Maternal and perinatal outcomes following peripartum hysterectomy from a single tertiary centre

Abstract

Peripartum hysterectomy is a major procedure carrying a high morbidity rate. In this series, maternal survival was 100%.

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

“…The association between (previous) cesarean delivery and hysterectomy is consistent with previous studies. 109,132,139 Clinical outcomes in these women may be better, because blood products and experienced staff could be more readily available. Many of these are not detected before delivery, so that hysterectomy could not be anticipated.…”

“…Interstudy heterogeneity was assessed using x 2 test for heterogeneity. 1,[4][5][6]9,10,[91][92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110] Two studies were analyzed as one (same sample), 4,113 so the total number of papers was considered 128. Pooled odds ratio (OR) with 95% CI was calculated for categorical variables.…”

“…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]…”

Clinical analysis of 52 obstetric hysterectomies

“…In our study, symptoms of hypovolemic shock were observed in 11 (21.25) women. Eight (15.4%) subjects required ICU admission, while other authors reported the following rates: 43.0% (Jagielska et al), and 57.4% (Jones et al) [14,23].…”

“…Data about other countries include 0.024% for Denmark, 0.041% for UK, and 0.146% for the Czech Republic [13][14][15]. In the developing countries, with low socio-economic status, the rate of obstetric hysterectomy is several times higher.…”