Korean J Obstet Gynecol.  2001 Dec;44(12):2190-2193.

Emergency peripartum hysterectomy: a five year review

• Ahn HK
• Kim ES
• Han JY
• Kim MY
• Ryu HM
• Choi KH
• Yang JH

Abstract

OBJECTIVE
To review the cases of peripartum hysterectomy in women delivered at a Hospital.
METHODS
This is a retrospective study of all cases of emergency peripartum hysterectomy performed between August 1994 and July 1998.
RESULTS
During the study period a total of 35 emergency peripartum hysterectomy was performed. The overall incidence was 0.9/1,000 deliveries. The mean age of patients was 33.7+/-0.8 years old, the median gravidity was 5 and mean gestational age was 37.7+/-0.4 weeks. The main indications for hysterectomy were massive bleeding due to abnormal placental adhesions or uterine atony. There was no maternal death, However, maternal morbidity was 34.3%.
CONCLUSIONS
The data show abnormal adherent placentation as the primary cause for gravid hysterectomy. The data illustrate how the incidence of emergency peripartum hysterectomy increases significantly with increasing parity, especially when influenced by a current placenta previa or a prior cesarean section. Maternal morbidyity remained high although no maternal deaths occurred.

Keyword

Peripartum hysterectomy; Abnormal adherent placentation; Uterine atony

MeSH Terms

Cesarean Section
Emergencies*
Female
Gestational Age
Gravidity
Hemorrhage
Humans
Hysterectomy*
Incidence
Maternal Death
Parity
Peripartum Period*
Placenta Previa
Placentation
Pregnancy
Retrospective Studies
Uterine Inertia