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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Emergency obstetric hysterectomy at two tertiary centers: a clinical analysis of 11 years experience
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1
Obstetricis & Gynecology Department, General State Hospital “Tzaneio”, Piraeus
2
Obstetricis & Gynecology Department, General State Hospital “Chatzikosta”, Ioannina (Greece)
Clin. Exp. Obstet. Gynecol. 2010, 37(2), 117–119;
Published: 10 June 2010
Abstract
This was a retrospective clinical study of emergency hysterectomy performed between 1997 and 2007 at two tertiary hospitals to study incidence, indications and maternal mortality. We included all women who required emergency hysterectomy to control major postpartum hemorrhage after delivery, following a pregnancy of at least 24 weeks’ gestation, regardless of the mode of delivery. There were 12 emergency hysterectomies, with a frequency of 0.0726% among 16,521 deliveries. Indications included uterine atony (4 cases), uterine rupture (3 cases), uterine retroversion (2 cases), abnormal placentation (2 cases) and amniotic fluid embolization (1 case). The result was two maternal deaths. Although emergency obstetric hysterectomy is a life saving operation, it is associated with high maternal mortality.
Keywords
Obstetric hysterectomy
Postpartum hemorrhage
Cesarean hysterectomy