What is new in peripartum hysterectomy? A seventeen year experience in a tertiary hospital.
Taiwan J Obstet Gynecol
; 60(1): 95-98, 2021 Jan.
Article
in En
| MEDLINE
| ID: mdl-33495017
ABSTRACT
OBJECTIVE:
To identify changing trends in peripartum hysterectomy (PH), both elective. cesarean hysterectomy and emergency cesarean hysterectomy, at a single training and research hospital over the last 17 years in Istanbul, Turkey. MATERIALS ANDMETHODS:
A retrospective cohort study was performed between January 2001 and September 2017. The records of all patients who had PH at Kanuni Sultan Süleyman Training and Research Hospital were analyzed.RESULTS:
There were 243 cases of PH during the study period. A total of 266,386 births occurred, of which 60.1% were vaginal deliveries and 39.8% were cesarean sections. The incidence of PH increased from 0.67 per 1000 deliveries to 1.14 per 1000 deliveries during 2001-2008 and 2009-2017, respectively, with an overall incidence of 0.91 per 1000 deliveries during the 17 years. The main indication for PH changed significantly during this time from uterine atony (57.1%) to placenta accreta spectrum (85%). About 37% of women who underwent PH had at least one previous cesarean delivery during 2001-2008, whereas that percentage increased to 95.4% during 2009-2017.CONCLUSION:
Placenta accreta spectrum was the leading cause of PH and was associated with significant maternal morbidity and mortality.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cesarean Section
/
Hysterectomy
/
Obstetric Labor Complications
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Asia
Language:
En
Journal:
Taiwan J Obstet Gynecol
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2021
Document type:
Article