AyushiDeshmukh, AshviniShivaniKhedkar, Charul2024-12-022024-12-022024-07Ayushi, Deshmukh Ashvini, Shivani, Khedkar Charul . Incidence-and-complications-of-emergency-obstetric-hysterectomy . Paripex - Indian Journal Of Research. 2024 Jul; 13(7): 1-32250-1991https://imsear.searo.who.int/handle/123456789/240635Background: Emergency obstetric hysterectomy (EOH) is a life-saving procedure performed for uncontrolled postpartum hemorrhage or infection. Understanding the epidemiology and outcomes of EOH is crucial for quality improvement. We aimed to determine the incidence, indications, complications, and risk factors for EOH at our center. Methodology: This retrospective cross-sectional study analyzed all cases of EOH over a 5-year period at a tertiary hospital. Data on indications, complications, and maternal outcomes were extracted from medical records. OfResults: 1500 deliveries, 30 underwent EOH (incidence 2%). The leading indication was uterine atony (56.7%). Major complications occurred in 13 patients (43.3%), including 8 cases of fever, 5 wound infections, and 2 mortalities. Grand multiparity and lack of antenatal care were significantly associated with EOH (p<0.05). The EOH rate of 2%Conclusion: demonstrates the life-saving role of this surgery, but the 43.3% complication rate highlights associated risks. Improving access to family planning services and antenatal care, prompt management of postpartum hemorrhage, infection control practices, and emergency obstetric care capacity are essential to reduce the incidence and morbidity of EOH.Emergency obstetric hysterectomyPeripartum hysterectomyUterine atonyCesarean hysterectomyRisk factorsJournal ArticleIndiaJunior Resident, Dept Of Obgy, Dy Patil Hopspital, Nerul. MaharashtraAssistant Professor, Dept Of Obgy, Dy Patil Hospital, Nerul, MaharashtraJunior Resident, Dept Of Obgy, Dy Patil Hospital, Nerul, MaharashtraJunior Resident, Dept Of Obgy, Dy Patil Hospital, Nerul, Maharashtra