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

被引：27

作者：

Özden S. ^{[1
,2
]}

Yildirim G. ^{[1
]}

Basaran T. ^{[1
]}

Gurbuz B. ^{[1
]}

Dayicioglu V. ^{[1
]}

机构：

[1] Zeynep Kamil Women Children Educ. R., Istanbul

[2] Kosuyolu, Uskudar, Istanbul, K. C. s., V. s., 21. B., K.: 3

来源：

Archives of Gynecology and Obstetrics | 2005年 / 271卷 / 4期

关键词：

Caesarean hysterectomy; Emergent peripartum hysterectomy; Postpartum hysterectomy;

D O I：

10.1007/s00404-004-0647-5

中图分类号：

学科分类号：

摘要：

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 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. 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. © Springer-Verlag 2004.

引用

页码：363 / 367

页数：4

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