Korean J Obstet Gynecol.  2001 Jun;44(6):1097-1102.

Clinical Evaluation of Cesarean Hysterectomy

Affiliations
  • 1Department of Obstetrics and Gynecology, College of medicine, Chonbuk National University, Chonju, Korea.

Abstract


OBJECTIVES
The aim of this study was to review 10 years' experience of cesarean hysterectomy at our hospital.
METHODS
A retrospective study of 37 cases of cesarean hysterectomy between Jan, 1, 1989, and Dec, 31, 1998 was carried out and then method of delivery, maternal age, parity, indication for hysterectomy, amount of transfusion, factors associated with adhesive placenta, and complications of hysterectomy were analysed.
RESULTS
The incidence of cesarean hysterectomy was 1 in 639 deliveries. Overall, 0.55% of cesarean sections and 0.02% of vaginal deliveries were followed by cesarean hysterectomy. The higher the age and the parity of patients, the higher incidence of cesarean hysterectomy(p=.000, respectively). The most common indication of cesarean hysterectomy was adhesive placenta(54%). Placenta previa and two more prior cesarean delivery were main risk factors for development of adhesive placenta (Odds ratio: 9.6, 6.1, respectively ; 95% Confidence interval: 2.1-43.5, 1.1-34.2, respectively). Although no maternal deaths occurred, maternal morbidity remained high, including need for transfusion in 29 patients(78%) intraoperative urologic injury in 10 patients(27%), and pulmonary congestion or edema in 7 patients(19%).
CONCLUSION
As the incidence of cesarean section and its association with placenta previa and/or accreta continue to rise, we may encounter Cesarean hysterectomy with increasing frequency. Still, cesarean hystere ctomy remains a potentially life saving procedure with which every obstetrician must be familiar.

Keyword

Cesarean hysterectomy; Adhesive placenta

MeSH Terms

Adhesives
Cesarean Section
Edema
Estrogens, Conjugated (USP)
Female
Humans
Hysterectomy*
Incidence
Maternal Age
Maternal Death
Parity
Placenta
Placenta Previa
Pregnancy
Retrospective Studies
Risk Factors
Adhesives
Estrogens, Conjugated (USP)
Full Text Links
  • KJOG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr