Peripartum hysterectomy in Denmark 1995–2004

Sakse, A.; Weber, Tom; Nickelsen, Carsten; Secher, Niels Jørgen

doi:10.1080/00016340701692651

Cited by 61 publications

(66 citation statements)

References 16 publications

(18 reference statements)

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“…This incidence was higher than what has been reported in Durban in South Africa of 5.1/1000 3 and in Southern Nigeria of 5.4/1000 1 and in Ghana of 4.3/1000 2 . This incidence was much higher than what has been reported in developed countries which are below 1/1000 births 9,14 . The difference between NMAH and Durban can be attributed to the differences in the level of obstetric care offered.…”

Section: Discussioncontrasting

confidence: 61%

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Peripartum hysterectomy: Two years experience at Nelson Mandela Academic hospital, Mthatha, Eastern Cape South Africa

Wandabwa¹,

Businge²,

Longo-Mbenza³

et al. 2013

Afr H. Sci.

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Background: Obstetric haemorrhage is the leading direct cause of maternal mortality in South Africa. Objective: To determine the incidence, indications, associations and maternal outcomes of emergency peripartum hysterectomies. Methods: A descriptive and retrospective analysis of patients who had peripartum hysterectomy between 1 st February 2007 and 31 st January 2009 in Nelson Mandela Academic Hospital at Mthatha city. Results: The incidence of 0.95% of peripartum hysterectomies (n=63 or 9.5/1000 births) increased with the increasing maternal age from 0.121% at age of less than 20 years to 0.5% at age more or equal to 30 years. Similarly the incidence increased with parity from 0.332% for Primiparity to 0.468% at parity of four or more. The indications for the operation were uterine atony 19/63 (30.2%), secondary haemorrhage/puerperal sepsis 17/63 (27%) and ruptured uterus 16/63 (23.4%). The main intra operative complication was haemorrhage 13/63 (20.6%). Repeat laparotomy was done in 10/63 (15%) of patients due to haemorrhage. Admission to intensive care unit was 25/63 (39.7%). The case specific mortality rate was of 19 % (n=12). The main causes of death were hypovolaemic shock and septicemia. Conclusion: The incidence of peripartum hysterectomies was high and was associated with ruptured uterus and puerperal sepsis which are preventable.

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Section: Discussioncontrasting

confidence: 61%

“…In United Kingdom it is 0.41/ 1000 births 7 , Denmark it is 0.24/1000 births 9 , in Saudi Arabia it is 0.64/1000 10 , in Korle Bu Ghana it is 4.34/1000 2 , Nigeria 5.4/1000 1 and Durban in South Africa 5.1/1000. 3 The differences have been attributed to the different levels of obstetric care offered.…”

Section: Introductionmentioning

confidence: 99%

Peripartum hysterectomy: Two years experience at Nelson Mandela Academic hospital, Mthatha, Eastern Cape South Africa

Wandabwa¹,

Businge²,

Longo-Mbenza³

et al. 2013

Afr H. Sci.

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“…5 Previous studies in the literature have reported the incidence of EPH varies from 0.29 to 5.09 per 1000 deliveries. [6][7][8] Indications for peripartum hysterectomy have changed throughout the years. In the past, the major indications for EPH were uterine rupture and atony.…”

Section: Introductionmentioning

confidence: 99%

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

Abbas

Abdelbadee

Amin

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…In modern obstetrics, the overall incidence of EPH is 0.05%, but there are considerable differences in incidence in different parts of the world, depending on modern obstetric services, standards and awareness of antenatal care, and the effectiveness of family planning activities of a given community [6]. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by Sakse et al [7], Whiteman et al [8], Bai et al [9] and Zeteroglu et al [10], respectively. However, there is a lack of Portuguese data on EPH.…”

Section: Introductionmentioning

confidence: 99%

Emergency Peripartum Hysterectomy: A 10-Year Review

Carvalho

Cubal

Torres

et al. 2012

ISRN Emergency Medicine

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Background. Emergency peripartum hysterectomy (EPH), although rare in modern obstetrics, remains a life-saving procedure in cases of severe hemorrhage. Purpose. To determine the incidence, risk factors, indications, outcomes, and complications of EPH performed in a tertiary teaching hospital and to compare the results with other reports in the literature. Methods. The medical records of 13 patients who had undergone EPH, between January 2000 and December 2010, were reviewed retrospectively. Maternal characteristics and characteristics of the present pregnancy and delivery, hysterectomy indications, operative complications, postoperative conditions, and maternal and neonatal outcomes were evaluated. Results. There were 13 EPHs out of 31.767 deliveries, a rate of 0.41 per 1,000 deliveries. Eight hysterectomies were performed after cesarean delivery and five after vaginal delivery. The most common indication for hysterectomy was uterine atony (10/13), followed by placenta previa (2/13). There were one case of intraoperative bladder injury and one case of relaparotomy because of hemoperitoneum. We had one maternal death because of septic shock. There were no cases of neonatal morbidity and mortality. Conclusion. Postpartum hemorrhage is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face. IntroductionEmergency peripartum hysterectomy (EPH) is an uncommon obstetric procedure, usually performed as a life-saving measure in cases of intractable obstetric hemorrhage. [1][2][3] It was first proposed in 1869 but with no desirable results [4]. However, seven years later (1876), the first cesarean subtotal hysterectomy was carried out successfully, with the result that both the mother and the baby survived [5]. In modern obstetrics, the overall incidence of EPH is 0.05%, but there are considerable differences in incidence in different parts of the world, depending on modern obstetric services, standards and awareness of antenatal care, and the effectiveness of family planning activities of a given community [6]. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by Sakse et al. [7], Whiteman et al. [8], Bai et al. [9] and Zeteroglu et al. [10], respectively. However, there is a lack of Portuguese data on EPH. To our knowledge, there is no Portuguese information on EPH.Severe postpartum hemorrhage was reported to occur in 6.7/1,000 deliveries worldwide. It is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face [11]. The main causes of the uncontrollable hemorrhage necessitating an EPH have changed since the 1980s [2]. Uterine atony and rupture have been overtaken by abnormal placentation in many studies. This is not only because of improved conservative management of uterine atony and a reduced incidence of uterine rupture due to the extensive use of the lower uterine segment inci...

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Peripartum hysterectomy in Denmark 1995–2004

Abstract: Peripartum hysterectomy has increased significantly during the last 20 years. Optimizing treatment of PPH may decrease the incidence of peripartum hysterectomy in the future.

Cited by 61 publications

References 16 publications

Peripartum hysterectomy: Two years experience at Nelson Mandela Academic hospital, Mthatha, Eastern Cape South Africa

Peripartum hysterectomy: Two years experience at Nelson Mandela Academic hospital, Mthatha, Eastern Cape South Africa

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

Emergency Peripartum Hysterectomy: A 10-Year Review

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