Planned vs emergent cesarean hysterectomy.
OBJECTIVE
The aim of this study was to compare operative and postpartum outcomes between planned and emergent cesarean hysterectomy.


METHODS
In this multicenter retrospective review over a 5-year period, 65 cases of cesarean hysterectomy (30 planned vs 35 emergent) were identified. Demographic, operative, and postoperative data were extracted and stratified by group (planned vs emergent).


RESULTS
Patients who underwent an emergent cesarean hysterectomy were more likely to have higher estimated blood loss (2597.1 +/- 1369.4 mL vs 1963.3 +/- 1180.2 mL; P = .05), have transfusion (66% vs 33%; P = .02), and require greater quantities of packed red blood cells (4.49 +/- 4.7 x10(12)/L vs 1.6 +/- 3.1 x10(12)/L; P = .006) compared with the planned cesarean hysterectomy group. Patients who underwent emergent cesarean hysterectomy had higher overall complication rates (37% vs 66%; P = .03) and more intensive care unit admissions (7% vs 29%; P = .03).


CONCLUSIONS
After planned cesarean hysterectomy, patients had a significantly lower rate of blood loss, less need for blood transfusions, and fewer complications compared with patients who underwent an emergent cesarean hysterectomy.
Briery
Christian M
CM
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS, USA.
Rose
Carl H
CH
Hudson
William T
WT
Lutgendorf
Monica A
MA
Magann
Everett F
EF
Chauhan
Suneet P
SP
Morrison
John C
JC
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D011247:Pregnancy; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal