Analysis of 59 cases of emergent peripartum hysterectomies during a 13-year period.
OBJECTIVE
The objective was to investigate the incidence, indications, and risk factors of peripartum emergent hysterectomy.


METHODS
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.


RESULTS
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).


CONCLUSIONS
Uterine atony was the most common indication for emergent peripartum hysterectomy.
Ozden
Selçuk
S
Zeynep Kamil Women and Children Education and Research Hospital, Istanbul, Turkey. selcuk.ozden@isbank.net.tr
Yildirim
G
G
Basaran
T
T
Gurbuz
B
B
Dayicioglu
V
V
D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000706:statistics & numerical data*; D015994:Incidence; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000601:surgery*; D011247:Pregnancy; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D014593:Uterine Inertia / Q000453:epidemiology / Q000601:surgery*