TY - JOUR AU - Khalid, Tabinda AU - Nawaz, Sobia AU - Ahmed, Malik Irfan AU - Malik, Saima Nawaz AU - Salim, Ruqyyah AU - Manzoor, Shahla PY - 2023/04/02 Y2 - 2024/03/29 TI - Emergency Peripartum Hystrectomy and Postnatal Depression JF - Journal of Rawalpindi Medical College JA - JRMC VL - 27 IS - 1 SE - Articles DO - 10.37939/jrmc.v27i1.1936 UR - https://journalrmc.com/index.php/JRMC/article/view/1936 SP - AB - <p><strong><span data-contrast="auto">Objective:</span></strong> <span data-contrast="auto">to investigate postnatal depression after emergency peripartum hysterectomy versus controls.</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}"> </span></p><p><strong><span data-contrast="auto">Material and methods:</span></strong><span data-contrast="auto"> 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.</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}"> </span></p><p><strong><span data-contrast="auto">Results: </span></strong><span data-contrast="auto">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.</span><span data-contrast="auto"> </span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}"> </span></p><p> </p> ER -