Assessment of Prevalence, Indications, Outcomes and Post Operative Com plications of Obstetric Hysterectomy: At Mettu Karel Comprehensive Spe cialized Hospital, Mettu, South Weast, Ethiopia
Abstract:
Background: Obstetric hysterectomy (OH) is a life-saving procedure performed to manage severe obstetric complications. While uncommon in developed countries, it remains a significant challenge in developing na tions, with reported rates of 1–5 per 1,000 deliveries.
Objective: To assess the incidence, primary indications, risk factors, and maternal outcomes of obstetric hys terectomy at Mettu Karle Comprehensive Specialized Hospital over a seven-year period.
Methods: A retrospective cross-sectional review of hospital obstetric records from April 2018 to April 2025 was conducted. All women who underwent OH were included. Data were analyzed using SPSS version 16. Binary logistic regression determined risk factors for maternal mortality, with p < 0.05 considered statisti cally significant.
Results: Among 8,657 deliveries, 65 women underwent OH, yielding an incidence of 6.6 per 1,000 deliver ies. Most patients were aged >35 years and had parity of 3–4. The leading indication was ruptured uterus (75.3%), followed by atonic postpartum hemorrhage (8.2%) and postpartum sepsis (5.5%). The maternal mortality rate was 9.2%. A hospital stay exceeding four hours before surgery was significantly associated with maternal death (OR = 7.5, 95% CI).
Conclusion: The high incidence of OH and associated maternal mortality at Mettu Karle Comprehensive Specialized Hospital highlights critical gaps in maternal care. Prompt identification of obstetric complica tions, active labor management, comprehensive antenatal care, and timely referral are essential to reduce the need for OH and improve maternal outcomes.
