Objectives:

To characterize the population undergoing obstetric hysterectomy at Pereira Rossell Hospital during the period 2017-2022. To calculate the obstetric hysterectomy rate at CHPR; observe its frequency after vaginal delivery and cesarean section; analyze related complications; and detect system failures to improve the quality of obstetric care.

Methods:

A retrospective, longitudinal, and descriptive study was conducted through the analysis of medical records from the hospital registry system. Women undergoing obstetric hysterectomy during pregnancy or the puerperal state, with pregnancies of more than 20 weeks, were included.

Results:

Thirty obstetric hysterectomies were performed during the period, with an incidence of 0.84 per 1,000 births, being more frequent in women under 35 years old, multiparous, and with a previous cesarean section. All cases occurred after cesarean delivery. The main observed complications were the need for blood transfusion and admission to the ICU. There were no maternal deaths. There were 2 perinatal deaths.

Conclusions:

Characterizing the population undergoing obstetric hysterectomy provides fundamental data for improving care. A higher incidence was observed in patients who had cesarean sections and were multiparous. They frequently required blood transfusions, highlighting the need for protocols on obstetric hemorrhage and massive transfusion. There were no maternal deaths, which is a marker of the quality of care. The study’s limitations were the low number of cases and the poor quality of medical records, which hindered information retrieval.

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