title: [Emergency peripartum hysterectomy: indications and prognosis].
abstract: OBJECTIVE
  Detect the risk factors, indications and maternal morbidity of haemostatic hysterectomy.
  
  
  METHODS
  A retrospective study of 46 women who had haemostatic hysterectomy between 2005 and 2009.
  
  
  RESULTS
  The mean age was 33.3 years. The mean parity was 3.5. 35% of patients had a previous cesarean section. The mode of delivery was: vaginal delivery (47.8%), cesarean delivery (52.2 %). The hysterectomy was subtotal in 39 cases (85%). The indications of haemostatic hysterectomy was: uterine inertia (44%), disseminated intravascular coagulation (26%), placenta accreta (8.7%), Placenta praevia (13%), uterine rupture (8.7%).Three patients were dead. Five patients had a depression. Six patients had a dyspareunia. Five patients had a decrease of sexual desire.
  
  
  CONCLUSIONS
  Haemostatic hysterectomy is a mutilating surgery giving an irreversible infertility. The development of arterial embolization avoid the appeal to this surgery.
authors.affiliation: Service de gynecologie obstitrique, CHU Hddi Chaker, Sfax, Tunisie.
authors.forename: Nabil
authors.initials: N
authors.lastname: Mathlouthi
authors.forename: Haikel
authors.initials: H
authors.lastname: Trabelsi
authors.forename: Sonia
authors.initials: S
authors.lastname: Zayen
authors.forename: Habib
authors.initials: H
authors.lastname: Amouri
authors.forename: Mohamed
authors.initials: M
authors.lastname: Dhouib
authors.forename: Kaies
authors.initials: K
authors.lastname: Chaabene
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ayadi
authors.forename: Kamel
authors.initials: K
authors.lastname: Kolsi
authors.forename: Belhassen
authors.initials: B
authors.lastname: Ben Ayed
authors.forename: Mohamed
authors.initials: M
authors.lastname: Guermazi
mesh_terms: D000328:Adult; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007044:Hysterectomy; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors