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Emergency Peripartum Hysterectomy : A 10-Year Review
Joint Authors
Costa, Fernanda
Ferreira Carvalho, Joana Isabel
Carmo, Olímpia do
Torres, Sílvia
Ribeiro Cubal, Adelaide Fernanda
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Emergency peripartum hysterectomy (EPH), although rare in modern obstetrics, remains a life-saving procedure in cases of severe hemorrhage.
Purpose.
To determine the incidence, risk factors, indications, outcomes, and complications of EPH performed in a tertiary teaching hospital and to compare the results with other reports in the literature.
Methods.
The medical records of 13 patients who had undergone EPH, between January 2000 and December 2010, were reviewed retrospectively.
Maternal characteristics and characteristics of the present pregnancy and delivery, hysterectomy indications, operative complications, postoperative conditions, and maternal and neonatal outcomes were evaluated.
Results.
There were 13 EPHs out of 31.767 deliveries, a rate of 0.41 per 1,000 deliveries.
Eight hysterectomies were performed after cesarean delivery and five after vaginal delivery.
The most common indication for hysterectomy was uterine atony (10/13), followed by placenta previa (2/13).
There were one case of intraoperative bladder injury and one case of relaparotomy because of hemoperitoneum.
We had one maternal death because of septic shock.
There were no cases of neonatal morbidity and mortality.
Conclusion.
Postpartum hemorrhage is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face.
American Psychological Association (APA)
Ferreira Carvalho, Joana Isabel& Ribeiro Cubal, Adelaide Fernanda& Torres, Sílvia& Costa, Fernanda& Carmo, Olímpia do. 2012. Emergency Peripartum Hysterectomy : A 10-Year Review. ISRN Emergency Medicine،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493389
Modern Language Association (MLA)
Ferreira Carvalho, Joana Isabel…[et al.]. Emergency Peripartum Hysterectomy : A 10-Year Review. ISRN Emergency Medicine No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-493389
American Medical Association (AMA)
Ferreira Carvalho, Joana Isabel& Ribeiro Cubal, Adelaide Fernanda& Torres, Sílvia& Costa, Fernanda& Carmo, Olímpia do. Emergency Peripartum Hysterectomy : A 10-Year Review. ISRN Emergency Medicine. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493389
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493389