Emergency Peripartum Hysterectomy in a Tertiary Care Hospital in Saudi Arabia

Abstract

Hysterectomy for the control of obstetric hemorrhage is usually associated with significant mortality and morbidity. Prompt intervention to include peripartum hysterectomy may likely decrease the rate of maternal deaths and significant maternal morbidity.

Emergency peripartum hysterectomy in a tertiary hospital in Upper Egypt: six years analysis

“…15 Re-exploration was performed in 11 cases (8.9%). This rate is lower than reported by Begum et al 28 which was 15%. DIC was the major contributing factor that stimulates the re-exploration.…”

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

“…1,6,17,19,20,[23][24][25][26][27][28][29]31,33,34,37,38,40,41,43,[45][46][47][48][49][50][51][52][53]57,58,60,62,64,72,78,83,86,87,93,94,96,[105][106][107][108][109]112,114,[118][119][120][121]…”

“…57,65,80,90 Five case-control studies reported multivariate analysis. 87,110 All but three studies 88,89,118 mentioned prevalence of emergency peripartum hysterectomy; four were excluded from prevalence estimation, because these reported only cesarean 21,71,79 or postpartum 136 hysterectomies. Two mentioned analysis of confounding but no multivariate analysis.…”

“…5,10,26,58,60,61,64,66,70,74,75,80,84,85,87,92,93,95,97,100,102,104,105,111,113,116,117,119,123,125,126,129,133,[136][137][138][139] Oxytocin and ergometrine were given to 1,846 (85.7%) women and prostaglandins to 843 (39.1%). 5,10,26,58,60,61,64,66,70,74,75,80,84,85,87,…”

Peripartum Hysterectomy

“…All were identified as independent risk factors for uterine atony [11][12][13][14][15][16][17][18][19][20][21][22][23].…”