• Juan A Reveles Vázquez, Geannyne Villegas Rivera, Salvador Hernández Higareda, Fernando Grover Páez, Carmen C Hernández Vega, and Agustin Patiño Segura.
• Unidad Médica de Alta Especialidad, Hospital de Gincecoobstetricia, Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jalisco, México.
• Ginecol Obstet Mex. 2008 Mar 1; 76 (3): 156-60.

BackgroundObstetric hysterectomy is indicated when patient's life is at risk, and it is a procedure that requires a highly experienced and skilled medical team to solve any complication.ObjectiveTo identify incidence, indications, and complications of obstetric hysterectomy within a high-risk population.Patients And MethodsTransversal, retrospective study from July 1st 2004 to June 30 2006 at Unidad Medica de Alta Especialidad, Hospital de Ginecoobstetricia, Centro Medico Nacional de Occidente, IMSS. There were reviewed 103 patient' files with obstetric hysterectomy. Incidence was calculated, and clinical and socio-demographic characteristics, indications, and complications of obstetric hysterectomy identified and expressed in frequency, percentages, and central tendency measurements.ResultsIncidence of obstetric hysterectomy was 8 cases within every 1,000 obstetric consultation. Age average was 31.1 +/- 5.1 years. 72.8% had cesarean surgery history. Main indication was placenta previa associated with placenta accreta (33%), followed by uterine hypotony (22.3%). Complications were hypovolemic shock (56.3%), and vesical injuries (5.8%). There were no maternal deaths.ConclusionsCesarean history induces higher obstetric hysterectomy incidence in women with high-risk pregnancy, due to its relation to placentation disorders, as placenta previa that increases hemorrhage possibility, and thus, maternal morbidity and mortality.

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