A Study on Intra and Postoperative Complications of Emergency Peripartum Hysterectomy in a Tertiary Care Centre

Abstract

Background: Peripartum hysterectomy, a surgical procedure performed at the time of delivery or in the immediate postpartum period, although a rare event, is associated with increased morbidity and mortality. Moreover, it is considered one of the most devastating complications in obstetrics resulting in high costs to the health care system and adverse outcomes for women desiring to maintain their fertility. Aim and Objective: 1. study the intra operative and post operative complications of emergency peripartum hysterectomy.2. Study the maternal and perinatal outcome. Study the various risk factors associated with emergency peripartum hysterectomy. Methods: Study design: Prospective study, Study setting: Department Of obstetrics and gynaecology, Vilasrao Deshmukh Government Medical College, Latur, Maharashtra. Study Duration: September 2022-May 2024. Study population: The study was conducted on all patients who were admitted in OBGY ward fulfilling the inclusion and exclusion criteria Sample size: 30 Result: majority of cases were from 35 and above year’s age group 12 cases, most of cases presented with Multigravida 21 cases (70%) and 9 cases Primigravida (30%). majority of cases gestational age was > 34 weeks 17 cases (56.66%), Most of cases Mode of delivery were casarean delivery 16 cases (53.33%) Assisted vaginal delivery 10 cases (33.34%) and 4 cases presented with spontaneous vaginal delivery (13.33%). majority of cases presented with Uterine atony 18 cases (60%) followed by 8 cases presented with previous LSCS (26.66%), placenta previa found in 7 cases (23.33%). Total Hysterectomy done in 17 cases (56.67%).2 neonatal death (6.66%), 1 maternal death (3.33%), most common operative complication was haemorrhagic shock 13 cases (43.33%) followed by septicemia 7 cases (23.33%), wound infection 6 cases (20%), Conclusions: Majority of cases were from 35 and above year’s age group, Most of cases presented with Multigravida, most of cases Mode of delivery was cesarean delivery, Most common post operative complication was haemorrhagic shock, Maternal mortality was 3.33%, Neonatal Mortality was 6.66%.