Document Detail

Peripartum hysterectomy in the first decade of the 21st century.
MedLine Citation:
PMID:  21534754     Owner:  NLM     Status:  In-Data-Review    
Summary We reviewed the role of peripartum hysterectomy (PH) in the first decade of the 21st century. The study was confined to women who delivered a baby weighing 500 g or more between 2000 and 2009, and who required a hysterectomy within 72 h of delivery for obstetric reasons. Individual case records were reviewed. There were 19 cases of PH in 78,961 deliveries giving an incidence of 1 in 4,156 (0.02%). Of the 19 cases, 95% were delivered by caesarean section and 89% had one or more prior sections. The indications were placental bed pathology (79%), uterine atony (16%) and uterine trauma (5%). Of the 19 hysterectomies, 16 (84%) were total and a gynaecological oncologist was involved in nine (56%) of these cases. There were no maternal or fetal deaths, but a mother required an average blood transfusion of 10 units. The overall rate of PH was remarkably low compared with other studies but it is likely to increase in the future because of the strong association between increasing caesarean section rates and placental bed pathology. The potential involvement of the cervix and other pelvic structures by placental pathology means that PH in the future will be more challenging, and the hysterectomy will need to be total rather than subtotal.
W Tadesse; N Farah; J Hogan; T D'arcy; M Kennelly; M J Turner
Related Documents :
18959974 - A critical review of titrimetric methods for determination of the noble metals-ii.
21355464 - Conservative and surgical treatment of abnormal placentation: report of five cases and ...
6981014 - The early receptor potential in the human eye. iii. erp in dichromats.
11197734 - Toward a culturally inclusive understanding of wisdom: historical roots in the east and...
4075684 - Thallium/technetium functional imaging of the thyroid and parathyroid. a case report.
25338654 - Delayed-onset of slipped capital femoral epiphysis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  31     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  320-1     Citation Subset:  IM    
UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, Ireland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  The use of the sisterhood method for estimating maternal mortality ratio in Lagos state, Nigeria.
Next Document:  British gynaecologists' attitudes in 2008 to the provision of legal abortion.