An Audit of Incidence Rate Indications and Complications Rate of Cesarean Hysterectomies in a Tertirary Care Hospital

Abstract

Background and Objective: Caesarean hysterectomy is usually done as a life-saving procedure for post-
partum hemorrhage but is associated with considerable mortality and morbidity. Thus, this study was
conducted to analyze all caesarean hysterectomies in terms of rate of incidence, indications and morbidity
performed in gynecology unit during one year period at one of the largest specialized healthcare care public
hospitals in Lahore.
Methods: A retrospective observational study was conducted in the department of gynecology and obstetrics
Unit I, Sir Ganga Ram hospital, Lahore from June 2019 till June 2020 including all women who underwent
caesarean hysterectomy. Data was abstracted from the medical record and was entered and analyzed in SPSS
version 21.0. The outcome was presented as frequency and percentages for incidence, indications and
complications related to caesarean hysterectomy.
Results: During the study period total deliveries were 5804 with 2979 remove were delivered through
caesarean section out of which 64 women underwent caesarean hysterectomy, resulting in an incidence of
2.1%. Placenta accreta was found to be the most common indication for cesarean hysterectomy. There were 2
(3.12%) maternal deaths among these females who underwent caesarean hysterectomy.
Conclusion: The rate of caesarean hysterectomy was considerably high which is a leading factor requiring
adequate attention to help reduce maternal and fetal mortality not only from caesarean hysterectomies but
also from other preventable complications.