CURRENT STATUS OF POSTPARTUM HYSTERECTOMY: INDICATIONS, OUTCOMES, AND MODERN MANAGEMENT
Abstract
Emergency postpartum hysterectomy (EPH) is a life-saving surgical procedure performed to control severe obstetric hemorrhage when conservative measures fail. Despite advances in obstetric care, EPH remains associated with significant maternal morbidity and mortality, particularly in low-resource settings. Over the past decades, the epidemiology and indications for EPH have evolved, with placenta accreta spectrum disorders emerging as the leading cause in many regions, replacing uterine atony. This article aims to review the current status of postpartum hysterectomy, focusing on epidemiology, pathophysiology, risk factors, clinical outcomes, and modern management strategies. The study highlights the importance of early recognition, multidisciplinary care, and preventive obstetric practices in reducing the need for hysterectomy.