[Obstetrical hysterectomy. Evolution and change]

We analyze a selected patients group in whom obstetric hysterectomy were performed, represented the present orientation for management pregnancy, delivery and puerperal complicated. No mortality in this series was observed, but morbidity arose 65.21%. This paper maintenance risk shape related age, evolution pregnancy, type of complication and change about parity (III-IV more frequency), no Cesarean section history and different kind of morbidity. Conclude preventive integral management and early indication of Obstetric Hysterectomy with good extrafascial technic and indentification difficulties or surgical problems.