AN ASSESSMENT OF EXTENT AND ASSOCIATED FACTORS OF OBSTETRIC HYSTERECTOMY AND ITS ASSOCIATION WITH MORTALITY AND MORBIDITY

Background: In the developing nations, a substantial number of pregnancies are subjected to complexities due to obstetrical hysterectomy. It is the main indicator of obstetric morbidity. Objective: The study was conducted to examine the extent and associated factors of obstetric hysterectomy and morbidity and death rate associated with it. Patients and Methods: This research was carried out at Mayo Hospital, Lahore from February to July 2018. All the patients selected for this research experienced obstetrical hysterectomy. A Performa was designed for the collection of information. SPSS was used for data entry and assessment. Results: Total deliveries conducted in the study were 6,541. Both vaginal and through cesarean section were performed for carrying out deliveries. Obstetrical hysterectomy was experienced by 19 (0.29%) cases of these, atonic uterus, septic RPOCs, morbid attachment of placenta and uterine inversion were the causes found in 42%, 10%, 21% and 5% cases respectively. Bladder trauma, recurrent Laparotomy, fever, wound infection, DIC and mortality were complexities found in 21%, 15.8%, 21%, 21%, 15.8% and 5% cases respectively. All the patients were not reserved. Conclusion: In our region, the comparatively high occurrence of obstetric hysterectomy was observed. The reason for this fact is that the majority of the cases belong to Punjab, rural Sindh and Baluchistan. Insufficient maternity, family planning services, unreserved status and high parity are some factors that were neglected in these patients. Keywords: Obstetrics, Vaginal Delivery, Caesarian Section, Hysterectomy, Maternity and Parity