Lessons from Maternal Mortality in Cases of Emergency Peripartum Hysterectomy at Tertiary Hospital in Egypt (Retrospective Study)

Document Type : Original Article

Authors

1 Department Of Obstetrics and Gynaecology, Faculty of Medicine, Minia University

2 Department of Obstetric and Gynecology , Faculty of Medicine, Minia University , Minia ,Egypt.

3 Department of Obs. & Gyn., El-Minia Faculty of Medicine

4 Professor of Obstetrics and Gynecology Faculty of Medicine, minia University

Abstract

Abstract

Background

Emergency peripartum hysterectomy is one of the life-saving procedure that is essential for reducing postpartum haemorrhage deaths, which are a significant factor in maternal mortality rates (1). EPH is a hysterectomy performed during labour or 6 weeks after delivery (during perperium) in the case of persistent obstetric haemorrhage.

Aim and purpose of the study

This study aimed to analyse cases of maternal mortality associated with emergency peripartum hysterectomy at Minia Maternity University Hospital.

Basic procedures

This study was conducted at Minia Maternity University Hospital From January 2021 to December 2022.It was conducted on 74 emergency peripartum hysterectomy.

Main findings

The total number of deliveries during the study period was 21978 cases. incidence of EPH was 74 (3.36/1000) cases. Mortality occurred in 6 (8.11%) patients (8108/100,000).

Principle conclusion

Our study found that increased number of cs, high parity, high BMI and previous Uterine scar increase the prevalence of EPH and hence it's related maternal mortality.

Keywords

Main Subjects

Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 31 January 2024

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