Emergency peripartum hysterectomy cases in Agri: a 6-year review.
OBJECTIVE
The aim of this study was to detect the incidence, indications, maternal and perinatal outcomes, and complications of emergency peripartum hysterectomy (EPH) as a life-saving operation.


METHODS
Fifty-four cases of emergency peripartum hysterectomy between June 2003 and June 2009 at the Obstetrics and Gynecology Department of the Agri Maternity and Children's Hospital in Turkey, were analyzed retrospectively.


RESULTS
The incidence of EPH was found to be 1.87 per 1,000 deliveries. The most common indication for the procedure was uterine rupture (37.03%). There were three maternal deaths (5.56%). Wound dehiscence and wound infection were seen in eight (14.81%) and nine patients (16.67%), respectively.


CONCLUSIONS
EPH continues to be an important factor for maternal morbidity and mortality. In our study, we aimed to investigate the risk factors for peripartum hysterectomy. The most common three risk factors were uterine rupture, atony, and placenta accreata.
Department of Obstetrics and Gynecology, Bozok University Medical Faculty, Yozgat, Turkey. mustafa.kara@bozok.edu.tr
M
M
Kara
D000328:Adult; D002585:Cesarean Section; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007044:Hysterectomy; D058725:Peripartum Period; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D014421:Turkey; D014597:Uterine Rupture / Q000601:surgery*; D055815:Young Adult