EMERGENCY PERIPARTUM HYSTERECTOMY IN WOMEN WITH PLACENTA ACCRETA SPECTRUM: A CASE SERIES

2021 ◽  
pp. 60-62
Author(s):  
Shree Bharathi ◽  
Niveditha Jha ◽  
Sasirekha Rengaraj ◽  
Veena Ranjan
Keyword(s):  
Care Setting ◽  
Tertiary Care ◽  
Case Series ◽  
Chorionic Villi ◽  
Peripartum Hysterectomy ◽  
Adherent Placenta ◽  
Emergency Peripartum Hysterectomy ◽  
Placenta Accreta Spectrum ◽  
Uterine Scar ◽  
Tertiary Care Setting

Morbidly adherent placenta(MAP) is a rare albeit signicant cause of massive obstetric hemorrhage. It occurs as a result of failure of normal decidualisation in the area of a previous uterine scar, which leads to abnormally deep inltration of placental chorionic villi. Early radiological diagnosis in the antenatal period ensures time for adequate preparation for its optimal management by peripartum hysterectomy. A good outcome in these patients depends on a collaborative approach between Obstetricians, Urologists, Intervention Radiologists, Anaesthetists, Transfusion physicians and Neonatologists. In this case report, we present three cases of adherent placenta and their management and outcomes, in our tertiary care setting

scholarly journals Emergency peripartum hysterectomy: a retrospective analysis in a tertiary care hospital in Jharkhand, India

2018 ◽  
Vol 7 (8) ◽  
pp. 3179
Author(s):  
Megha Bhagat ◽  
Bratati Moitra
Keyword(s):  
Retrospective Analysis ◽  
Uterine Rupture ◽  
Tertiary Care ◽  
Bladder Injury ◽  
Care Hospital ◽  
Peripartum Hysterectomy ◽  
Morbidly Adherent Placenta ◽  
Cesarean Deliveries ◽  
Adherent Placenta ◽  
Emergency Peripartum Hysterectomy

Background: Emergency peripartum hysterectomy (EPH) is a rare but a lifesaving procedure done as a last resort to save life of mother. We conducted this study to know the incidence, leading causes, and complications of obstetric hysterectomy.Methods: Authors conducted a retrospective analysis of all the patients who underwent emergency peripartum hysterectomy from January 2015 to December 2017 at RIMS, Ranchi.Results: There were 126 emergency peripartum hysterectomies, with deliveries during the same period being 21732 and the rate of EPH was 5.7 per 1000 deliveries. Most common indication for EPH was uterine rupture (54.6%), followed by uterine atony (18.2%) and morbidly adherent placenta (23.01%). Most of the patients (66.67%) had previous cesarean deliveries. EPH was done following cesarean in 66.67%. Subtotal hysterectomy was done in 88.09%. Intra-operative urinary bladder injury was seen in 11.11% of the patients.Conclusions: Uterine rupture and Morbidly adherent placenta continues to be the most common causes for EPH in our population. Multiparity is an important risk factor among patients with rupture uterus. Cesarean delivery and repeat cesarean deliveries are the likely risk factors for EPH.

scholarly journals Peripartum hysterectomy: a five year review at a tertiary care centre

2017 ◽  
Vol 6 (8) ◽  
pp. 3590
Author(s):  
Deepak A. V. ◽  
K. J. Jacob ◽  
Sumi P. Maria
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Case Fatality ◽  
Tertiary Care Centre ◽  
Retrospective Case ◽  
College Hospital ◽  
Peripartum Hysterectomy ◽  
Medical College ◽  
Obstetric Haemorrhage ◽  
Suboptimal Care

Background: Peripartum hysterectomy is a life-saving procedure resorted to when conservative measures fail to control obstetric haemorrhage. Several predisposing factors, suboptimal care and lack of infrastructure may lead to this emergency procedure. We wanted to find out factors associated with peripartum hysterectomy and the adverse maternal outcomes at our centre.Methods: A retrospective case series analysis of 40 cases of peripartum hysterectomy performed over a period of 5 years from January 2010 to December 2014 at Government Medical College Hospital, Thrissur, Kerala was done.Results: The incidence of peripartum hysterectomy was 0.29%. The most common indication for peripartum hysterectomy was hysterectomy was uterine atony (50%). Thirty-five women (88%) were between 20 and 35 years. Most of the subjects were unbooked. There were two maternal deaths (case fatality rate of 5%) following peripartum hysterectomy during this period. All the subjects required blood transfusion.Conclusions: Prompt performance hysterectomy before the patient’s clinical condition deteriorates is the key to success. The incidence of adherent placenta is increasing, so every effort should be taken to reduce the caesarean section rates globally. 

scholarly journals Erratum: Salmonella blood stream infections in a tertiary care setting in Ghana

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Appiah-Korang Labi ◽  
Noah Obeng-Nkrumah ◽  
Naa Addison ◽  
Eric S. Donkor
Keyword(s):  
Care Setting ◽  
Tertiary Care ◽  
Blood Stream ◽  
Blood Stream Infections ◽  
Tertiary Care Setting

scholarly journals Immunotherapy – 2066. A study on skin prick test patterns of atopic patients managed in a tertiary care setting of Sri Lanka

2013 ◽  
Vol 6 ◽  
pp. P149
Author(s):  
Anoma Siribaddana ◽  
Fariha Sitheeque ◽  
Sonali Surangi ◽  
Srinath Illeperuma ◽  
Dinesh Dassanayaka
Keyword(s):  
Sri Lanka ◽  
Skin Prick Test ◽  
Care Setting ◽  
Tertiary Care ◽  
Prick Test ◽  
Tertiary Care Setting

scholarly journals Retinopathy among young adults with Diabetes Mellitus from a tertiary care setting in Sri Lanka

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Prasad Katulanda ◽  
Yasindu C Waniganayake ◽  
Priyanga Ranasinghe ◽  
WM Udai Akalanka Wijetunga ◽  
Mahesh Jayaweera ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Young Adults ◽  
Sri Lanka ◽  
Care Setting ◽  
Tertiary Care ◽  
Tertiary Care Setting
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