Peripartum hysterectomy at a tertiary center

Authors

  • Monica Gurung Department of OBGYN, Paropakar Maternity and Women’s Hospital, Kathmandu
  • Gehanath Baral Department of OBGYN, Paropakar Maternity and Women’s Hospital, Kathmandu

DOI:

https://doi.org/10.3126/njog.v16i1.37613

Keywords:

abnormal placentation, cesarean section, peripartum hysterectomy

Abstract

Aims: To find out the incidence, indications, complication of emergency peripartum hysterectomy in a tertiary care center.

Methods: This was a retrospective study conducted over a period of 18 months from April 2017 to October 2018 at Paropakar Maternity and Women’s Hospital in Kathmandu. Data were obtained from the operation theater register and record section.

Results: Out of 30917 deliveries in 18 months 18 had lifesaving emergency peripartum hysterectomy (0.58 per 1000 deliveries). The most common indication being morbidly adherent placenta/placenta previa (8; 44%) followed by ruptured uterus (5; 28%), uterine atony (4; 22%). The most common risk factor is attributed to previous cesarean section (11; 61%) followed by abnormal placentation (7; 39%). Most common morbidity was febrile morbidity followed by wound infection and bladder injury.

Conclusion: Abnormal placentation and past cesarean section contributed to be the major indication of peripartum hysterectomy.

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Published

2021-06-07

How to Cite

Gurung, M., & Baral, G. (2021). Peripartum hysterectomy at a tertiary center. Nepal Journal of Obstetrics and Gynaecology, 16(1), 88–91. https://doi.org/10.3126/njog.v16i1.37613

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Section

Original Articles