Frequency of Factors Leading to Peripartum Hysterectomy
Objective: To determine the frequency of factors leading to peripartum hysterectomy.
Methodology: After getting approval from ethical committee of the institute, this present study was conducted at Obstetrics and Gynecology Department, women and children Teaching hospital Bannu. Duration of the study was one year from 2015-16. In this descriptive case series, total of 66 patients were observed. Consecutive sampling (non-probability) sampling technique was used for sample collection. All patients who had peripartum hysterectomy, any gravidity or parity, Patients who had septic induced miscarriage or perforation during evacuation and undergo hysterectomy and age group 18 to 45 years were included. While they remain admitted in the unit, these women were subjected to detailed history including booking status, obstetrical history and details of index pregnancy and the risk factors highlighted.
Results: In this study mean age was 30 years with SD ± 7.56. Forty five percent patients had injudicious use of oxytocics, (35%) patients had antepartum hemorrhage, (36%) patients had grand multiparity, (18%) patients had prolonged labour, (36%) patients had previous C/S, (36%) patients had postpartum hemorrhage, (23%) patients had obstructed labour.
Conclusion: Our study concludes that the most common factors leading to peripartum hysterectomy were injudicious use of oxytocics 45%, antepartum hemorrhage 35%, grand multiparity 36%, prolonged labour 18%, previous C/S 36%, postpartum hemorrhage 36%, obstructed labour 23%.
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