Emergency peripartum hysterectomy: A 9-year review

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dc.contributor.authorYücel, Oğuz
dc.contributor.authorÖzdemir, İsmail
dc.contributor.authorYücel, Neşe
dc.contributor.authorSomunkıran, Aslı
dc.date.accessioned2021-06-23T18:54:17Z
dc.date.available2021-06-23T18:54:17Z
dc.date.issued2006
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: To determine the incidence, indications, risk factors, and complications of emergency peripartum hysterectomy. Study design: A retrospective study of the patients requiring an emergency peripartum hysterectomy of a 9-year period was conducted. Emergency peripartum hysterectomy was defined as one performed for hemorrhage unresponsive to other treatment less than 24 h after delivery. Demographic and clinical variables were obtained from the maternal records. Results: There were 34 emergency peripartum hysterectomies out of 117,095 deliveries for a rate of 0.29 per 1,000. Of the 16 cases that were delivered by cesarean section, seven had a previous cesarean section and 18 cases were delivered vaginally, including two using vacuum extraction. Total hysterectomy was performed in 24 patients, and subtotal hysterectomy in ten patients. The indications for hysterectomy were uterine rupture (n = 12), placenta accreta (n = 10), uterine atony (n = 7), and hemorrhage (n = 5). There were two maternal deaths, six stillbirths, and two early neonatal deaths. Conclusion: This study identified surgical deliveries, uterine rupture, placenta accreta, and uterine atony as risk factors for emergency peripartum hysterectomy. The most common reason for abnormal placental adherence was a previous cesarean section. Multiparity and oxytocin use for uterine stimulation were among the risk factors for uterine atony that necessitated emergency peripartum hysterectomy. © Springer-Verlag 2006.en_US
dc.identifier.doi10.1007/s00404-006-0124-4
dc.identifier.endpage87en_US
dc.identifier.issn0932-0067
dc.identifier.issue2en_US
dc.identifier.pmid16463166en_US
dc.identifier.scopus2-s2.0-33645986629en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage84en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-006-0124-4
dc.identifier.urihttps://hdl.handle.net/20.500.12491/4354
dc.identifier.volume274en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYücel, Oğuz
dc.institutionauthorÖzdemir, İsmail
dc.language.isoenen_US
dc.relation.ispartofArchives of Gynecology and Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEtiologic Factorsen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.subjectPeripartum Hysterectomyen_US
dc.titleEmergency peripartum hysterectomy: A 9-year reviewen_US
dc.typeArticleen_US

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