• Arch. Gynecol. Obstet. · Apr 2005

    Analysis of 59 cases of emergent peripartum hysterectomies during a 13-year period.

    • Selçuk Ozden, G Yildirim, T Basaran, B Gurbuz, and V Dayicioglu.
    • Zeynep Kamil Women and Children Education and Research Hospital, Istanbul, Turkey. selcuk.ozden@isbank.net.tr
    • Arch. Gynecol. Obstet. 2005 Apr 1; 271 (4): 363-7.

    ObjectiveThe objective was to investigate the incidence, indications, and risk factors of peripartum emergent hysterectomy.MethodFifty-nine cases of emergent peripartum hysterectomy performed at Zeynep Kamil Women and Children's Education and Research Hospital during a 13-year period between January 1990 and January 2003 were evaluated retrospectively. Emergent peripartum hysterectomy was defined as that performed for haemorrhage unresponsive to other therapeutic interventions within the first 24 h of delivery.ResultEmergent peripartum hysterectomy was performed in 59 cases of 234,958 women (25.1/100,000). Total and subtotal hysterectomy was performed in 25 and 34 cases respectively. The rates of emergent peripartum hysterectomy after vaginal and caesarean deliveries were 8.7/100,000 and 104.5/100,000 respectively. Uterine atony was the most frequent indication (62.7%). The rates of emergent peripartum hysterectomy due to uterine atony in primiparous and multiparous women were 61.1 and 65.2% respectively. The rate of maternal mortality was 8% (5 cases).ConclusionUterine atony was the most common indication for emergent peripartum hysterectomy.

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