Peter Knapp, David K Raynor, Jill E Thistlethwaite, Marc B Jones
A questionnaire to measure health practitioners' attitudes to partnership in medicine taking: LATCon II
Health expectations : an international journal of public participation in health care and health policy
primary objective study analyze trend obstetric hysterectomy oh last 2 decade rural tertiary care referral center western india retrospective observational comparative study single rural tertiary care referral center western india retrospective data collected patients underwent oh jan 2001 dec 2021 patient studied detail demographic clinical profile indication oh intra operative post operative complication fetomaternal outcome patient first decade 2001 2010 compared second decade 2011 2021 see changing trend oh total 19666 patients delivered study period195 patient underwent oh incidence oh 09 171 195 patients referred 87 see trend oh 2 decades 2001 2010 2011 2021 incidence oh slightly raised 087 107 p 016 although incidence oh cesarean delivery rises 06 14 p 06 change due overall increase cesarean section rate 37 49p 00001 indication oh significantly change uterine rupture decrease significantly 61 22p 0001 morbidly adherent placenta increases 7 23p 0007 icu admission ventilator support increases 54 79p 004 22 70 p 0001 respectively due improved critical care services maternal death remains relatively 15 20 p 05 primary cs rates decreased prevent adherent placenta spectrum disorders good antenatal care development robust referral system decrease maternal mortality greater utilization skill laboratory simulators go long way developing skills aspiring doctors operative vaginal deliveries