Peripartum hysterectomy in the first decade of the 21st century.

Hdl Handle:
http://hdl.handle.net/10147/208005
Title:
Peripartum hysterectomy in the first decade of the 21st century.
Authors:
Tadesse, W; Farah, N; Hogan, J; D'Arcy, T; Kennelly, M; Turner, M J
Affiliation:
UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland.
Citation:
J Obstet Gynaecol. 2011 May;31(4):320-1.
Journal:
Journal of obstetrics and gynaecology : the journal of the Institute of, Obstetrics and Gynaecology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208005
DOI:
10.3109/01443615.2011.560300
PubMed ID:
21534754
Abstract:
We reviewed the role of peripartum hysterectomy (PH) in the first decade of the 21st century. The study was confined to women who delivered a baby weighing 500 g or more between 2000 and 2009, and who required a hysterectomy within 72 h of delivery for obstetric reasons. Individual case records were reviewed. There were 19 cases of PH in 78,961 deliveries giving an incidence of 1 in 4,156 (0.02%). Of the 19 cases, 95% were delivered by caesarean section and 89% had one or more prior sections. The indications were placental bed pathology (79%), uterine atony (16%) and uterine trauma (5%). Of the 19 hysterectomies, 16 (84%) were total and a gynaecological oncologist was involved in nine (56%) of these cases. There were no maternal or fetal deaths, but a mother required an average blood transfusion of 10 units. The overall rate of PH was remarkably low compared with other studies but it is likely to increase in the future because of the strong association between increasing caesarean section rates and placental bed pathology. The potential involvement of the cervix and other pelvic structures by placental pathology means that PH in the future will be more challenging, and the hysterectomy will need to be total rather than subtotal.
Language:
eng
MeSH:
Adult; Female; Humans; *Hysterectomy; Placenta Accreta/*surgery; Postpartum Period; Pregnancy; Uterine Inertia/*surgery; Uterus/*injuries/surgery
ISSN:
1364-6893 (Electronic); 0144-3615 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorTadesse, Wen_GB
dc.contributor.authorFarah, Nen_GB
dc.contributor.authorHogan, Jen_GB
dc.contributor.authorD'Arcy, Ten_GB
dc.contributor.authorKennelly, Men_GB
dc.contributor.authorTurner, M Jen_GB
dc.date.accessioned2012-02-01T10:57:27Z-
dc.date.available2012-02-01T10:57:27Z-
dc.date.issued2012-02-01T10:57:27Z-
dc.identifier.citationJ Obstet Gynaecol. 2011 May;31(4):320-1.en_GB
dc.identifier.issn1364-6893 (Electronic)en_GB
dc.identifier.issn0144-3615 (Linking)en_GB
dc.identifier.pmid21534754en_GB
dc.identifier.doi10.3109/01443615.2011.560300en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208005-
dc.description.abstractWe reviewed the role of peripartum hysterectomy (PH) in the first decade of the 21st century. The study was confined to women who delivered a baby weighing 500 g or more between 2000 and 2009, and who required a hysterectomy within 72 h of delivery for obstetric reasons. Individual case records were reviewed. There were 19 cases of PH in 78,961 deliveries giving an incidence of 1 in 4,156 (0.02%). Of the 19 cases, 95% were delivered by caesarean section and 89% had one or more prior sections. The indications were placental bed pathology (79%), uterine atony (16%) and uterine trauma (5%). Of the 19 hysterectomies, 16 (84%) were total and a gynaecological oncologist was involved in nine (56%) of these cases. There were no maternal or fetal deaths, but a mother required an average blood transfusion of 10 units. The overall rate of PH was remarkably low compared with other studies but it is likely to increase in the future because of the strong association between increasing caesarean section rates and placental bed pathology. The potential involvement of the cervix and other pelvic structures by placental pathology means that PH in the future will be more challenging, and the hysterectomy will need to be total rather than subtotal.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Hysterectomyen_GB
dc.subject.meshPlacenta Accreta/*surgeryen_GB
dc.subject.meshPostpartum Perioden_GB
dc.subject.meshPregnancyen_GB
dc.subject.meshUterine Inertia/*surgeryen_GB
dc.subject.meshUterus/*injuries/surgeryen_GB
dc.titlePeripartum hysterectomy in the first decade of the 21st century.en_GB
dc.contributor.departmentUCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland.en_GB
dc.identifier.journalJournal of obstetrics and gynaecology : the journal of the Institute of, Obstetrics and Gynaecologyen_GB
dc.description.provinceLeinster-

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