Emergency obstetric hysterectomy: A study from a tertiary teaching hospital

Dani, Alka; Sabnis, Himgauri B; Patil, Saloni; Gulati, Deepika

doi:10.26611/10121326

Cited by 2 publications

(6 citation statements)

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“…EOH is associated with heavy blood loss therefore, blood transfusion is required in almost all (94%) patients underwent EOH. Findings in our study are similar to study conducted by Dogra A et al 1 found that, 68% of the patients needed bood transfusion while study conducted by Dani A. et al 3 reported that all of the patients required blood transfusion. Maternal morbidity leading to ICU admission was reported in 42%.…”

Section: Discussionsupporting

confidence: 90%

“…In our study, atonic Post-Partum Hemorrhage (PPH) was the commonest (48%) indication for EOH. Similar results were reported in a study conducted by Dogra A. et al, 1 Dani A. et al, 3 Satia M et al 8 as 32%, 46.1% & 48% respectively. While the study conducted by Chawla J et al 4 reported atonic PPH in 25% of the patients.…”

Section: Discussionsupporting

confidence: 89%

“…Rana S. et al 2 also reported similar mean age of 27 years. Similarly, Dani A. et al 3 reported mean age of 26.3 years.…”

Section: Discussionmentioning

confidence: 84%

“…Most common (78%) parity was 2 to 3, a similar observation was found in a study conducted by Dogra A et al 1 it was 76%, Chawla Jaya et al 4 reported 66.07% of patients with parity 2 to 3. While Dani A et al 3 found that 84.6% of patients had a history of multiparity. Similar results were seen in a study done by Aslam L. et al 5 reported that 79.16% were multipara in their study.…”

Section: Discussionmentioning

confidence: 95%

“…As per the latest data published by UNICEF in September 2019, 27% of the maternal deaths were caused due to hemorrhage being the leading cause of maternal mortality. 3 In low resource setting, to manage the obstetric hemorrhage effectively, conservative methods like community-based use of misoprostol, condom catheter balloon, oxytocin in prefilled auto-disabled drug delivery system, non-inflatable anti-shock garments, uterine massage or compression sutures were advocated. In case of failure of conservative measures, EOH was performed.…”

Section: Introductionmentioning

confidence: 99%

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Indications and outcome of emergency obstetrics hysterectomy in last 5 years at ACPM medical college Dhule

Kulkarni¹,

Deore²,

Athawale³

2023

IJOGR

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Emergency Obstetric Hysterectomy (EOH) is the process of surgical removal of the uterus after an unexpected & sudden event. EOH acts as a bridge between life-threatening postpartum hemorrhage & death. 1. To study the indications & risk factors responsible for emergency obstetrics hysterectomy. 2. To study the outcome of emergency obstetrics hysterectomy. The present study is a retrospective descriptive study conducted at the department of Obstetrics and Gynecology, ACPM Medical College, Dhule over a span of 5 years from 2016 to 2021. In the present study, out of the 6250 patients, 50 patients underwent EOH. The incidence rate was 8 per 1000 deliveries. 32 (64%) were within the age group of 26-30 years, with a mean age of 27.8 ± 2.4 years. Atonic PPH (48%) was the commonest indication. Previous LSCS (76%) & antepartum hemorrhage (48%) were found the main risk factors for EOH. Uterine atony & morbidly adherent placenta are the most common indications for EOH. Previous LSCS & antepartum hemorrhage were found the main risk factors. Needs much more research to decrease mortality and morbidity in cases requiring EOH cause of advances in interventional radiology.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

“…Rana S. et al 2 also reported similar mean age of 27 years. Similarly, Dani A. et al 3 reported mean age of 26.3 years.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Indications and outcome of emergency obstetrics hysterectomy in last 5 years at ACPM medical college Dhule

Kulkarni¹,

Deore²,

Athawale³

2023

IJOGR

View full text Add to dashboard Cite

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A retrospective analysis of obstetric hysterectomy in a tertiary center over one year

Khandkar,

Jain

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Obstetric hysterectomy is a lifesaving procedure in a setting of life-threatening obstetrical hemorrhage. There is and increasing need of obstetric hysterectomy due to rising cases of caesarean sections and morbidly adherent placenta. We aimed to study the incidence, indications and fetomaternal outcome of obstetric hysterectomy. Various risk factors are discussed which may be helpful in reducing maternal and neonatal morbidity. Methods: A one year hospital based retrospective study involving detailed medical records of patients who underwent obstetric hysterectomy between 1st April 2022 and 31st march 2023. Results: The overall incidence of obstetric hysterectomy was 0.2% in this study with majority of patients in the 20-25-year age group, and patients who were 2nd and 3rd para comprised of the maximum number. The indication identified in this study were morbidly adherent placenta followed by atonic PPH and caesarean scar ectopic. The major risk factors noted were previous LSCS in 60% and morbidly adherent placenta in 53.3% patients. Of the 15 patients, 60% underwent total while 40% underwent subtotal hysterectomy. ICU admission, fever and coagulopathy were the leading post op complications. There was one case of maternal death noted and one case each of intrauterine death and perinatal mortality. Conclusions: Obstetric hysterectomy is the last resort to intractable bleeding and hence an important lifesaving procedure. The feto-maternal outcome depends on timely decision, surgical techniques and stringent post op monitoring of these patients.

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Emergency obstetric hysterectomy: A study from a tertiary teaching hospital

Cited by 2 publications

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Indications and outcome of emergency obstetrics hysterectomy in last 5 years at ACPM medical college Dhule

Indications and outcome of emergency obstetrics hysterectomy in last 5 years at ACPM medical college Dhule

A retrospective analysis of obstetric hysterectomy in a tertiary center over one year

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