Changing trends in peripartum hysterectomy over the last 4 decades.

Hdl Handle:
http://hdl.handle.net/10147/129780
Title:
Changing trends in peripartum hysterectomy over the last 4 decades.
Authors:
Flood, Karen M; Said, Soha; Geary, Michael; Robson, Michael; Fitzpatrick, Christopher; Malone, Fergal D
Affiliation:
Department of Obstetrics and Gynaecology, Rotunda Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland.
Citation:
Changing trends in peripartum hysterectomy over the last 4 decades. 2009, 200 (6):632.e1-6 Am. J. Obstet. Gynecol.
Journal:
American journal of obstetrics and gynecology
Issue Date:
Jun-2009
URI:
http://hdl.handle.net/10147/129780
DOI:
10.1016/j.ajog.2009.02.001
PubMed ID:
19306969
Additional Links:
http://www.ajog.org/article/S0002-9378(09)00186-0/abstract
Abstract:
The purpose of this study was to identify changing trends in peripartum hysterectomy (PH) in a single large obstetric population over the last 40 years.; A retrospective cohort study was performed from 1966-2005 of patients who had PH in any of the 3 Dublin obstetric hospitals. Cases were identified, and details were obtained from the combined patient databases of each hospital.; There were 872,379 deliveries during the study period, among which 358 women underwent PH (0.4/1000 deliveries). In a comparison of the study decades 1966-1975 with 1996-2005, PH decreased from 0.9 per 1000 deliveries to 0.2 of 1000 deliveries. Although the overall cesarean delivery rate has increased from 6-19% during these 2 decades, the percentage of PH that occurs in the setting of a previous cesarean delivery has increased from 27-57% (P < .00001). Indications for PH have changed significantly in this time period, with "uterine rupture" as the indication for PH decreasing from 40.5-9.3% (P < .0001) and placenta accreta as the indication increasing significantly from 5.4-46.5% (P < .00001).; PH has decreased over the last 4 decades. However, alongside the rising cesarean delivery rate, there has been a marked increase in the incidence of placenta accreta.
Item Type:
Article
Language:
en
MeSH:
Cesarean Section; Cohort Studies; Female; Humans; Hysterectomy; Intraoperative Period; Obstetric Labor Complications; Postpartum Period; Pregnancy; Puerperal Disorders; Retrospective Studies; Time Factors
ISSN:
1097-6868

Full metadata record

DC FieldValue Language
dc.contributor.authorFlood, Karen Men
dc.contributor.authorSaid, Sohaen
dc.contributor.authorGeary, Michaelen
dc.contributor.authorRobson, Michaelen
dc.contributor.authorFitzpatrick, Christopheren
dc.contributor.authorMalone, Fergal Den
dc.date.accessioned2011-05-19T11:00:14Z-
dc.date.available2011-05-19T11:00:14Z-
dc.date.issued2009-06-
dc.identifier.citationChanging trends in peripartum hysterectomy over the last 4 decades. 2009, 200 (6):632.e1-6 Am. J. Obstet. Gynecol.en
dc.identifier.issn1097-6868-
dc.identifier.pmid19306969-
dc.identifier.doi10.1016/j.ajog.2009.02.001-
dc.identifier.urihttp://hdl.handle.net/10147/129780-
dc.description.abstractThe purpose of this study was to identify changing trends in peripartum hysterectomy (PH) in a single large obstetric population over the last 40 years.-
dc.description.abstractA retrospective cohort study was performed from 1966-2005 of patients who had PH in any of the 3 Dublin obstetric hospitals. Cases were identified, and details were obtained from the combined patient databases of each hospital.-
dc.description.abstractThere were 872,379 deliveries during the study period, among which 358 women underwent PH (0.4/1000 deliveries). In a comparison of the study decades 1966-1975 with 1996-2005, PH decreased from 0.9 per 1000 deliveries to 0.2 of 1000 deliveries. Although the overall cesarean delivery rate has increased from 6-19% during these 2 decades, the percentage of PH that occurs in the setting of a previous cesarean delivery has increased from 27-57% (P < .00001). Indications for PH have changed significantly in this time period, with "uterine rupture" as the indication for PH decreasing from 40.5-9.3% (P < .0001) and placenta accreta as the indication increasing significantly from 5.4-46.5% (P < .00001).-
dc.description.abstractPH has decreased over the last 4 decades. However, alongside the rising cesarean delivery rate, there has been a marked increase in the incidence of placenta accreta.-
dc.language.isoenen
dc.relation.urlhttp://www.ajog.org/article/S0002-9378(09)00186-0/abstracten
dc.subject.meshCesarean Section-
dc.subject.meshCohort Studies-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshHysterectomy-
dc.subject.meshIntraoperative Period-
dc.subject.meshObstetric Labor Complications-
dc.subject.meshPostpartum Period-
dc.subject.meshPregnancy-
dc.subject.meshPuerperal Disorders-
dc.subject.meshRetrospective Studies-
dc.subject.meshTime Factors-
dc.titleChanging trends in peripartum hysterectomy over the last 4 decades.en
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland.en
dc.identifier.journalAmerican journal of obstetrics and gynecologyen
dc.description.provinceLeinster-

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