title: Emergency peripartum hysterectomy in a teaching hospital in Eastern Taiwan.
abstract: This study aims to review the incidence, indications, risk factors and complications associated with emergency peripartum hysterectomy in a teaching hospital. We reviewed records of patients undertaking emergency peripartum hysterectomy performed at our institution from 1998 to 2004. Emergency peripartum hysterectomy was defined as one performed for haemorrhage unresponsive to other treatments <24 h after delivery. Eight cases of emergency peripartum hysterectomy were performed. The rate of peripartum hysterectomy was 0.25%. The main indications for hysterectomy were uterine atony and abnormal placentation. No maternal death occurred. Use of peripartum hysterectomy may become necessary in managing obstetrical haemorrhage refractory to other measures.
authors.affiliation: Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. dah1003@yahoo.com.tw
authors.forename: D-C
authors.initials: DC
authors.lastname: Ding
authors.forename: S
authors.initials: S
authors.lastname: Hsu
authors.forename: T-W
authors.initials: TW
authors.lastname: Chu
authors.forename: T-Y
authors.initials: TY
authors.lastname: Chu
mesh_terms: D004636:Emergency Service, Hospital; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007044:Hysterectomy; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D013624:Taiwan