Emergency Hysterectomies in Quetta, Pakistan
Author Information
Author(s): Fatima Mahrukh Kasi, Pashtoon Murtaza, Baloch Shahnaz Naseer, Afghan Abaseen Khan
Primary Institution: Bolan Medical College
Hypothesis
The study aims to determine the incidence, morbidity, and mortality of emergency peripartum hysterectomies at a tertiary care hospital.
Conclusion
The study highlights a high incidence of emergency peripartum hysterectomies associated with significant maternal and perinatal morbidity and mortality, largely due to lack of antenatal care.
Supporting Evidence
- The incidence of emergency peripartum hysterectomy was approximately 4 per 1,000 births.
- 82.6% of patients had received no antenatal care prior to their presentation.
- There were 4 maternal deaths and 31 perinatal deaths during the study period.
- The most common indication for hysterectomy was uterine rupture in 45.7% of cases.
Takeaway
This study shows that many women who need emergency hysterectomies didn't get check-ups before giving birth, which can lead to serious health problems for both mothers and babies.
Methodology
Data was collected prospectively over a 2-year period from 1994 to 1996 at a tertiary care hospital, focusing on cases of emergency peripartum hysterectomy.
Potential Biases
Potential bias due to reliance on hospital records and the specific population served by the hospital.
Limitations
The study was limited by incomplete medical records and the retrospective nature of data collection.
Participant Demographics
The majority of participants were rural residents with low monthly income, and 82.6% had no antenatal care.
Digital Object Identifier (DOI)
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