Depression in young women after hysterectomy: Emergency obstetric versus elective procedure – A comparative cross-sectional study

Zahida Parveen Brohi, Uzma Parveen, Roohi Nigar Ujjan, Aneela Brohi, Afshan Sultana Zia Mahesar
In: LIAQUAT MEDICAL RESEARCH JOURNAL · 2023 · vol. 5(03) · doi:10.38106/lmrj.2023.5.3-06 · W4388097901
article OA: diamond CC0
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found that young women undergoing emergency obstetric hysterectomy experienced significantly higher rates of depression and complications compared to those undergoing elective hysterectomy.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This comparative cross-sectional study evaluated depression severity in 18–49-year-old young women who underwent hysterectomy after emergency obstetric hysterectomy (n=31) versus elective hysterectomy for gynecological conditions (n=31 controls), with both groups assessed 3 months post-procedure. Depression was diagnosed using DSM-IV-TR criteria for major depressive episode and severity was measured with the Beck Depression Inventory. The study found a significantly higher rate of depression in the emergency obstetric hysterectomy group, and it also observed higher complication frequency among emergency cases. The paper’s main limitation is the small emergency hysterectomy sample (31 participants over four years), which constrains generalizability; it also excludes participants with family history of psychiatric illness. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Emergency obstetric hysterectomy (EOH) is done during cesarean section or after normal vaginal delivery, or any time during puerperal period. Puerperal period is usually associated with anxiety and depression in most cases, having emergency hysterectomy can potentially trigger it more. Therefore, this study was conducted to compare emergency versus elective hysterectomy to determine the pattern of depression between two groups. During a period of four years (from 1st march 2019 to 28th February 2023), a total of 6658 patients were admitted in obstetrics & gynecology department and 31 underwent emergency obstetric hysterectomies and consented to be part of this study. These females were aged between 18 to 49 years. For comparison 31 married control females were randomly selected and interviewed 3 months after undergoing elective hysterectomy due to gynecological conditions. There was no past family history for any psychiatric illness in both groups. The studied groups were clinically evaluated for major depressive episode according to the American Psychiatric Association diagnostic and statistical Manual of mental disorders, 4th edition text revised (DSM-IV TR) criteria. Beck depression inventory (BDI)18 to assess the severity of major depressive episodes. Out of 31 patients 16 cases were performed after caesarean section, four during laparotomy for ruptured uterus and 11 for uterine atony after normal vaginal delivery. There was significantly higher rate of depression among patients undergoing emergency hysterectomy as compared to those with elective procedure. The frequency of complications was also observed to be higher in emergency cases. Our study concluded that the frequency of complications and severe depression was remarkably higher in the obstetric emergency hysterectomy group as compared to the elective hysterectomy group.

My notes (saved in your browser only)

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (24)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK