Lessons from Maternal Mortality in Cases of Emergency Peripartum Hysterectomy at Tertiary Hospital in Egypt (Retrospective Study)

Background Emergency peripartum hysterectomy is one of the life-saving procedure that is essential for reducing postpartum haemorrhage deaths, which are a significant factor in maternal mortality rates (1). EPH is a hysterectomy performed during labour or 6 weeks after delivery (during perperium) in the case of persistent obstetric haemorrhage. Aim and purpose of the study This study aimed to analyse cases of maternal mortality associated with emergency peripartum hysterectomy at Minia Maternity University Hospital. Basic procedures This study was conducted at Minia Maternity University Hospital From January 2021 to December 2022.It was conducted on 74 emergency peripartum hysterectomy. Main findings The total number of deliveries during the study period was 21978 cases. incidence of EPH was 74 (3.36/1000) cases. Mortality occurred in 6 (8.11%) patients (8108/100,000). Principle conclusion Our study found that increased number of cs, high parity, high BMI and previous Uterine scar increase the prevalence of EPH and hence it's related maternal mortality.