Analysis of 59 cases of emergent peripartum hysterectomies during a 13-year period |
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Authors: | Email author" target="_blank">Sel?uk??zdenEmail author G?Yildirim T?Basaran B?Gurbuz V?Dayicioglu |
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Institution: | (1) Zeynep Kamil Women and Children Education and Research Hospital, Istanbul, Turkey;(2) Kalfa Cesme sok, Validebag sitesi, 21. Blok, Kat: 3, D: 7, Kosuyolu, Uskudar, Istanbul, Turkey |
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Abstract: | Objective The objective was to investigate the incidence, indications, and risk factors of peripartum emergent hysterectomy.Method Fifty-nine cases of emergent peripartum hysterectomy performed at Zeynep Kamil Women and Childrens 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.Result Emergent 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).Conclusion Uterine atony was the most common indication for emergent peripartum hysterectomy. |
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Keywords: | Emergent peripartum hysterectomy Caesarean hysterectomy Postpartum hysterectomy |
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