Obstetric Hysterectomy at a Tertiary Care Center in Odisha: Clinical, Social, and Epidemiological Risk Factors
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Abstract
Background: Obstetric hysterectomy (OH) is a life-saving procedure for antepartum, peripartum, and postpartum hemorrhage, but its high incidence in developing countries, like India, suggests a need for better understanding of contributing factors. This study aimed to identify the epidemiological, social, and obstetric risk factors for OH at a tertiary care hospital in Odisha. Methods: This two-year, hospital-based study analyzed medical records of all women who underwent OH for obstetric reasons. Data on patient demographics, socioeconomic status, and medical history were collected. The current data only supports correlation, not causation or magnitude of risk. Results: Out of 4,758 deliveries, 54 women underwent OH, an incidence of 11.35 per 1,000 deliveries. Most patients were young (21-29 years), illiterate (66.7%), below poverty line (87%), rural residency (63%), and had not received antenatal care (72.2%). Uterine rupture was the most common indication (57.4%), followed by primary postpartum hemorrhage (31.5%). The procedure was life-saving for mothers but had a high perinatal mortality rate, with 59.3% resulting in stillbirth. Common complications included pyrexia and urinary tract infections. Conclusion: The high rate of OH in this region is primarily driven by socioeconomic disparities and a lack of access to primary healthcare, leading to severe, late-stage complications like uterine rupture. Strengthening antenatal care and public health education are crucial for reducing the need for this life-altering procedure and improving both maternal and perinatal outcomes.
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Copyright (c) 2025 Katyayani Panda, Bipin Bihari Pradhan, Manas Ranjan Kar, Nihar Ranjan Mohanty, Madhusmita Mohanty, Sashibhusan Dash
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Katyayani Panda, Assistant Professor, Obstetrics and Gynecology, Hitech Medical College, Pandara, Bhubaneswar, Odisha, India.
Assistant Professor, Obstetrics and Gynecology, Hitech Medical College, Pandara, Bhubaneswar, Odisha, India.
Bipin Bihari Pradhan, Associate Professor, Department Radiology, Hi-tech Medical College, Pandara, Bhubaneswar, Odisha, India.
Associate Professor, Department Radiology, Hi-tech Medical College, Pandara, Bhubaneswar, Odisha, India.
Manas Ranjan Kar, Associate Professor, Department Radiology, Hi-tech Medical College, Pandara, Bhubaneswar, Odisha, India.
Associate Professor, Department Radiology, Hi-tech Medical College, Pandara, Bhubaneswar, Odisha, India.
Nihar Ranjan Mohanty, Professor, Department of Radiology, KIMS, Bhubaneswar, Odisha, India.
Professor, Department of Radiology, KIMS, Bhubaneswar, Odisha, India.
Madhusmita Mohanty, Professor, Department of Pathology, KIMS, Bhubaneswar, Odisha, India.
Professor, Department of Pathology, KIMS, Bhubaneswar, Odisha, India.
Sashibhusan Dash, Scientist C, Multidisciplinary Research Unit, PRM Medical College and Hospital, Baripada, Odisha, India.
Scientist C, Multidisciplinary Research Unit, PRM Medical College and Hospital, Baripada, Odisha, India.
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