Audit of patients undergoing obstetrical hysterectomy for postpartum hemorrhage

Aim: to determine the frequency,morbidity and mortality associated with obstetrical hysterectomy. methods: this descriptive study was conducted in the department of obstetrics and gynaecology,nishtar hospital,multan from july 2012 to december 2012. a total of 26 patients with complaint of excessive bleeding after delivery were included in the study. results: ruptured uterus was the major cause in 12 (46.1%) cases,while in 10 (38.5%) cases uterine atony was the indication for obstetrical hysterectomy. in most of the cases 19 (73.1%) total abdominal hysterectomy was performed while in 7 (26.9%) cases sub total abdominal hysterectomy was performed. out of 26 hysterectomies,6 cases had immediate complications,15 cases developed late complications and remaining. maternal mortality was observed in 3 (11.5%) cases. conclusion: in is concluded from the study that obstetrical emergency hysterectomy is a necessary procedure for life saving during abdominal and vaginal deliveries.