Nooren, MirzaNawal, Rajani2015-03-232015-03-232013-05Nooren Mirza, Nawal Rajani. Obstetric hysterectomy: A life saving emergency. Indian Journal of Medical Sciences. 2013 May-Jun; 67(5): 99-102.http://imsear.searo.who.int/handle/123456789/157128Objective: To study the cases of obstetric hysterectomy performed over a period of 1 year (January 2008 to December 2008) in tertiary care center to estimate the incidence, indications, and maternal outcome following the procedure. Materials and Methods: A retrospective analysis of 20 cases of emergency obstetric hysterectomies performed during the study period. Results: During the study period, there were 11,356 deliveries and 20 emergency hysterectomies were done, giving an incidence of 0.17%. 75% cases were unbooked. Ruptured uterus was the most common indication for the procedure, followed by atonic Post-partum haemorrhage (PPH). Six out of 10 cases of rupture uterus had a previous cesarean delivery. Maternal mortality was 15% due to late referral. Conclusion: Emergency obstetric hysterectomy though a rare operation, still remains a life-saving procedure with which every obstetrician must be conversant. Regular antenatal care, identification of high-risk cases, and prompt referral can reduce the incidence of this operation.enMaternal outcomeobstetric hysterectomyrupture uterusArticle