Background: Emergency obstetric hysterectomy (EOH) is a lifesaving procedure performed when all other measures and interventions have failed and maternal life loss becomes inevitable. It is important to study such events as they provide an insight into the standard of care provided and help to formulate strategy to reduce maternal morbidity and mortality in future.

Objective: Our aim was to evaluate the incidence, indications, risk factor and feto-maternal complications associated with obstetric hysterectomy, wherein the procedure itself is associated with significant maternal morbidity and mortality.

Method: This is a retrospective, observational study of women requiring EOH. We reviewed the data over a two-and-a-half-year period, from 1st October 2018 to 1st April 2021, available in the Department of Obstetrics and Gynecology, COM & JNM Hospital, Kalyani, India.

Results: Uterine atony leading to postpartum hemorrhage is the commonest cause of obstetric hysterectomy followed by ruptured uterus, morbidly adherent placenta, placenta previa and abruptio placentae. During post-operative period, anemia and disseminated intravascular coagulation are the most commonly encountered complications, with a case fatality index 20%.

Conclusion: Even after advancement in uterotonic agents, emergency obstetric hysterectomy still remains a necessary tool for obstetricians. In severe hemorrhage, a multi-disciplinary approach including medical, critical care, surgical and radiology departments may reduce maternal mortality and morbidity.

Key wordS: Emergency, Obstetric hysterectomy, Uterine atony.

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