Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Introduction: Emergency peripartum hysterectomy is a life-saving procedure performed as an emergency procedure to control torrential bleeding and it is associated with significant maternal morbidity and mortality. There are only a few studies regarding this topic so this study guides us to monitor...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-05-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | http://jnma.com.np/jnma/index.php/jnma/article/view/8162 |
| _version_ | 1797822426002751488 |
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| author | Sushma Lama Sushila Todi Reena Shrestha Swikrity Acharya |
| author_facet | Sushma Lama Sushila Todi Reena Shrestha Swikrity Acharya |
| author_sort | Sushma Lama |
| collection | DOAJ |
| description |
Introduction: Emergency peripartum hysterectomy is a life-saving procedure performed as an emergency procedure to control torrential bleeding and it is associated with significant maternal morbidity and mortality. There are only a few studies regarding this topic so this study guides us to monitor the trend and start appropriate policies to reduce unnecessary caesarean deliveries. The aim of this study was to find out the prevalence of peripartum hysterectomy among patients admitted to the Department of Obstetrics and Gynaecology in a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynaecology of the tertiary care centre. Data from 1 January 2015 to 31 December 2022 were collected between 25 January 2023 and 28 February 2023 from the hospital records. Ethical approval was obtained from the Institutional Review Committee of the same institute (Reference number: 2301241700). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.
Results: Among 54,045 deliveries, peripartum hysterectomy was seen in 40 (0.074%) (0.05-0.10, 95% Confidence Interval). The major indication of emergency peripartum hysterectomy was abnormal placentation (placenta accreta spectrum) which was 25 (62.50%) followed by uterine atony in 13 (32.50%) of patients and uterine rupture in 2 (5%).
Conclusions: The prevalence of peripartum hysterectomy was lower than in other studies done in similar settings. The indication for Emergency peripartum hysterectomy has changed in recent years from uterine atonicity to the morbidly adherent placenta which is due to a rise in the caesarean section rate.
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| first_indexed | 2024-03-13T10:07:49Z |
| format | Article |
| id | doaj.art-bb69bc1c5fdb4d09ba5acd80d6668924 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-03-13T10:07:49Z |
| publishDate | 2023-05-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-bb69bc1c5fdb4d09ba5acd80d66689242023-05-22T10:54:31ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-05-016126110.31729/jnma.8162Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional StudySushma Lama0Sushila Todi1Reena Shrestha 2Swikrity Acharya3Department of Obstetrics and Gynaecology, Patan Academy Of Health Sciences, Lagankhel, Kathmandu, NepalDepartment of Obstetrics and Gynaecology, Patan Academy Of Health Sciences, Lagankhel, Kathmandu, NepalDepartment of Obstetrics and Gynaecology, Patan Academy Of Health Sciences, Lagankhel, Kathmandu, NepalDepartment of Obstetrics and Gynaecology, Patan Academy Of Health Sciences, Lagankhel, Kathmandu, Nepal Introduction: Emergency peripartum hysterectomy is a life-saving procedure performed as an emergency procedure to control torrential bleeding and it is associated with significant maternal morbidity and mortality. There are only a few studies regarding this topic so this study guides us to monitor the trend and start appropriate policies to reduce unnecessary caesarean deliveries. The aim of this study was to find out the prevalence of peripartum hysterectomy among patients admitted to the Department of Obstetrics and Gynaecology in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynaecology of the tertiary care centre. Data from 1 January 2015 to 31 December 2022 were collected between 25 January 2023 and 28 February 2023 from the hospital records. Ethical approval was obtained from the Institutional Review Committee of the same institute (Reference number: 2301241700). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 54,045 deliveries, peripartum hysterectomy was seen in 40 (0.074%) (0.05-0.10, 95% Confidence Interval). The major indication of emergency peripartum hysterectomy was abnormal placentation (placenta accreta spectrum) which was 25 (62.50%) followed by uterine atony in 13 (32.50%) of patients and uterine rupture in 2 (5%). Conclusions: The prevalence of peripartum hysterectomy was lower than in other studies done in similar settings. The indication for Emergency peripartum hysterectomy has changed in recent years from uterine atonicity to the morbidly adherent placenta which is due to a rise in the caesarean section rate. http://jnma.com.np/jnma/index.php/jnma/article/view/8162caesarean section; hysterectomy; placenta accreta. |
| spellingShingle | Sushma Lama Sushila Todi Reena Shrestha Swikrity Acharya Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study Journal of Nepal Medical Association caesarean section; hysterectomy; placenta accreta. |
| title | Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full | Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_fullStr | Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full_unstemmed | Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_short | Peripartum Hysterectomy among Patients Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_sort | peripartum hysterectomy among patients admitted to the department of obstetrics and gynaecology in a tertiary care centre a descriptive cross sectional study |
| topic | caesarean section; hysterectomy; placenta accreta. |
| url | http://jnma.com.np/jnma/index.php/jnma/article/view/8162 |
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