and cervix.
• Peripartum hysterectomy is a significant surgical intervention during childbirth.
• Postoperative complications, including anemia and blood product use, were assessed.

Purpose of the Study:

• To assess the frequency of peripartum hysterectomies.
• To identify common indications and risk factors for this surgery.
• To evaluate postoperative complications and blood product requirements.

Main Methods:

• Retrospective review of patient records from Ayub Teaching Hospital, Abbottabad (January 2011 - December 2012).
• Inclusion criteria: all patients undergoing emergency peripartum hysterectomy.
• Data collection from unit records and patient files.

Main Results:

• 72 emergency peripartum hysterectomies were performed out of 6535 deliveries.
• Common indications included hemorrhage (placental abruption) and ruptured uterus.
• Hypertensive disorders of pregnancy and uterine atony were identified as key risk factors.

Conclusions:

• High-risk obstetric patients require identification by rural healthcare providers.
• Timely referral to equipped hospitals is essential for managing peripartum hysterectomy cases.
• Proactive management strategies can mitigate risks associated with this procedure.