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Postpartum hemorrhage (PPH), is an excessive bleeding after giving birth, it is a major cause of maternal mortality and morbidity around the world. In the current era of obstetrics, emergency obstetric hysterectomy (EOH) is still a crucial treatment that can save lives. This study was designed to determine causes, frequency, complications of emergency cesarean /obstetrical hysterectomy in Postpartum hemorrhage (PPH) in tertiary care hospital. All the patients gave birth during 4 years (i.e. 1January 2020- 31 December 2023) were included in this study. The obstetrical patients admitted were 13532, out of which 154 underwent emergency hysterectomy. Their biodata, sign and symptoms, diagnosis, fluid/blood transfusion, morbidity, operative intervention, maternal mortality, and follow up were taken on a proforma. The data thus taken was compiled and analyzed. The incidence of EOH was 11.4/1000 obstetrical cases, mostly (85.5%) were referral from elsewhere, while 20 (13.79%) were registered as booked who took proper antenatal care. Multipara (94%) was predominantly reported with post-partum hemorrhage (n=79, 51.29%). The maternal mortality was 15.59% (n= 19). Regular and scheduled antenatal care, early diagnosis, early referral, timely decision, blood transfusion with arrangement of surgery by an experienced obstetrician are crucial to justify EOH.
Ali et al. (Sun,) studied this question.