Document Detail

Emergency obstetric hysterectomy.
MedLine Citation:
PMID:  12881069     Owner:  NLM     Status:  MEDLINE    
A population-based review (1988-2000) of 142,634 deliveries found an incidence of emergency obstetric hysterectomy of 0.53 per 1000 deliveries. The relative risk for caesarean versus vaginal delivery was 18.32 (10.26, 32.71) P<0.001. Previous caesarean delivery occurred in 47.4% and 22.4% were primiparous. Causes and morbidity were ascertained in a hospital-based study (1980-2001) of 64 emergency hysterectomies in 110,537 deliveries. The main indications for hysterectomy were abnormal placentation (50%) and atonic postpartum haemorrhage (32.8%). Blood transfusion was needed in 84.4% and intensive care in 26.6%. There were no maternal deaths. Potential alternatives to hysterectomy for massive obstetric haemorrhage are discussed.
T F Baskett
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  23     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-25     Completed Date:  2003-10-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  353-5     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.
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MeSH Terms
Cesarean Section / statistics & numerical data
Delivery, Obstetric / statistics & numerical data
Emergency Treatment / statistics & numerical data*
Hysterectomy / statistics & numerical data*
Postpartum Period*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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