Incidence of peripartum hysterectomy in Al-Galaa Teaching Hospital

Marwa R. Shahine, General institute of teaching hospitals, Al-Galaa Maternity Teaching Hospital, EgyptFollow
Sherif M. Safwat, General institute of teaching hospitals, Al-Galaa Maternity Teaching Hospital, Egypt

Article Type

Original Study

Subject Area

Obstetrics and Gynecology

Abstract

Introduction: A hysterectomy carried out at the moment of delivery or within a day after it is known as a peripartum hysterectomy. Either a scheduled or emergency procedure can be carried out. It is a dramatic life-saving technique carried out when all other conservative management avenues have failed, made worse by the frequent emergency circumstances in which it is carried out.

Objectives: Studying the causes and patterns of peripartum hysterectomy at Al-Galaa Maternity Teaching Hospital, A tertiary referral hospital, in addition to studying the associated maternal and fetal complications.

Methodology: In order to analyze the emergency peripartum hysterectomy performed at Al-Galaa Teaching Hospital in 2021, 2022, and 2023, retrospective research was conducted. 259 cases of peripartum hysterectomy were included in the study. All maternal characteristics were collected, and neonatal outcome was also collected, in addition to, surgical details as indications of hysterectomy (primary outcome), type of hysterectomy (total or subtotal), and postoperative complications.

Results: A Rising incidence of peripartum hysterectomy was found across the years starting by 5.8 per 1000 in 2021 followed by 7.1 per 1000 in 2022 till it reached 9.3 per 1000 in 2023. In 166 cases (64.09%), abnormal placentation was the most frequent indication. Atonic PPH (23.55%) was the second most prevalent indication, followed by a ruptured uterus (8.88%). 73% of the hysterectomies that were performed were total, and 27% were subtotal hysterectomies.

Conclusions: Peripartum hysterectomy rates have been increasing over time. The principal indicator of peripartum hysterectomy was abnormal placentation.

IRB Number

HB000108

Keywords

Abnormal Placentation, Peripartum hysterectomy, Caesarean Section, Atonic uterus, Emergency

Recommended Citation

Shahine, Marwa R. and Safwat, Sherif M. (2024) "Incidence of peripartum hysterectomy in Al-Galaa Teaching Hospital," Journal of Medicine in Scientific Research: Vol. 8: Iss. 1, Article 2.
DOI: https://doi.org/10.59299/2537-0928.1417