“…This incidence was lower than the previous studies reported from Egypt as Allam et al 14 , who found the incidence between 2003 and 2008 was 2.24 per 1000 delivery. Mesbah et al 15 in their study from 2008 to 2011 reported the incidence of EPH was 2.9 per 1000 delivery. However, this incidence is still higher than reports from developed countries.…”
Section: Discussionmentioning
confidence: 95%
“…14,15,27 It is relatively easier and takes less time to control the hemorrhage in hemodynamically unstable patients. In spite of that, total hysterectomy was performed in 52 cases, most of them presented by morbid adherent placenta or rupture uterus with extended cervical or vaginal lacerations.…”
Section: Discussionmentioning
confidence: 99%
“…This is consistent with previous studies. 15 Re-exploration was performed in 11 cases (8.9%). This rate is lower than reported by Begum et al 28 which was 15%.…”
Section: Discussionmentioning
confidence: 99%
“…12,13 Despite the importance of EPH, there is limited number of reports on the outcomes from developing countries. 14,15 In the current study, we reported on the incidence, indications, outcomes and complications of emergency peripartum hysterectomy performed in a tertiary care hospital in Upper Egypt over a 6-year period.…”
“…This incidence was lower than the previous studies reported from Egypt as Allam et al 14 , who found the incidence between 2003 and 2008 was 2.24 per 1000 delivery. Mesbah et al 15 in their study from 2008 to 2011 reported the incidence of EPH was 2.9 per 1000 delivery. However, this incidence is still higher than reports from developed countries.…”
Section: Discussionmentioning
confidence: 95%
“…14,15,27 It is relatively easier and takes less time to control the hemorrhage in hemodynamically unstable patients. In spite of that, total hysterectomy was performed in 52 cases, most of them presented by morbid adherent placenta or rupture uterus with extended cervical or vaginal lacerations.…”
Section: Discussionmentioning
confidence: 99%
“…This is consistent with previous studies. 15 Re-exploration was performed in 11 cases (8.9%). This rate is lower than reported by Begum et al 28 which was 15%.…”
Section: Discussionmentioning
confidence: 99%
“…12,13 Despite the importance of EPH, there is limited number of reports on the outcomes from developing countries. 14,15 In the current study, we reported on the incidence, indications, outcomes and complications of emergency peripartum hysterectomy performed in a tertiary care hospital in Upper Egypt over a 6-year period.…”
Emergency peripartum hysterectomy is associated with considerable morbidity and mortality and is more frequent in lower-income countries, where it contains a higher risk of mortality. A (previous) cesarean delivery is associated with a higher risk of emergency peripartum hysterectomy.
The results of this study showed the most important risk factors associated with peripartum hysterectomy to be uterine atony, grand multiparity, and uterine rupture. Maternal intensive care, maternal death, neonatal death, or neonatal intensive care were associated with home delivery or delayed presentation at hospital.
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