Emergency Peripartum Hystrectomy and Postnatal Depression
Objective: to investigate postnatal depression after emergency peripartum hysterectomy versus controls. Material and methods: This case control study was conducted at District headquarters teaching hospital Rawalpindi between July 2020 and June 2021.We compared postnatal depression among patient...
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Rawalpindi Medical University
2023-04-01
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Series: | Journal of Rawalpindi Medical College |
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Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1936 |
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author | Tabinda Khalid Sobia Nawaz Malik Irfan Ahmed Saima Nawaz Malik Ruqyyah Salim Shahla Manzoor |
author_facet | Tabinda Khalid Sobia Nawaz Malik Irfan Ahmed Saima Nawaz Malik Ruqyyah Salim Shahla Manzoor |
author_sort | Tabinda Khalid |
collection | DOAJ |
description |
Objective: to investigate postnatal depression after emergency peripartum hysterectomy versus controls.
Material and methods: This case control study was conducted at District headquarters teaching hospital Rawalpindi between July 2020 and June 2021.We compared postnatal depression among patients who underwent emergency peripartum hysterectomy (EPH)versus control group where surgical procedures other than hysterectomy (B-Lynch, uterine artery ligation or internal iliac artery ligation) were performed.
Results: A total of 88 patients were included, 44 in hysterectomy group and 44 in non hystrectomized/control group. The scores on Edinburgh post-natal depression scale were high in hysterectomy group (11.61±2.48) , compared to non hysterectomy group(6.79±2.13) which was statistically significant. ( p=0.001).Uterine atony, Placental abruption, placenta previa and accrete, were identified as main reasons for surgical intervention in both groups. Emergency peripartum hysterectomy is a traumatic birth event with serious physical, emotional and psychological consequences. It is empirical to not only screen the women in immediate postpartum period, but a long term follow up in community is required.
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format | Article |
id | doaj-art-0e5a210130114f99a0387fe2973fdd26 |
institution | Kabale University |
issn | 1683-3562 1683-3570 |
language | English |
publishDate | 2023-04-01 |
publisher | Rawalpindi Medical University |
record_format | Article |
series | Journal of Rawalpindi Medical College |
spelling | doaj-art-0e5a210130114f99a0387fe2973fdd262025-02-06T08:43:16ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-04-0127110.37939/jrmc.v27i1.1936Emergency Peripartum Hystrectomy and Postnatal DepressionTabinda KhalidSobia NawazMalik Irfan AhmedSaima Nawaz MalikRuqyyah SalimShahla Manzoor Objective: to investigate postnatal depression after emergency peripartum hysterectomy versus controls. Material and methods: This case control study was conducted at District headquarters teaching hospital Rawalpindi between July 2020 and June 2021.We compared postnatal depression among patients who underwent emergency peripartum hysterectomy (EPH)versus control group where surgical procedures other than hysterectomy (B-Lynch, uterine artery ligation or internal iliac artery ligation) were performed. Results: A total of 88 patients were included, 44 in hysterectomy group and 44 in non hystrectomized/control group. The scores on Edinburgh post-natal depression scale were high in hysterectomy group (11.61±2.48) , compared to non hysterectomy group(6.79±2.13) which was statistically significant. ( p=0.001).Uterine atony, Placental abruption, placenta previa and accrete, were identified as main reasons for surgical intervention in both groups. Emergency peripartum hysterectomy is a traumatic birth event with serious physical, emotional and psychological consequences. It is empirical to not only screen the women in immediate postpartum period, but a long term follow up in community is required. https://www.journalrmc.com/index.php/JRMC/article/view/1936Emergency peripartum hysterectomy,Postnatal depression,Postpartum hemorrhage,B-L ynch sututre,Internal iliac ligation. |
spellingShingle | Tabinda Khalid Sobia Nawaz Malik Irfan Ahmed Saima Nawaz Malik Ruqyyah Salim Shahla Manzoor Emergency Peripartum Hystrectomy and Postnatal Depression Journal of Rawalpindi Medical College Emergency peripartum hysterectomy,Postnatal depression,Postpartum hemorrhage,B-L ynch sututre,Internal iliac ligation. |
title | Emergency Peripartum Hystrectomy and Postnatal Depression |
title_full | Emergency Peripartum Hystrectomy and Postnatal Depression |
title_fullStr | Emergency Peripartum Hystrectomy and Postnatal Depression |
title_full_unstemmed | Emergency Peripartum Hystrectomy and Postnatal Depression |
title_short | Emergency Peripartum Hystrectomy and Postnatal Depression |
title_sort | emergency peripartum hystrectomy and postnatal depression |
topic | Emergency peripartum hysterectomy,Postnatal depression,Postpartum hemorrhage,B-L ynch sututre,Internal iliac ligation. |
url | https://www.journalrmc.com/index.php/JRMC/article/view/1936 |
work_keys_str_mv | AT tabindakhalid emergencyperipartumhystrectomyandpostnataldepression AT sobianawaz emergencyperipartumhystrectomyandpostnataldepression AT malikirfanahmed emergencyperipartumhystrectomyandpostnataldepression AT saimanawazmalik emergencyperipartumhystrectomyandpostnataldepression AT ruqyyahsalim emergencyperipartumhystrectomyandpostnataldepression AT shahlamanzoor emergencyperipartumhystrectomyandpostnataldepression |