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ion was done from case files of women who underwent childbirth and obstetric hysterectomy. The case files were obtained from medical record office and each case file was analysed for all patients who underwent peripartum hysterectomy. Demographic details, previous delivery history, indications for peripartum hysterectomy and outcome in terms of Length of hospital stay (LOHS), maternal complications and fetal outcome were recorded. Statistical analysis for categorical variables is expressed as frequency and percentage and mean +/SD. Results 20 cases were recorded, who underwent peripartum hysterectomy from January 2015 to September 2018. During this period, a total of 20,327 deliveries were noted. Of these, vaginal deliveries were 9819 (48%) and caesarean deliveries were 10,508 (51.7%). Of the 20 cases, 11 cases were preceded by vaginal deliveries and 9 cases were preceded by caesarean deliveries. Hence, a peripartum hysterectomy rate of 0.1% is noted. Of the women, who underwent delivery, the age ranged from 20 years to 42 years. Majority of the women ages ranged between 30-40 years (70%). Table 1: Demographic characteristics Age(years) No. of cases 20-30 5 30-40 14 >40 1 Parity P0 1 P1 7 P2 8 P3 2 P≥4 2 Booking status Booked 9 Unbooked 11 Previous cesarean delivery None 11 One 3 Two 6 Majority of the women who underwent peripartum hysterectomy were Para 1 (35%) and 2(40%). Of the total number of women who had peripartum hysterectomy, 9 (45%) women had previous caesarean delivery; 6 had previous two caesarean deliveries and 3 had previous one caesarean delivery. Majority of the total cases were unbooked 11(55%) compared to 9 cases (45%) who were booked. Table 2: Indications for peripartum hysterectomy Indications No. of cases Placental abnormalities 9(45%) Uterine atony 8(40%) Uterine rupture 2(10%) Bleeding diathesis 1(5%) Length of hospital stay(days) <7 3 7-14 12 >14 5

A retrospective analysis of Peripartum hysterectomy in a tertiary institute, Imphal