Open Access
Subscription or Fee Access
EMERGENCY PERIPARTUM HYSTERECTOMY
Abstract
Background: Emergent: hysterectomy in obstetric practice is generally performed in the
setting o l life-threatening situations.
Objective: To review cases of peripartum hysterectomy in respect of indications, risk factors
and complications.
Design: A retrospective study.
Setting: King Edward VIII Hospital, Durban.
Subjects: Seventy one cases uf Caesarean and post-partum hysterectomy performed
between January 1993 and June 1998.
Results: The rate of peripartum hysterectomy was 1:836 deliveries. Fifty eight per cent of the
hysterectomies followed Caesarean section. The main indications for hysterectomy were
ruptured uteri, uncontrollable haemorrhageirorn atonic uteri,sepsis and morbidly adherent
placenta. Perinatal mortality was high and there were four maternal deaths.
Conclusion: Peripartum hysterectomy is a necessary life-saving operation. Prevention of
complications that give rise to emergency hysterectomy should decrease maternal and fetal
morbidity and mortality.
setting o l life-threatening situations.
Objective: To review cases of peripartum hysterectomy in respect of indications, risk factors
and complications.
Design: A retrospective study.
Setting: King Edward VIII Hospital, Durban.
Subjects: Seventy one cases uf Caesarean and post-partum hysterectomy performed
between January 1993 and June 1998.
Results: The rate of peripartum hysterectomy was 1:836 deliveries. Fifty eight per cent of the
hysterectomies followed Caesarean section. The main indications for hysterectomy were
ruptured uteri, uncontrollable haemorrhageirorn atonic uteri,sepsis and morbidly adherent
placenta. Perinatal mortality was high and there were four maternal deaths.
Conclusion: Peripartum hysterectomy is a necessary life-saving operation. Prevention of
complications that give rise to emergency hysterectomy should decrease maternal and fetal
morbidity and mortality.
Refbacks
- There are currently no refbacks.
