Peripartum hysterectomy in Aba southeastern Nigeria.
Emergency peripartum hysterectomy is a challenging but life-saving procedure. In this descriptive study carried out in a rural Nigerian hospital, we found an incidence of emergency peripartum hysterectomy of 5.4 per 1000 deliveries and a significant association with abdominal mode of delivery, unbooked status, previous caesarean section and placenta previa. The most common indications for peripartum hysterectomy were placenta accreta (47.6%) and uterine rupture (28.6%). There were five (23.8%) maternal deaths and other complications included sepsis (five), bladder injury (three) and prolonged hospital stay (11).
Umezurike
Chisara C
CC
Department of Obstetrics, Nigerian Christian Hospital, Aba, Nigeria.
Feyi-Waboso
Paul A
PA
Adisa
Charles Adeyinka
CA
D000328:Adult; D002585:Cesarean Section; D004638:Emergency Treatment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000401:mortality / Q000706:statistics & numerical data*; D007902:Length of Stay; D008428:Maternal Mortality; D009549:Nigeria / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery*; D010298:Parity; D010921:Placenta Accreta / Q000453:epidemiology / Q000401:mortality / Q000601:surgery; D011247:Pregnancy; D012307:Risk Factors; D014597:Uterine Rupture / Q000453:epidemiology / Q000401:mortality / Q000601:surgery