title: Cesarean Hysterectomy and Uterine-Preserving Alternatives.
abstract: Hysterectomy at the time of an obstetric delivery or postpartum is an uncommon time to perform one of the most common gynecologic procedures. Hysterectomy associated with pregnancy is often unplanned and undesired. Postpartum complications associated with the need for hysterectomy carry significant risks, which pose challenges for mother-infant bonding and can signify an unexpected end to fertility. The most common indication for hysterectomy is postpartum hemorrhage. Postpartum hemorrhage is caused by uterine atony, genital tract laceration, uterine rupture, invasive placentation, infection, or coagulopathy. Multidisciplinary teams improve outcomes and are capable of managing complex medical and surgical complications that occur postpartum.
authors: Department of Obstetrics and Gynecology, Banner University Medical Center, 1111 E McDowell, Phoenix, AZ, USA; Department of Obstetrics and Gynecology, University of Arizona, Phoenix, AZ, USA; Phoenix Perinatal Associates of Mednax, Inc., 1840 South Stapley Drive, Suite 131, Mesa, AZ 85204, USA. Electronic address: Kevin_Huls@pediatrix.com.
authors: Christopher Kevin
authors: CK
authors: Huls
mesh_terms: D001803:Blood Transfusion; D002585:Cesarean Section; D042241:Early Diagnosis; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007744:Obstetric Labor Complications / Q000601:surgery*; D059351:Organ Sparing Treatments / Q000379:methods*; D010921:Placenta Accreta / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000601:surgery; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D012307:Risk Factors; D014593:Uterine Inertia / Q000601:surgery*; D014597:Uterine Rupture / Q000601:surgery
keywords: Accreta; Atony; Cesarean; Conservative; Hemorrhage; Hysterectomy; Postpartum; Previa