| Emergency hysterectomy in modern obstetric practice. Changing clinical perspective in time. | |
| | |
MedLine Citation:
|
PMID: 9512325 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Emergency hysterectomy in obstetric practice is generally performed in the setting of life-threatening hemorrhage. A retrospective review based on hospital data of 67 patients undergoing emergency peripartum hysterectomy over 10 years was undertaken. METHODS: Comparison of two different time periods regarding the incidence and the indications of obstetric hysterectomies was made. RESULTS: The number of patients with hysterectomy in the first 5 years of the study period (1985-1989) was 43 and during the last 5 years (1990-1994) it was 24. The incidence of hysterectomy during 1985-1989 was 1 in 2495 deliveries and the most common indication for hysterectomy was uterine atony (42%) followed by placenta accreta (25.5%) and uterine rupture (21%). On the other hand, the incidence of hysterectomy during 1990-1994 was 1 in 4228 deliveries and the ranking of indications of hysterectomy was slightly different from group 1 as mostly placenta accreta (41.7%) followed by uterine atony (29.2%). The maternal mortality rate was 4.5% in this series. CONCLUSION: This study showed that over the last decade the incidence of emergency hysterectomy in obstetric practice has declined in our clinic due to availability of high standard obstetric care and more liberal use of cesarean section at risk deliveries, better controlled use of oxytocin and internal iliac artery ligation. |
| | |
Authors:
|
C G Zorlu; C Turan; A Z Işik; N Danişman; T Mungan; O Gökmen |
Related Documents
:
|
3606755 - Thoracic spinal cord (t3-t4) transection in a breech-presenting, cesarean-section-deliv... 18952015 - Bipedalism and parturition: an evolutionary imperative for cesarean delivery? 3541485 - Intra-uterine growth retardation and gestational age. 17197585 - Pathologic examination of the placenta and observed practice. 19581835 - Placental il-10 dysregulation and association with bronchopulmonary dysplasia risk. 3511635 - Prevalence of "compressed" and asymmetric lateral ventricles in healthy full-term neona... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Acta obstetricia et gynecologica Scandinavica Volume: 77 ISSN: 0001-6349 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 1998 Feb |
Date Detail:
|
Created Date: 1998-03-24 Completed Date: 1998-03-24 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: DENMARK |
Other Details:
|
Languages: eng Pagination: 186-90 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, Turkey. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cesarean Section / statistics & numerical data, trends Emergencies / epidemiology Female Humans Hysterectomy / statistics & numerical data, trends* Incidence Placenta Accreta / surgery Pregnancy Retrospective Studies Uterine Inertia / surgery Uterine Rupture / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Umbilical cord blood acid-base values in uncomplicated term vaginal breech deliveries.
Next Document: Incidence of sex chromosome abnormalities in spermatozoa from patients entering an IVF or ICSI proto...