FREQUENCY OF EMERGENCY PERIPARTUM HYSTERECTOMY AND FACTORS LEADING TO IT IN PREGNANT WOMEN AT TERTIARY CARE HOSPITAL

S IFTIKHAR; S NASEEB; S KAZI; S SHAIKH; BB ALI; S SABA

doi:10.54112/bcsrj.v2024i1.747

Authors

S IFTIKHAR Obstetrics & Gynaecology, Ward 8 Jinnah Postgraduate Medical Center, Karachi, Pakistan
S NASEEB Obstetrics & Gynaecology, Ward 8 Jinnah Postgraduate Medical Center, Karachi, Pakistan
S KAZI Liaquat Institute of Medical & Health and Science, LIMHS, Thatta, Pakistan
S SHAIKH Obstetrics & Gynaecology, Ward 8 Jinnah Postgraduate Medical Center, Karachi, Pakistan
BB ALI Obstetrics & Gynaecology, Private Center, Karachi, Pakistan
S SABA Liaquat Institute of Medical & Health and Science, LIMHS, Thatta, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.747

Keywords:

Emergency Peripartum Hysterectomy, Factors, Pregnancy, Prevalence

Abstract

The objective of this study was to determine the frequency and factors leading to emergency peripartum hysterectomy in pregnant women at a tertiary care hospital in Karachi. This cross-sectional study was conducted at the Department of Gynaecology & Obstetrics JPMC, Karachi, Pakistan, from August 11, 2021, to February 10, 2022. All patients who met the inclusion criteria and visited JPMC, Karachi, were included in the study after obtaining consent. The study noted the factors leading to the development of emergency peripartum hysterectomy, and patients were followed by the researcher for the development of this condition. All collected data were entered into a proforma and used electronically for research. The mean maternal age was 30.04±3.87 years. Emergency peripartum hysterectomy was found in 25 (14.9%) women. The factors leading to peripartum hysterectomy were noted as placenta accreta in 5 (20.0%) women, placenta increta in 3 (12.0%) women, and placenta percreta in 17 (68.0%) women. It can be concluded that peripartum hysterectomy is prevalent in pregnant women, with placenta percreta being the common factor leading to peripartum hysterectomy, followed by placenta accreta. Further large-scale work is recommended for the validation of the current findings.

Downloads

Download data is not yet available.

References

Awan, N., Bennett, M. J., and Walters, W. A. (2011). Emergency peripartum hysterectomy: A 10‐year review at the Royal Hospital for Women, Sydney. Australian and New Zealand Journal of Obstetrics and Gynaecology 51, 210-215.

Barclay, D. L., Hawks, B. L., Frueh, D. M., Power, J. D., and Struble, R. H. (1976). Elective cesarean hysterectomy: a 5 year comparison with cesarean section. American Journal of Obstetrics and Gynecology 124, 900-911.

Campbell, S. M., Corcoran, P., Manning, E., Greene, R. A., and Group, I. M. M. A. (2016). Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland. European Journal of Obstetrics & Gynecology and Reproductive Biology 207, 56-61.

CHESTNUT, D. H., EDEN, R. D., GALL, S. A., and PARKER, R. T. (1985). Peripartum hysterectomy: a review of cesarean and postpartum hysterectomy. Obstetrics & Gynecology 65, 365-370.

Fawad, A., Naz, H., and Nelofar, T. (2015). Emergency peri partum hysterectomy-a life saving procedure. Journal of Ayub Medical College Abbottabad 27, 143-145.

Huque, S., Roberts, I., Fawole, B., Chaudhri, R., Arulkumaran, S., and Shakur-Still, H. (2018). Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial. BMC pregnancy and childbirth 18, 1-8.

Kayabasoglu, F., Guzin, K., Aydogdu, S., Sezginsoy, S., Turkgeldi, L., and Gunduz, G. (2008). Emergency peripartum hysterectomy in a tertiary Istanbul hospital. Archives of gynecology and obstetrics 278, 251-256.

Kazi, S. (2018). Emergency peripartum hysterectomy: A great obstetric challenge. Pakistan Journal of Medical Sciences 34, 1567.

Khan, B., Khan, B., Sultana, R., Bashir, R., and Deeba, F. (2012). A ten year review of emergency peripartum hysterectomy in a tertiary care hospital. Journal of Ayub Medical College Abbottabad 24, 14-17.

Korejo, R., Nasir, A., Yasmin, H., and Bhutta, S. (2012). Emergency obstetric hysterectomy. J Pak Med Assoc 62, 1322-1325.

McNulty, J. V. (1984). Elective cesarean hysterectomy—revisited. American journal of obstetrics and gynecology 149, 29-30.

Omole-Ohonsi, A., and Olayinka, H. T. (2012). Emergency peripartum hysterectomy in a developing country. Journal of Obstetrics and Gynaecology Canada 34, 954-960.

Pletsch, T. D., and Sandberg, E. C. (1963). Cesarean hysterectomy for sterilization. American Journal of Obstetrics and Gynecology 85, 254-259.

Rahman, J., Al-Ali, M., Qutub, H., Al-Suleiman, S., Al-Jama, F., and Rahman, M. (2008). Emergency obstetric hysterectomy in a university hospital: A 25-year review. Journal of Obstetrics and Gynaecology 28, 69-72.

Sahin, S., Guzin, K., Eroğlu, M., Kayabasoglu, F., and Yaşartekin, M. S. (2014). Emergency peripartum hysterectomy: our 12-year experience. Archives of gynecology and obstetrics 289, 953-958.

Shah, N., Hossain, N., Shoaib, R., Hussain, A., Gillani, R., and Khan, N. H. (2009). Socio-demographic characteristics and the three delays of maternal mortality. J Coll Physicians Surg Pak 19, 95-8.

Sharma, B., Saxena, N., and Gupta, V. (2016). A retrospective study of emergency obstetric hysterectomy in a tertiary care center for a period of 5 years. Int J Reprod Contracept Obstet Gynecol 5, 3778-3781.

Sheiner, E., Levy, A., Katz, M., and Mazor, M. (2003). Identifying risk factors for peripartum cesarean hysterectomy. A population-based study. The Journal of reproductive medicine 48, 622-626.

Stanco, L. M., Schrimmer, D. B., Paul, R. H., and Mishell Jr, D. R. (1993). Emergency peripartum hysterectomy and associated risk factors. American journal of obstetrics and gynecology 168, 879-883.

Van Den Akker, T., Brobbel, C., Dekkers, O. M., and Bloemenkamp, K. W. (2016). Prevalence, indications, risk indicators, and outcomes of emergency peripartum hysterectomy worldwide: a systematic review and meta-analysis. Obstetrics & Gynecology 128, 1281-1294.

Whiteman, M. K., Kuklina, E., Hillis, S. D., Jamieson, D. J., Meikle, S. F., Posner, S. F., and Marchbanks, P. A. (2006). Incidence and determinants of peripartum hysterectomy. Obstetrics & Gynecology 108, 1486-1492.

Wright, J. D., Devine, P., Shah, M., Gaddipati, S., Lewin, S. N., Simpson, L. L., Bonanno, C., Sun, X., D'Alton, M. E., and Herzog, T. J. (2010). Morbidity and mortality of peripartum hysterectomy. Obstetrics & Gynecology 115, 1187-1193.

Zeteroglu, S., Ustun, Y., Engin-Ustun, Y., Sahin, G., and Kamacı, M. (2005). Peripartum hysterectomy in a teaching hospital in the eastern region of Turkey. European Journal of Obstetrics & Gynecology and Reproductive Biology 120, 57-62.