scholarly journals Peripartum Hysterectomy Versus Non Obstetrical Hysterectomy

Hysterectomy ◽  
10.5772/29892 ◽  
2012 ◽  
Author(s):  
S. Masheer ◽  
N. Najmi

Author(s):  
Deepak A. V. ◽  
K. J. Jacob ◽  
Sumi P. Maria

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. 



2021 ◽  
Vol 60 (1) ◽  
pp. 95-98
Author(s):  
Gonca Yetkin Yildirim ◽  
Nadiye Koroglu ◽  
Aysu Akca ◽  
Merve Talmac ◽  
Selin Dikmen ◽  
...  


2009 ◽  
Vol 114 (4) ◽  
pp. 927 ◽  
Author(s):  
Clara Bodelon ◽  
Antonio Bernabe-Ortiz ◽  
Melissa A. Schiff ◽  
Susan D. Reed


2015 ◽  
Vol 5 (2) ◽  
pp. 72-78 ◽  
Author(s):  
A. C. Wortman ◽  
J. S. Hernandez ◽  
D. S. Holcomb ◽  
K. L. Wilson ◽  
D. D. McIntire ◽  
...  


Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Farzana Latif ◽  
Sadia Ilyas ◽  
Saeed Mehmood ◽  
Hammad Arif ◽  
Nuzhat Parveen Khawaja ◽  
...  

Objectives: To audit the obstetric hysterectomies in a tertiary care hospital during one year. Methods: It was an observational retrospective study design, where all the pregnant women were assessed for fetomaternal outcomes, indications and complications for peripartum hysterectomy. The records were retrieved from Jan 2015 to Dec 2015 by using hospital record system. The study duration was of one year. The venue of the study was Lahore General hospital, Lahore. The exclusion criteria included all unmarried women, women with chronic kidney disease or renal failure, past surgical history of heart disease, whereas all the women who delivered in hospital, private clinic or at home after atleast 28 weeks of gestational age and experience hysterectomy at the time of delivery or after delivery in the puerperium, were included in the study. Results: The data over 32 women were retrieved from the hospital record system. The mean age of the women was 30.34+2.23 with range 26-34. The average number of parity was 3 of all females. The range of parity was 2 to 7. The average gestational age was 36.18 weeks. All the deliveries were done by cesarean section whereas 4 (12.5%) were elective and 28 (87.5%) were with emergency indications. 13 (40.6%) of the deliveries were in private clinic, 9 (28.1%) were done by LHV/ mid wife, 5(15.6%) were in private hospitals, 4(12.5%) were in LGH and only 1(3.1%) was at home. 18(56.3%) of the women were having at least one abortion in previous history. Conclusion: We concluded that emergency peripartum hysterectomy is very vital procedure that saves lives and manage life threatening obstetrical hemorrhage when other methods failed to control it.The major indications for emergency peripartum hysterectomy were placental abruption, placenta praevia/accrete, uterine atony and ruptured uterus. Key Words: Uterine artery embolization, Emergency peripartum hysterectomy, maternal morbidity and mortality, healthcare providers How to Cite: Latif F, Ilyas S, Mehmood S. Arif H. Khawaja P. Nuzhat. Jawad Z. J Clinical audit of obstetrical hysterectomies for a period of one year in a tertiary care hospital. Esculapio.2020;16(04):50-53.



2008 ◽  
Vol 115 (6) ◽  
pp. 800-800
Author(s):  
M Knight ◽  
D Tuffnell ◽  
JJ Kurinczuk ◽  
P Spark ◽  
P Brocklehurst


2007 ◽  
Vol 86 (12) ◽  
pp. 1472-1475 ◽  
Author(s):  
Abelone Sakse ◽  
Tom Weber ◽  
Carsten Nickelsen ◽  
Niels Jørgen Secher


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