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Abstract:
Background : Incidence of Emergency peripartam hysterectomy has increased these days. Objective of doing this study is to determine the incidence of peripartam hysterectomy , risk factors of peripartam hysterectomy and the effect of hysterectomy on the quality of life. Method :This is a retrospective study done over a period of 18 months (Nov 2016 to April 2018). Data collected from the registers in labor room and emergency operation theater. All the patients presenting with antepartum haemorrhage were included in the study. Number of patients who has undergone hysterectomy recorded. Result: The incidence of peripartam hysterectomy is 0.76% . Morbidly adherent placenta is the commonest cause of peripartam hysterectomy ( 27.27% ) , followed by placenta previawith out invasion and abruption placenta both around 22.73% .History of previous cesarean section ,abortions followed by dilatation and curettage , grandmultiparity are some of the risk factors leading to increase incidence of peripartam hysterectomy. Conclusion: The rise in the incidence of peripartam hysterectomy is mainly due to morbidly adherent placenta .Illegal abortions and cesareans are mainly responsible for morbidly adherent placenta.
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