Obstetric Hysterectomy Performed at N’Djamena Mother and Child Hospital (Chad): Indications and Prognosis

Obstetric hysterectomy is one marker of obstetric morbidity. It is considered one of the riskiest and dramatic operations in modern obstetric, where the uterus is removed at the time of caesarean section, following caesarean section immediately after vaginal delivery or in the period of puerperium in order to reduce maternal mortality and morbidity [1]. Emergency obstetric hysterectomy is a life saving surgical procedure in life threatening catastrophes of uterine rupture, morbidly adherent placenta, coagulopathy or uncontrollable hemorrhage. Many times, attempts to control hemorrhage failed and women’s life is saved by compromising her reproductive capability by obstetric hysterectomy [2,3]. Obstetric hysterectomy in the developed world is mainly done for gynecological indications such as sterilization and leiomyoma in obstetrical practice, but in developing countries it is usually done when conservative measures fail to control the hemorrhage [4-6]. The purpose of the present study was to determine the frequency, indications, maternal and perinatal mortality and morbidity associated with emergency obstetrics hysterectomy.