Emergency obstetric hysterectomy
- 1 February 2007
- journal article
- Published by Wiley in Acta Obstetricia et Gynecologica Scandinavica
- Vol. 86 (2), 223-227
- https://doi.org/10.1080/00016340601088448
Abstract
Background. All cases of obstetric hysterectomies that were performed in our hospital during a seven‐year study period were reviewed in order to evaluate the incidence, indications, risk factors, and complications associated with emergency obstetric hysterectomy. Methods. Medical records of 45 patients who had undergone emergency hysterectomy were scrutinized and evaluated retrospectively. Maternal age, parity, gestational age, indication for hysterectomy, the type of operation performed, estimated blood loss, amount of blood transfused, complications, and hospitalization period were noted and evaluated. The main outcome measures were the factors associated with obstetric hysterectomy as well as the indications for the procedure. Results. During the study period there were 32,338 deliveries and 9,601 of them (29.7%) were by cesarean section. In this period, 45 emergency hysterectomies were performed, with an incidence of 1 in 2,526 vaginal deliveries and 1 in 267 cesarean sections. All of them were due to massive postpartum hemorrhage. The most common underlying pathologies was placenta accreta (51.1%) and placenta previa (26.7%). There was no maternal mortality. Conclusions. Obstetric hysterectomy is a necessary life‐saving procedure. Abnormal placentation is the leading cause of emergency hysterectomy when obstetric practice is characterized by a high cesarean section rate. Therefore, every attempt should be made to reduce the cesarean section rate by performing this procedure only for valid clinical indications.Keywords
This publication has 21 references indexed in Scilit:
- A 27-year review of obstetric hysterectomyJournal of Obstetrics and Gynaecology, 2003
- Obstetric hysterectomy: fifteen years' experience in a Nigerian tertiary centreJournal of Obstetrics and Gynaecology, 2003
- Emergency obstetric hysterectomyJournal of Obstetrics and Gynaecology, 2003
- Peripartum hysterectomy in the 1990s: any new lessons?Journal of Obstetrics and Gynaecology, 2001
- Postpartum hysterectomyInternational Journal of Gynecology & Obstetrics, 1995
- Obstetric hysterectomy: Ramathibodi's experience 1969-1987International Journal of Gynecology & Obstetrics, 1991
- Diagnosis and management of postpartum hemorrhageInternational Journal of Gynecology & Obstetrics, 1991
- Obstetric hysterectomy in Ile-Ife, NigeriaInternational Journal of Gynecology & Obstetrics, 1990
- Cesarean and postpartum hysterectomy in Enugu, 1973-1986International Journal of Gynecology & Obstetrics, 1989
- Hysterectomy in Obstetric PracticeAustralian and New Zealand Journal of Obstetrics and Gynaecology, 1980