Postpartum hysterectomy in the university maternity hospital (a retrospective statistical study)

Abstract

Abstract Objective To study the file of patients who underwent obstetric hysterectomy and learn the indications, risk factors, and complications to reduce its occurrence as much as possible. Type of study: retrospective cohort study Place of study: Obstetrics and Gynecology University Hospital in Damascus - Records of the Archives Division. Study period: starting from 1/1/2016 until 12/31/2022. Patients: The study sample included 124 women admitted to the University Obstetrics and Gynecology Hospital who underwent obstetric hysterectomy. Results 91.9.9% of the patients had a natural birth, while 8.1% had a cesarean section. The rate of performing a total hysterectomy was 1.47/1000, within seven years. The rate of it being performed among patients with a cesarean section was 3.12/1000, and the rate of it being performed among patients with a natural birth was 0.2/1000. The most common indication for a postpartum hysterectomy is placenta accreta (54%), and the most common complication of obstetric hysterectomy is urinary tract injury (22%). Conclusion Congenital hysterectomy is highly associated with cesarean section, and because of the high risk associated with cesarean section, the decision to perform cesarean section should be made when its benefits outweigh the potential risks.