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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Main Authors: Tabinda Khalid, Sobia Nawaz, Malik Irfan Ahmed, Saima Nawaz Malik, Ruqyyah Salim, Shahla Manzoor
Format: Article
Language:English
Published: Rawalpindi Medical University 2023-04-01
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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institution Kabale University
issn 1683-3562
1683-3570
language English
publishDate 2023-04-01
publisher Rawalpindi Medical University
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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