Emergency peripartum hysterectomy.
OBJECTIVE
To review the incidence, indications, risk factors, and complications associated with emergency peripartum hysterectomy.


METHODS
We analyzed retrospectively 38 cases of emergency peripartum hysterectomy operations performed between January 1996 and June 2001 at Zekai Tahir Burak Women's Health Research and Education Hospital. The indications, risk factors and the associated complications were noted. Standard tests were used to calculate odds ratios (ORs) and their 95% confidence intervals (CI).


RESULTS
Thirty-eight cases of postpartum hysterectomy were performed. All of these cases were referred to our center from rural areas. The rate of peripartum hysterectomy was 1/3736 deliveries. The main indications for hysterectomy were placenta accreata, uterine rupture and uterine atony. There were four maternal deaths.


CONCLUSIONS
Peripartum hysterectomy is a necessary life saving operation. Timely operation minimizes the morbidity and mortality.
Erman Akar
Munire
M
Zekai Tahir Burak Women's Health Research and Education Hospital, Ankara, Turkey. mue2002@med.cornell.edu
Saygili Yilmaz
Esra
E
Yuksel
Banu
B
Yilmaz
Zarif
Z
D000328:Adult; D001724:Birth Weight; D001803:Blood Transfusion; D004638:Emergency Treatment; D005260:Female; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D007226:Infant Mortality; D007231:Infant, Newborn; D016017:Odds Ratio; D036801:Parturition; D010922:Placenta Diseases / Q000601:surgery; D011183:Postoperative Complications; D011247:Pregnancy; D012189:Retrospective Studies; D014597:Uterine Rupture / Q000601:surgery