Obstetric Hysterectomy: A 14-Year Experience of Rajavithi Hospital 1989-2002
Ekachai Kovavisarach MD*
Affiliation : * Department of Obstetrics and Gynecology, Rajavithi Hospital, Ministry of Public Health
Objectives : To review and compare the incidence rate of obstetric hysterectomised patients between two
seven-year periods. The periods were from October 1, 1988 to September 30, 1995 and from October 1st, 1995
to September 30th, 2002. The data included demographic characteristics, indications, possible risk factors,
complications, and operative managements.
Materials and Methods : Retrospective analysis of the data that was collected from medical and labor records
of the obstetric hysterectomised patients from October 1, 1995 to September 30, 2002, the second seven-year
period, compared with those in Pratumthong and Wattanaruangkowit’s study from October 1, 1988 to Septem-
ber 30, 1995, the first seven-year period.
Results : Between 1998 and 2002, there were 201, 696 total deliveries with 111 obstetric hysterectomies. A
significant increase in the average incidence rate of hysterectomy from 0.42 to 0.76/1,000 deliveries and
maternal age, placenta previa and blood transfusion in the second period compared with the first period (p <
0.05). Postoperative complications and the other risk factors of obstetric hysterectomy were not significant
difference.
Conclusion : The present study of obstetric hysterectomy demonstrates a significant increase in the incidence
of hysterectomised rate, maternal age, blood transfusion, and placenta previa in the second period compared
with the first period.
Keywords : Obstetric hysterectomy, Incidence, Complication, Rajavithi Hospital
