EMERGENCY PERIPARTUM HYSTERECTOMY

Abstract

Objectives : The objectives of this study were to evaluate the incidence ,risk factors ,
indications, outcome and complications of emergency peripartum hysterectomy. Study
design : This is a retrospective analysis of 34 cases of emergency peripartum hysterectomy
performed between January 2009 and December 2009 at the Obstetrics emergency hospital of
Zagazig University. Results: There was total 34cases of emergency peripartum hysterectomy,
with the incidence of 1per 250 deliveries.The most common indication for hysterectomy was
uterine atony (47%) followed by uterine rupture (20%).The most common postoperative
complications were fever, wound infection and DIC .There is 3 maternal mortalities and 18
maternal morbidities and 7 perinatal mortalities. Conclusion : Frequency of emergency
peripartum hysterectomy ,maternal mortality ,maternal morbidity and perinatal mortality were
high in this study .This can be explained by that ,our hospital is a referral for many hospitals
,the medical staff work at these hospitals are in need to expand their practice of conservative
and curative measures of many Obstetric emergencies .
Key Words : emergency , peripartum , hysterectomy , indications , outcome .