Emergency Peripartum Hysterectomy Research at a Tertiary Care Centre.

Objectives: The aim of this study is to assess the occurrence, reasons, and consequences of Emergency Peripartum Hysterectomy (EPH) at a particular institution. It seeks to identify risk factors, examine complications, and offer insights for interventions to enhance maternal and fetal outcomes in obstetric emergencies. Methods: The study was conducted at a tertiary care centre and the data analysis covered a period of 1 year. This study retrospectively analyzed Emergency Peripartum Hysterectomy (EPH) cases at a specific institution, reviewing patient demographics, obstetric history, booking status, referral patterns, EPH indications, delivery mode, and maternal-fetal outcomes. Results: The study revealed that the majority of patients (80.3%) belonged to rural backgrounds, with 89.3% being unbooked cases. Furthermore, 64.3% of cases were referred, and 85.7% of patients were in the P2,3,4 group. The most common indication for Emergency Peripartum Hysterectomy (EPH) was uterine rupture (53.6%), with a statistically significant association between the type of hysterectomy and indications for EPH (P value < 0.05). Subtotal hysterectomy was performed in 82.1% of cases, and maternal complications included febrile illness (51.8%) and wound infection (37.5%). Conclusion: This study highlights the imperative to address the elevated incidence of Emergency Peripartum Hysterectomy (EPH) in rural healthcare in India. The findings stress the pressing need for targeted interventions, including improving female literacy, increasing contraception prevalence, and enhancing antenatal care accessibility and quality. Strengthening peripheral healthcare, ensuring timely referrals for high-risk pregnancies, and proper documentation are essential for mitigating maternal morbidity, mortality, and foetal complications. [ABSTRACT FROM AUTHOR]