open access

Vol 87, No 6 (2016)
Research paper
Published online: 2016-06-30
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Clinical analysis of 52 obstetric hysterectomies

Dobrosława L. Sikora-Szczęśniak, Grzegorz Szczęśniak, Mieczysław Szatanek, Wacław Sikora
DOI: 10.5603/GP.2016.0026
·
Pubmed: 27418225
·
Ginekol Pol 2016;87(6):460-466.

open access

Vol 87, No 6 (2016)
ORIGINAL PAPERS Obstetrics
Published online: 2016-06-30

Abstract

Objectives: Analysis of obstetric (peripartum and postpartum) hysterectomies with regard to their frequency, indications, complications, and risk factors.

Material and methods: The study included 52 women operated between 1985–2012. Obstetric hysterectomies were performed in 39 (75%) and 13 (25%) women, respectively. The results were statistically analyzed as arithmetic mean and standard deviation (SD).

Results: Peri- and postpartum hysterectomies accounted for 0.123% of all births (0.092% and 0.031%, respectively). Mean pa­tient age, length of pregnancy, and number of deliveries was 32.6 years [SD ± 6.2], 38.1 weeks [SD ± 7.0], and 3.2 [SD ± 2.4], respectively. In the study group, 92.31% of the women were multiparous, and 86.54% gave birth by cesarean section and had a history of CS. Placental pathology accounted for 44.4% of indications for hysterectomy. Blood transfusion was required in 94.2% of the cases, symptoms of hypovolemic shock were observed in 21.2%, and ICU admission was required in 15.4% of the patients. Relaparotomy was necessary in 4 (7.7%) cases. Intrauterine fetal death occurred in 4 (7.6%) cases and extremely poor neonatal status was observed in 4.1% of the newborns.

Conclusions: Hemorrhage due to placental pathology was the most frequent indication for obstetric hysterectomy. Risk factors for obstetric hysterectomy included multiparity, history of CS, recent CS, and age > 35 years. Postpartum hysterec­tomy accounted for 25% of the obstetric surgeries.

Abstract

Objectives: Analysis of obstetric (peripartum and postpartum) hysterectomies with regard to their frequency, indications, complications, and risk factors.

Material and methods: The study included 52 women operated between 1985–2012. Obstetric hysterectomies were performed in 39 (75%) and 13 (25%) women, respectively. The results were statistically analyzed as arithmetic mean and standard deviation (SD).

Results: Peri- and postpartum hysterectomies accounted for 0.123% of all births (0.092% and 0.031%, respectively). Mean pa­tient age, length of pregnancy, and number of deliveries was 32.6 years [SD ± 6.2], 38.1 weeks [SD ± 7.0], and 3.2 [SD ± 2.4], respectively. In the study group, 92.31% of the women were multiparous, and 86.54% gave birth by cesarean section and had a history of CS. Placental pathology accounted for 44.4% of indications for hysterectomy. Blood transfusion was required in 94.2% of the cases, symptoms of hypovolemic shock were observed in 21.2%, and ICU admission was required in 15.4% of the patients. Relaparotomy was necessary in 4 (7.7%) cases. Intrauterine fetal death occurred in 4 (7.6%) cases and extremely poor neonatal status was observed in 4.1% of the newborns.

Conclusions: Hemorrhage due to placental pathology was the most frequent indication for obstetric hysterectomy. Risk factors for obstetric hysterectomy included multiparity, history of CS, recent CS, and age > 35 years. Postpartum hysterec­tomy accounted for 25% of the obstetric surgeries.

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Keywords

peripartum hysterectomy, hysterectomy in the postpartum period, labor

About this article
Title

Clinical analysis of 52 obstetric hysterectomies

Journal

Ginekologia Polska

Issue

Vol 87, No 6 (2016)

Article type

Research paper

Pages

460-466

Published online

2016-06-30

DOI

10.5603/GP.2016.0026

Pubmed

27418225

Bibliographic record

Ginekol Pol 2016;87(6):460-466.

Keywords

peripartum hysterectomy
hysterectomy in the postpartum period
labor

Authors

Dobrosława L. Sikora-Szczęśniak
Grzegorz Szczęśniak
Mieczysław Szatanek
Wacław Sikora

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