An Experience of Gynecological Emergencies in a Teaching Hospital in Rawalpindi, Pakistan: A Retrospective, Analytical Study

Abstract

Objective: To investigate the frequency of surgical emergencies managed by the gynecology and obstetrics department at our hospital

Methodology: This retrospective, analytical study was conducted from Sept 2022 to Mar 2023 at the Department of Obstetrics and Gynaecology in Fauji Foundation Hospital, Rawalpindi. Following a careful selection process, patients were enrolled in the study and reviewed the medical records of all admitted patients. We collected detailed gynecological histories, including information on age, pain onset, duration, and location, and menstrual history.

Results: A total of 64 patients were included in the study. The majority (68%) were married and lived in an urban area. Most patients (50.0%) were multiparous, 30.0% were primiparous and the rest of the 20.0% were Nulliparous. Ruptured ectopic pregnancy was the most common diagnosis (47.0%). Other diagnoses included: acute pelvic inflammatory disease (PID) (12.0%), ovarian cyst torsion (8.0%), acute abnormal uterine bleeding (15%), post-coital tear and dermoid cyst (each 8%). Out of all gynaecological emergency cases, medical management was given to (28.0%) of all study subjects. Few patients also underwent total abdominal hysterectomy (TAH) with or without bilateral salpingo-oophorectomy (BSO). Ovarian cystectomy and post-coital repair were performed in few cases.

Conclusion: It's crucial to consider gynaecological emergencies when dealing with sudden health problems in women. Recognizing these conditions early and getting patients to the right specialist quickly leads to better sexual health, fertility, and emotional well-being in the long run.