Peripartum Hysterectomy: A Review of 70 Cases

Objectives: To study the incidence, indications and complications of peripartum hysterectomy. Methods: A retrospective analysis of 70 cases of emergency peripartum hysterectomy performed over a period of five years from January 2004 to September 2008. At JN Medical College and Hospital AMU Aligarh was done. Results: The incidence of emergency hysterectomy was 0.54%. The main indications were uterine atony 26 (37.12%) and Rupture uterus 19 (26.7%). Thirty six (51.43%) were in the age group of 26-35 years and majority of cases 61 (67.14%) were unbooked. The maternal and perinatal mortality was four (5.7%) and 44 (62.86%) respectively. The average period of hospital stay was 10 days. Conclusion: Prompt performance of obstetric hysterectomy before the patient’s clinical condition deteriorates is the main key to success and less postoperative complications.