# Peripartum Subtotal Hysterectomy in Multifetal Gestation

## TL;DR

The paper discusses a case where a peripartum hysterectomy was performed to save a mother's life during a high-risk multifetal pregnancy.

## Contribution

The paper presents a clinical case highlighting the use of peripartum hysterectomy in managing obstetric hemorrhage during multifetal gestation.

## Key findings

- A peripartum hysterectomy was performed due to life-threatening obstetric hemorrhage.
- The procedure was necessitated by bleeding from a cervical stitch during labor.
- Emergency hysterectomy was conducted after fresh blood collection in the abdominal drain.

## Abstract

Peripartum hysterectomy (PH) is usually undertaken in cases of life-threatening obstetric haemorrhage to prevent the death of the mother. Obstetric haemorrhage, a leading indication for PH, is a major cause of maternal deaths globally, particularly in regions with limited access to advanced medical care. The cause of the per vaginal bleeding was due to the patient in labour with a cervical stitch, and immediate action was taken in the form of a lower segment caesarean section. After the patient's abdominal drain is noticed with fresh blood collection, an emergency obstetric hysterectomy is done.