An Analysis of emergency obstetrical hysterectomies over five years in Pakistan

Objective: To assess the incidence and indications of emergency obstetric hysterectomy (EOH). Methodology: In this retrospective study, all medical records in the Department of Obstetrics and Gynecology, Aziz Fatima Teaching Hospital, Faisalabad, Pakistan were reviewed from January 2012 till December 2016. Women with 22 weeks or more of gestation, who had undergone EOH during/immediately after delivery or within the puerperium were included. Data were analyzed using SPSS version 22. Results: Of the 15,742 included deliveries, 40 underwent EOH with incidence is 0.25%. There were 62.5% women of age 31-40 years, 37.5% were grand-multipara (parity ≥ 5), 62.5% cases were un-booked and 45% women had already taken an unsuccessful Daai trial before being referred to hospital. Severe anemia (Hb