Int J Gynaecol Obstet. 2022 Oct 14. doi: 10.1002/ijgo.14510. Online ahead of print.
ABSTRACT
OBJECTIVE: To determine the incidence, indications, and maternal outcomes of emergency peripartum hysterectomy at a tertiary setting in Ethiopia MATERIAL AND METHODS: A four-years retrospective review of emergency peripartum hysterectomy cases was conducted at St.Paul’s Hospital Millennium Medical College(Ethiopia), from January 2016 to December 2019. Data were collected by reviewing maternal charts of EPH cases using a structured data extraction format. StataCorp. 2015. Stata Statistical Software: release 14. College station, TX” StataCorp. LP. was used for data analysis. Frequency and percentages are used to present the significance of results.
RESULTS: Among 39,629 deliveries during the study period, there were 105 emergency peripartum hysterectomies, making the incidence rate 2.6 per 1000 deliveries. The common indications for emergency peripartum hysterectomy were uterine rupture- 63/105 (60%), intractable uterine atony -23/105(21.9%) and placenta accrete spectrum -14/105(14.7%). The most common complications were anemia 85/105(80.9%), puerperal fever 13/105 (12.4%), acute kidney injury 10/105(9.5%), and relaparotomy 7/105 (6.7%) CONCLUSION: The incidence of peripartum hysterectomy observed in our institution is high. Appropriate patient selection for vaginal delivery and strict labor follow-up with early intervention for labor abnormalities should be the guiding principles of optimal obstetric care to alleviate the burden of uterine rupture.
PMID:36239219 | DOI:10.1002/ijgo.14510
