%0 Journal Article
%T Peripartum Hysterectomy in a Teaching Hospital in India
%A Swati Agrawal
%A Reena Yadav
%A Chitra Raghunandan
%A Shilpa Dhingra
%A Harvinder Kaur
%J Asian Journal of Medical Sciences
%P 5-9
%D 2013
%I Asian Journal of Medical Sciences Pokhara
%R 10.3126/ajms.v4i1.6967
%X Objectives: To find the incidence and clinical implications of peripartum hysterectomy in a tertiary care centre of India. Methods: A retrospective study of all cases of caesarean and postpartum hysterectomy between January 2006 and December 2011. Maternal characteristics, method of delivery, indications for hysterectomy and complications were reviewed. Results: The rate of peripartum hysterectomy was 0.47:1000 deliveries. Most were operative deliveries. The main indications were placenta accreta (38.88%), massive atonic PPH (36.11%) and uterine rupture (22.22%). Half the hysterectomies were subtotal while the rest were total. Maternal morbidity was high and there were seven maternal deaths (19.44%). All deaths were in patients brought in a critical condition to the hospital after massive blood loss. Conclusion: Peripartum hysterectomy is potentially a life saving procedure but the mortality and morbidity is high, especially if performed late when the hemodynamic instability has already set in. DOI: http://dx.doi.org/10.3126/ajms.v4i1.6967 Asian Journal of Medical Sciences 4(2013) 5-9
%K Morbidly adherent placenta
%K uterine rupture
%K Peripartum hysterectomy
%K coagulopathy
%U http://nepjol.info/index.php/AJMS/article/view/6967