engleski

Peripartal hysterectomies in 5 year period

Summary. Peripartum hysterectomy can be defined as a hysterectomy performed at the time, or within 24 hours, of delivery. Another definition is a hysterectomy performed any time from delivery to discharge from the same hospitalization. Aim. The aim of the study was to determine the incidence, indications and complications associated with peripartal hysterectomies in 5 year period. Patients and methods. In this retrospective study we analyzed 20 peripartal hysterectomies in Clinical Hospital Center Zagreb, Department of Obstetrics and Gynecology, during the period from January 2010 to December 2015. Peripartal hysterectomies after both, vaginal deliveries and Caesarean sections were included in our research. We studied patients who underwent peripartal hysterectomy of any age and at any time during pregnancy. Procedures were performed by surgeons of different gynecological subspecialties. Results. The age of our patients was in the range between 23 and 45 years. Total number of deliveries in that period was 25565 and the incidence of the peripartal hysterectomies was 0.8/1000 deliveries. Main indication was uterine hypotony (35%) followed by placenta previa (25%). There were no postoperative complications or maternal deaths in the analyzed group. Of 20 peripartal hysterectomies, 19 were after Cesarean sections. Conclusion. Cesarean section induces higher peripartal hysterectomy incidence in women due to its relation to atonic and placenatal disorders that increases maternal morbidity.

peripartal hysterectomies; delivery; Caesarean section; uterine hypotony; placenta previa

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