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

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.