A Retrospective Study of Obstetric Hysterectomy Cases in a Tertiary Care Centre

Background: Post partum hemorrhage (PPH) is a life threatening condition. The objective of this study is to analyse the cases of obstetric hysterectomy to know the incidence indication, demographic characteristics and feto-maternal outcome associated with the surgery Methods: Retrospective analytical study of cases of obstetric hysterectomy cases performed in obstetrics & gynaecology department in G. M. E. R. S medical college & hospital, Junagadh over a period of five years. The data of incidence, indication, demography and fetomaternal complications wll be collected and analysed from medical records. Results: Of 13 obstetric hysterectomy cases were operated, overall incidence was 0.032%, 0.023% (7 out of 30, 564) was in cases of vaginal delivery and 0.066% (6 out of 9064) was in cases of LSCS for various indications. Age of patients ranges from 20-40 (mean age? 27). Six patient 46% were in the age group of 26 to 30years and were multipara (parity greater than 4). The commonest indication for performing obstetric hysterectomy was postpartum haemorrhage 5 (38.4%) followed by placenta previa 4 (30.7%), morbidly adherent placenta2 (15.4%) and rupture uterus 1 (7.7%). Fever was the commonest complication 7 (53.4%). There were two maternal deaths. Conclusion: Obstetric hysterectomy is a life saving procedure. The outcome of the procedure depends on timely decision, good clinical judgement and proper surgical technique.