Emergency peripartum hysterectomy in a tertiary Istanbul hospital

Archives of Gynecology and Obstetrics
Furkan KayabasogluGunes Gunduz

Abstract

To evaluate the incidence, risk factors, indications, outcomes and complications of emergency peripartum hysterectomy performed after cesarean and vaginal deliveries. We analyzed retrospectively 28 cases of emergency peripartum hysterectomy operations performed between February 2001 and February 2007 at the Istanbul Goztepe Training and Research Hospital, which is a teaching hospital operating under the Turkish Ministry of Health. The indications, risk factors and the associated complications were compared with control groups. Statistical analysis was performed using the STATA version 7.0 statistical package (Stata Corporation, College Station, TX, USA). The overall incidence of emergency peripartum hysterectomy at our hospital is 0,37 in 1,000 deliveries. Abnormal placental adherence and uterine atony comprised 85% of the indications for peripartum hysterectomy. Postoperative maternal morbidity occurred in 15 cases (54%). Most had a febrile morbidity and depression. Seven patients underwent postpartum histerectomy due to consumptive coagulopathy. There was one maternal mortality (4%) and five perinatal mortalities (18%). The maternal death was due to consumptive coagulopathy after placental abruption. All patients had to recei...Continue Reading

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Citations

Jun 18, 2010·Archives of Gynecology and Obstetrics·Michail SpiliopoulosVani Dandolu
Jun 30, 2012·Archives of Gynecology and Obstetrics·Omer Lutfi TapisizOmer Kandemir
Aug 31, 2013·Archives of Gynecology and Obstetrics·Qiang WeiXinghui Liu
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Mar 20, 2014·Archives of Gynecology and Obstetrics·Hae-Hyeog Lee, Tae-Hee Kim
Nov 12, 2013·Archives of Gynecology and Obstetrics·Sadik SahinMustafa Serdar Yaşartekin
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