Document Detail


Peripartum hysterectomy: 1999 to 2006.
MedLine Citation:
PMID:  18310378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To estimate the rate of peripartum hysterectomy over the last 8 years in Calgary, the primary indication for peripartum hysterectomy (defined as any hysterectomy performed within 24 hours of a delivery), and whether there was an increase in the rate of peripartum hysterectomy during that time. METHOD: Detailed chart review of all cases of peripartum hysterectomy, 1999-2006, including previous obstetric history, details of the index pregnancy, indications for peripartum hysterectomy, outcome of the hysterectomy, and infant morbidity. RESULTS: The overall rate of peripartum hysterectomy was 87 of 108,154 or 0.8 per 1,000 deliveries. The primary indications for hysterectomy were uterine atony (32 of 87, 37%) and suspected placenta accreta (29 of 87, 33%). After hysterectomy, 46 (53%) women were admitted to the intensive care unit. Women were discharged home after a mean 6-day length of stay. The rate of peripartum hysterectomy did not appear to increase over time. CONCLUSION: Our population-based study found that abnormal placentation is the main indication for peripartum hysterectomy. The most important step in prevention of major postpartum hemorrhage is recognizing and assessing women's risk, although even perfect management of hemorrhage cannot always prevent surgery.
Authors:
Sarah Glaze; Pauline Ekwalanga; Gregory Roberts; Ian Lange; Colin Birch; Albert Rosengarten; John Jarrell; Sue Ross
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  111     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-03     Completed Date:  2008-04-24     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  732-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Calgary, Calgary, Alberta, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alberta / epidemiology
Female
Humans
Hysterectomy / statistics & numerical data*
Incidence
Placenta Accreta / epidemiology,  surgery
Postpartum Hemorrhage / drug therapy,  epidemiology,  surgery*
Postpartum Period*
Pregnancy
Retrospective Studies
Comments/Corrections
Comment In:
Obstet Gynecol. 2008 Sep;112(3):705; author reply 705-6   [PMID:  18757680 ]
Obstet Gynecol. 2008 Jun;111(6):1446; author reply 1446-7   [PMID:  18515534 ]
Erratum In:
Obstet Gynecol. 2008 Jun;111(6):1449-51

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


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