Peripartum Hysterectomy Outcomes: Our Eleven-Year Experience at a Tertiary Care Hospital

被引:0
作者
Akay, Arife [1 ,2 ]
Akdas Reis, Yildiz [1 ]
Celik, Susam [1 ]
Firatligil, Fahri Burcin [1 ]
Engin Ustun, Yaprak [1 ]
机构
[1] Etlik Zubeyde Hanim Matern & Womens Hlth Teaching, Dept Obstet & Gynecol, Ankara, Turkiye
[2] Bingol Maternety & Children Hosp, Dept Obstet & Gynecol, Bingol, Turkiye
关键词
Peripartum hysterectomy; Postpartum hemorrhage; Placenta acreata spectrum; Uterine atony; MATERNAL DEATH; RISK; DELIVERY;
D O I
10.1007/s13224-023-01818-z
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
AimTo investigate the outcomes of peripartum hysterectomies (PHs) conducted to prevent maternal morbidity and mortality at a tertiary care hospital with 15,000 deliveries per year.MethodPatients who underwent PHs during delivery and/or within 24 h of delivery between the years 2011-2022 were retrospectively evaluated. Hysterectomies not performed in the peripartum period, cases that were managed by methods such as balloon tamponade, compression suture, or arterial ligation rather than hysterectomy, and hysterectomies performed before 20 weeks were excluded. Obstetric and demographic characteristics of the cases, as well as indications and outcomes of PH, were investigated.ResultsAmong the 130 patients who underwent PH, 4 (3.04%) patients delivered vaginally, 1 (0.7%) patient delivered vaginally after cesarean section, 12 (9.2%) patients delivered by primary cesarean section, and 113 (86.9%) patients delivered by secondary cesarean section. Placenta accreta spectrum disorder was the reason for PH in 54.6% (n = 71) of the cases while 16.1% (n = 21) underwent PH due to uterine atony. The PH rate was 0.75 per 1000 births, and the maternal mortality rate was 7.6 per 1000 hysterectomies in this study.ConclusionObstetricians in developed/ing countries support the active management of the third stage of labor mainly to mitigate the preventable risk factors of post-/peri-partum hemorrhage. The current study suggests that obstetricians need to focus on the placenta in order to reduce PH.
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收藏
页码:185 / 190
页数:6
相关论文
共 24 条
  • [1] Placenta Percreta Complications
    Anderson, Danyon J.
    Liu, Hefei
    Kumar, Devesh
    Patel, Mit
    Kim, Simon
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (10)
  • [2] [Anonymous], 2014, OBSTET GYNECOL, V123, P693
  • [3] [Anonymous], 2015, REP TURK MIN HLTH HL
  • [4] [Anonymous], 2020, REP TURK MIN HLTH HL
  • [5] Thrombosis risk assessment as a guide to quality patient care
    Caprini, JA
    [J]. DM DISEASE-A-MONTH, 2005, 51 (2-3): : 70 - 78
  • [6] Cesarean Delivery Rates Revisiting a 3-Decades-Old Dogma
    D'Alton, Mary E.
    Hehir, Mark P.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (21): : 2238 - 2240
  • [7] Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review
    de la Cruz, Cara Z.
    Thompson, Erika L.
    O'Rourke, Kathleen
    Nembhard, Wendy N.
    [J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2015, 292 (06) : 1201 - 1215
  • [8] Cesarean delivery rates by hospital type among nulliparous and multiparous patients
    Ghafari-Saravi, Afsoon
    Chaiken, Sarina R.
    Packer, Claire H.
    Davitt, Caroline C.
    Garg, Bharti
    Caughey, Aaron B.
    [J]. JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2022, 35 (25) : 8631 - 8639
  • [9] Risk of Peripartum Hysterectomy and Center Hysterectomy and Delivery Volume
    Govindappagari, Shravya
    Wright, Jason D.
    Ananth, Cande V.
    Huang, Yongmei
    D'Alton, Mary E.
    Friedman, Alexander M.
    [J]. OBSTETRICS AND GYNECOLOGY, 2016, 128 (06) : 1215 - 1224
  • [10] Hawkins Joy L, 2020, Anesthesiol Clin, V38, P839, DOI 10.1016/j.anclin.2020.08.010