Ahmad, F., Younas, S., & Naseem
Outcome of peripartum hysterectomy and its complications. |
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Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-03-71-3
DOI: https://dx.doi.org/10.15863/TAS.2019.03.71.3
Language: English
Citation: Ahmad, F., Younas, S., & Naseem (2019). Outcome of peripartum hysterectomy and its complications. ISJ Theoretical & Applied Science, 03 (71), 9-13. Soi: http://s-o-i.org/1.1/TAS-03-71-3 Doi: https://dx.doi.org/10.15863/TAS.2019.03.71.3 |
Pages: 9-13
Published: 30.03.2019
Abstract: OBJECTIVE: Purpose of conducting this study was to determine frequency and indications of peripartum hysterectomy among the patients presenting to tertiary care hospital. Study Design: it is a Prospective study. Duration of study: Study was started in January 2018 and after the duration of seven months it was completed in July 2018. Setting: This study was conducted in Gynecology and Obstetrics ward of Jinnah Hospital Lahore, Pakistan. This is a tertiary care hospital located in the center of city. Patients and Methods: Total 37 cases were studied. Patients presenting with Different indications of hysterectomy were evaluated. A criterion was formed for inclusion and exclusion of patients. According to this criterion only those cases were included which were having definite indication of hysterectomy and they were in peripartum period. These cases were reported either in emergency department or out-patient doors. Depending on the disease and condition of the patient some of the cases were operated in emergency basis and mostly cases were operated in main operation theater on elective basis. A proforma was designed for documenting all related data of the patient such as age, presenting complaints, gestational age or peripartum period, maternal and fetal outcome of peripartum hysterectomy. Patients were informed about the study and their consent was taken for including their data in the study. Consent was also taken from the in charge of ward for conducting study. Results were calculated in the form of frequencies and data was analyzed using Microsoft office and SPSS version 2007. Data was expressed in the form of tables and graphs. Results: This study was conducted on 40 cases which were in peripartum period and underwent hysterectomy due to ruptured uterus in 12(32.4%) cases, atony of uterus in 7(18.9%) cases, abnormal position of placenta in 14(37.8%) cases and couvelairs uterus in 4(10.8%) patients. Two mothers died after hysterectomy so maternal mortality was 5.4%. Maternal morbidity after hysterectomy was seen in these cases such as anemia was found in 20(50%) cases, acute renal failure in 2(5%) cases, bladder injury in 3(7.5%) cases, sepsis occurred in 5(13.5%) cases, paralytic ileus reported in one case, wound disruption seen in 8(20%) cases and urinary tract infection was found in 4(10%) cases. Conclusion: Hysterectomy is widely performed surgical procedure which result in few serious complications. Anemia, UTI and wound infections are its complications. Maternal mortality rate is low as a result of hysterectomy because purpose of this procedure is mainly to save life of the mother.
Key words: peripartum hysterectomy, maternal outcome, fetal outcome.
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