الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 70 |  |  |
| | | from | 70 | | |
Abstract
EPH is a technique carried out during labor or right after following birth (within 24 h). Significant maternal morbidity and mortality result from this high-risk procedure. When severe obstetric haemorrhage doesn’t improve after trying conservative measures, surgery is often the last choice.
In this study, 53 cases were complicated by emergency peripartum hysterectom from January 2021 to December 2021
Abnormal placentation ( placenta accreta and placenta previa) was the commonest cause of EPH in our hospital, in 52 cases in this study.
The two main contributing reasons to this rise, improper placentation and caesarean section, looked to be responsible for a significant portion of it. These findings highlight the need to restrict the fast rising caesarean section rate, particularly those that are the only consequence of patient requests, given the majority of these reasons are recognized risks associated with a saesarean operation.
Results
from January 2021 to December 2021, we discovered that the incidence of EPH was 4.82 per 1.000 deliveries. Abnormal placentation (98%) was the most prevalent risk factor for EPH, particularly placenta previa with suspected PAS (78.85%) and placenta previa with non-suspected PAS (21.15 percent ). Injuries to the urinary bladder (22.6 percent) and a mild response to blood transfusions (representing the next most frequent operational complications) (20.8 percent ).
The study revised the entire inpatient files in Minia University Maternity hospital of pregnant patients underwent Emergency Peripartum Hystrectomy in the previous year (2021).
Conclusion
According to our research, placenta previa with suspected PAS in patients with previous CS is the primary cause of the observed incidence of EPH of 4.82 per 1.000 births.