Emergency obstetric hysterectomy: Clinical profile, indicatons and maternal outcomes - a retrospective case series

Introduction: Emergency obstetric hysterectomy is an uncommon obstetric procedure, usually performed as a life-saving measure in cases of intractable obstetric hemorrhage. Despite advances in medical and surgical fields, postpartum hemorrhage continues to be the leading cause of maternal morbidity and mortalit. First documented Cesarean hysterectomy was performed by Horatio in 1869. The operation of obstetric hysterectomy was devised 200 years ago and it was Edward Porro who published the first successful case repo. Increasing incidence of placenta accreta spectrum as a consequence of rising number of caesarean sections is an important risk factor for peripartum hysterectomy. Aims And Objectives: 1. The objective of the study was to identify number and analyse the patients who underwent obstetric hysterectomy during the period of JAN 2021 - JULY 2022. 2. The indications, maternal morbidity and mortality, and outcome. Materials And Methods: This study was a case series study. The patients who had undergone emergency hysterectomy between January 2021 and July 2022, in Basaweshwara medical college and hospital, were reviewed retrospectively. Results: 1.A total of 7 obstetric hysterectomies were done during this period. 2. The incidence was 0.2%. 3.Predominant indication being uterine rupture, abnormal placentation 4.one maternal. mortality. Conclusions: Obstetric hysterectomy is the last resort to save a mothers life, so timely decision is essential. Identification of risk factors, early recognition, adequate arrangements can reduce the morbidity and mortality.