PERIPARTUM HYSTERECTOMY: A LIFE-SAVING PROCEDURE WITH HIGH MATERNAL RISK - A RETROSPECTIVE OBSERVATIONAL STUDY FROM A TERTIARY INSTITUTE IN CENTRAL INDIA

Background: Peripartum hysterectomy (PH) is among the most challenging and life-saving obstetric procedures, conducted as a last resort in catastrophic obstetric emergencies, primarily involving severe postpartum hemorrhage and placenta accrete spectrum (PAS). With the increasing rates of cesarean sections, the incidence of PAS related complications and emergency hysterectomy is concurrently rising. It is imperative to assess its burden, indications, and outcomes to enhance obstetric care and inform preventive strategies in resource-constrained settings.

Aim: To evaluate the incidence, clinical presentation, indications, risk factors, maternal and neonatal outcomes, and associated factors among women who underwent peripartum hysterectomy at a tertiary care obstetric centre of central India. Materials and

Methods: A retrospective observational study was conducted after obtaining approval from the Institutional Ethics Committee and included all women who underwent peripartum hysterectomy at our tertiary care centre between January 2025 and December 2025. Demographic characteristics, obstetric history, indications for hysterectomy,transfusion requirements,intraoperative findings,maternal, and neonatal outcomes were analysed descriptively.