| Emergency peripartum hysterectomy: a five year review. |
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H K Ahn, E S Kim, J Y Han, M Y Kim, H M Ryu, K H Choi, J H Yang |
1Division of Maternal Fetal Medicine, Samsung Cheil Hospital & Women's Healthcare Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
2Department of Obstetrics and Gynecology, Samsung Cheil Hospital & Women's Healthcare Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. |
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| Abstract |
OBJECTIVE
To review the cases of peripartum hysterectomy in women delivered at a Hospital. METHODS: This is a retrospective study of all cases of emergency peripartum hysterectomy performed between August 1994 and July 1998. RESULTS: During the study period a total of 35 emergency peripartum hysterectomy was performed. The overall incidence was 0.9/1,000 deliveries. The mean age of patients was 33.7+/-0.8 years old, the median gravidity was 5 and mean gestational age was 37.7+/-0.4 weeks. The main indications for hysterectomy were massive bleeding due to abnormal placental adhesions or uterine atony. There was no maternal death, However, maternal morbidity was 34.3%. CONCLUSIONS: The data show abnormal adherent placentation as the primary cause for gravid hysterectomy. The data illustrate how the incidence of emergency peripartum hysterectomy increases significantly with increasing parity, especially when influenced by a current placenta previa or a prior cesarean section. Maternal morbidyity remained high although no maternal deaths occurred. |
| Key Words:
Peripartum hysterectomy, Abnormal adherent placentation, Uterine atony |
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