Morbidity and Mortality of Emergency Peripartum Hysterectomy in Ain Shams Maternity Hospital

Abstract

Peripartum hysterectomy is the “near miss event” in both developed and developing country. Its prevention is the fore most goal in modern obstetrics. Identification of high risk cases, early referral, and timely performance of caesarean section, careful monitoring and resort to procedure like internal iliac artery ligation can reduce the near miss event. Though peripartum hysterectomy is a lifesaving procedure in emergency obstetric condition, it represents a painful dilemma for the obstetrician. The decision to perform this operation, especially in primi or in patients with no living children remains a difficult one. So it should be performed judiciously weighing the need to sacrifice the obstetric future of the patient in favor of patient life.