Document Detail


Emergency peripartum hysterectomy.
MedLine Citation:
PMID:  11682949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Emergency hysterectomy in obstetric practice is generally performed in the setting of life-threatening situations. OBJECTIVE: To review cases of peripartum hysterectomy in respect of indications, risk factors and complications. DESIGN: A retrospective study. SETTING: King Edward VIII Hospital, Durban. SUBJECTS: Seventy one cases of Caesarean and post-partum hysterectomy performed between January 1993 and June 1998. RESULTS: The rate of peripartum hysterectomy was 1:836 deliveries. Fifty eight per cent of the hysterectomies followed Caesarean section. The main indications for hysterectomy were ruptured uteri, uncontrollable haemorrhage from atonic uteri, sepsis and morbidly adherent placenta. Perinatal mortality was high and there were four maternal deaths. CONCLUSION: Peripartum hysterectomy is a necessary life-saving operation. Prevention of complications that give rise to emergency hysterectomy should decrease maternal and fetal morbidity and mortality.
Authors:
M H Sebitloane; J Moodley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  78     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-10-30     Completed Date:  2001-12-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  Kenya    
Other Details:
Languages:  eng     Pagination:  70-4     Citation Subset:  IM    
Affiliation:
MRC/UN Pregnancy Hypertension Research Unit, Department of Obstetrics and Gynaecology, University of Natal Medical School, Durban, South Africa.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cesarean Section / adverse effects*,  trends,  utilization*
Emergencies
Female
Humans
Hysterectomy / adverse effects*,  trends,  utilization*
Maternal Mortality
Middle Aged
Morbidity
Obstetric Labor Complications / epidemiology,  surgery*
Patient Selection*
Physician's Practice Patterns / statistics & numerical data*,  trends
Placenta Diseases / epidemiology,  surgery
Pregnancy
Puerperal Disorders / epidemiology,  surgery*
Retrospective Studies
Risk Factors
South Africa / epidemiology
Treatment Outcome
Uterine Hemorrhage / epidemiology,  surgery
Uterine Rupture / epidemiology,  surgery

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


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