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

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    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.
    Issue Date
    2012-02-01T10:57:27Z
    MeSH
    Adult
    Female
    Humans
    *Hysterectomy
    Placenta Accreta/*surgery
    Postpartum Period
    Pregnancy
    Uterine Inertia/*surgery
    Uterus/*injuries/surgery
    
    Metadata
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    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
    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
    ISSN
    1364-6893 (Electronic)
    0144-3615 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.3109/01443615.2011.560300
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

    entitlement

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