Key result
Emergency peripartum hysterectomy occurred at an incidence of 5.4 per 1000 deliveries in a rural Nigerian hospital, with a maternal mortality rate of 23.8% among cases.
Why the study?
What are the incidence, indications, and outcomes of emergency peripartum hysterectomy in a rural Nigerian hospital?
Observational
No
What are the incidence, indications, and outcomes of emergency peripartum hysterectomy in a rural Nigerian hospital?
Emergency peripartum hysterectomy in rural Nigeria is associated with high maternal mortality and morbidity, primarily driven by placenta accreta and uterine rupture.
High mortality in rural Nigeria warrants targeted obstetric interventions; leaves open whether preventive strategies reduce incidence.
Emergency peripartum hysterectomy is a challenging but life-saving procedure. In this descriptive study carried out in a rural Nigerian hospital, we found an incidence of emergency peripartum hysterectomy of 5.4 per 1000 deliveries and a significant association with abdominal mode of delivery, unbooked status, previous caesarean section and placenta previa. The most common indications for peripartum hysterectomy were placenta accreta (47.6%) and uterine rupture (28.6%). There were five (23.8%) maternal deaths and other complications included sepsis (five), bladder injury (three) and prolonged hospital stay (11).
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Umezurike et al. (2008) conducted an observational in Emergency peripartum hysterectomy. Emergency peripartum hysterectomy was evaluated on Incidence of emergency peripartum hysterectomy. Emergency peripartum hysterectomy occurred at an incidence of 5.4 per 1000 deliveries in a rural Nigerian hospital, with a maternal mortality rate of 23.8% among cases.
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