| Early postpartum hysterectomy: incidence and risk factors. | |
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MedLine Citation:
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PMID: 20602600 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the incidence and risk factors of early postpartum hysterectomy at the University Hospital in Vienna. DESIGN: Retrospective case-control study. SETTING: General Hospital Vienna, a tertiary referral center. POPULATION: All 15,858 women who gave birth between 1st January 2003 and 31st December 2008. METHODS: Analysis of all cases of early postpartum hysterectomy using data from the clinical documentation system. MAIN OUTCOME MEASURE: Postpartum hysterectomy done during or within 24 hours of birth. RESULTS: The incidence of early postpartum hysterectomy was 1.39/1,000. Abnormally adherent placenta was the most common cause for hysterectomy followed by uterine atony and uterine rupture. There were no maternal deaths. Abnormal placentation, increased blood loss and lower gestational age were significant risk factors in women undergoing hysterectomy. The newborns of these women had a lower birthweight, significantly lower Apgar scores at 1 and 5 minutes and were more often transferred to the neonatal intensive care unit (NICU). An additional analysis in a sample of women with uterine atony identified age as risk factor for hysterectomy. CONCLUSION: Abnormal placentation, increased blood loss, low gestational age and maternal age are risk factors for early postpartum hysterectomy. |
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Authors:
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Maria Roethlisberger; Irene Womastek; Martin Posch; Peter Husslein; Norbert Pateisky; Rainer Lehner |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 89 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 1040-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Division of Feto-maternal Medicine and Obstetrics, Medical University Vienna, Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Apgar Score Birth Weight Case-Control Studies Cesarean Section / statistics & numerical data Female Gestational Age Humans Hysterectomy / statistics & numerical data* Incidence Infant, Newborn Intensive Care Units, Neonatal / utilization Placenta Accreta / surgery Placenta Previa / surgery Postpartum Hemorrhage / etiology, surgery Postpartum Period* Pregnancy Retrospective Studies Risk Factors Uterine Inertia / surgery Uterine Rupture / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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