Abstract

Obstetric hysterectomy is indicated when patient’s life is at risk, and it is a procedure that requires a highly experienced and skilled medical team to solve any complication. Aims&ObjectivesTo determine the frequency, demographic characteristics, indications, and feto-maternal outcomes associated with emergency peripartum hysterectomy in this institution .Material & Methods.a Retrospective, observational, and analytical study over a period of one year4 months, from november 2021 to February2023. A total of25 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology ,BMGMCShahdolM.P.Results:The overall incidence of EOH was 25 out of 5584 deliveries. Uterine rupture (36%) was the most common indication followed by Atonic postpartum hemorrhage(16%).The most frequent sequelae were febrilemorbidity (56%) and Acute Kidney Injury(13.5%). Maternal mortality was 12% whereas perinatal mortality was 68%.Conclusion: Skill in emergency obstetric hysterectomy remains a necessary tool for consultant obstetricians. In spite of intra operative risks and post-operative complications, it remains a potentially life saving procedure. The maternal outcome greatly depends on timely decis

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