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  • Title: Analysis of 59 cases of emergent peripartum hysterectomies during a 13-year period.
    Author: Ozden S, Yildirim G, Basaran T, Gurbuz B, Dayicioglu V.
    Journal: Arch Gynecol Obstet; 2005 Apr; 271(4):363-7. PubMed ID: 15205986.
    Abstract:
    OBJECTIVE: The objective was to investigate the incidence, indications, and risk factors of peripartum emergent hysterectomy. METHOD: Fifty-nine cases of emergent peripartum hysterectomy performed at Zeynep Kamil Women and Children's Education and Research Hospital during a 13-year period between January 1990 and January 2003 were evaluated retrospectively. Emergent peripartum hysterectomy was defined as that performed for haemorrhage unresponsive to other therapeutic interventions within the first 24 h of delivery. RESULT: Emergent peripartum hysterectomy was performed in 59 cases of 234,958 women (25.1/100,000). Total and subtotal hysterectomy was performed in 25 and 34 cases respectively. The rates of emergent peripartum hysterectomy after vaginal and caesarean deliveries were 8.7/100,000 and 104.5/100,000 respectively. Uterine atony was the most frequent indication (62.7%). The rates of emergent peripartum hysterectomy due to uterine atony in primiparous and multiparous women were 61.1 and 65.2% respectively. The rate of maternal mortality was 8% (5 cases). CONCLUSION: Uterine atony was the most common indication for emergent peripartum hysterectomy.
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