FREQUENCY OF EMERGENCY OBSTETRIC HYSTERECTOMY (EOH) IN PATIENTS OF PLACENTA PREVIA
Main Article Content
Keywords
Emergency obstetric hysterectomy, Indications, Maternal morbidity, Placenta Previa.
Abstract
Background: In the case of severe obstetric bleeding, emergency obstetric hysterectomy (EOH) is a potentially life-saving surgical intervention in the failure of conservative therapy. Uncontrolled bleeding of the placenta Previa, uterine rupture and atony is also a predominant manifestation in developing countries.
Material & Methods: The study was a descriptive cross-sectional applied in the department of obstetrics and gynecology between June 2022 till Dec 2022, with the approval of the institutional ethical review committee and the college of physicians and surgeons Pakistan. Non-probability consecutive sampling was used to include 150 women who had a diagnosis of placenta Previa. Emergency obstetric hysterectomy as a result of Placenta Previa was the major outcome variable. The analysis of data was done in SPSS version 22. The descriptive statistics were used to compute the average, standard deviation and frequency percentages of the variables that were categorical.
Results: A total of 150 women with placenta previa were included, with a mean maternal age of 30.9 +- 5.1 years. The frequency of Emergency Obstetric Hysterectomy was 18%. Significant associations were observed with parity (p = 0.031), booking status (p = 0.014), and previous cesarean sections (p = 0.004), while maternal age, BMI, and gestational age showed no significant relationship with hysterectomy.
Conclusion: EOH is a significant complication among women with placenta previa, particularly in those with higher parity, unbooked status, and prior cesarean sections. Strengthening antenatal care and early risk identification may help reduce severe maternal morbidity.
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Dr Moumal Baloch
Consultant, Department of Gynaecology and Obstetrics, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Email: [email protected]
Dr Aamna Baloch
Postgraduate Trainee (FCPS-II), Department of Gynaecology and Obstetrics, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Email: [email protected]
Dr Sassi Baloch
Postgraduate Trainee (FCPS-II), Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Email: [email protected]
Dr Bhawna
Government Medical Officer (BPS-17), Department of Gynaecology and Obstetrics, Civil Hospital Karachi, Email: [email protected]
Dr Ambreen Naz
Senior Registrar, Department of Obs & Gynae, KIMS Malir Cantt
