title: Clinical analysis of 52 obstetric hysterectomies.
abstract: Analysis of obstetric (peripartum and postpartum) hysterectomies with regard to their frequency, indications, complications, and risk factors.
  
  
  
  The study included 52 women operated between 1985-2012. Obstetric hysterectomies were performed in 39 (75%) and 13 (25%) women, respectively. The results were statistically analyzed as arithmetic mean and standard deviation (SD).
  
  
  
  Peri- and postpartum hysterectomies accounted for 0.123% of all births (0.092% and 0.031%, respectively). Mean pa-tient age, length of pregnancy, and number of deliveries was 32.6 years [SD ± 6.2], 38.1 weeks [SD ± 7.0], and 3.2 [SD ± 2.4], respectively. In the study group, 92.31% of the women were multiparous, and 86.54% gave birth by cesarean section and had a history of CS. Placental pathology accounted for 44.4% of indications for hysterectomy. Blood transfusion was required in 94.2% of the cases, symptoms of hypovolemic shock were observed in 21.2%, and ICU admission was required in 15.4% of the patients. Relaparotomy was necessary in 4 (7.7%) cases. Intrauterine fetal death occurred in 4 (7.6%) cases and extremely poor neonatal status was observed in 4.1% of the newborns.
  
  
  
  Hemorrhage due to placental pathology was the most frequent indication for obstetric hysterectomy. Risk factors for obstetric hysterectomy included multiparity, history of CS, recent CS, and age > 35 years. Postpartum hysterec-tomy accounted for 25% of the obstetric surgeries.
authors.affiliation: Department of Obstetrics and Gynecology, Radom City Hospital, Poland. dosiass@wp.pl.
authors.forename: Dobrosława L
authors.initials: DL
authors.lastname: Sikora-Szczęśniak
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Szczęśniak
authors.forename: Mieczysław
authors.initials: M
authors.lastname: Szatanek
authors.forename: Wacław
authors.initials: W
authors.lastname: Sikora
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D005313:Fetal Death; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008423:Maternal Age; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D010298:Parity; D010922:Placenta Diseases / Q000453:epidemiology / Q000601:surgery; D011044:Poland / Q000453:epidemiology; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors
keywords: hysterectomy in the postpartum period; labor; peripartum hysterectomy