Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 9 , ISSUE 3 ( July-September, 2015 ) > List of Articles

RESEARCH ARTICLE

Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy

Panos Antsaklis, George Daskalakis, Vasilios Pergialiotis, Alexandros Rodolakis, George Vlachos, Dimitrios Loutradis, Nikolaos Papantoniou

Keywords : Morbidity,Obstetrical hysterectomy,Peripartum hysterectomy,Placenta accreta

Citation Information : Antsaklis P, Daskalakis G, Pergialiotis V, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015; 9 (3):234-238.

DOI: 10.5005/jp-journals-10009-1410

License: CC BY-NC 4.0

Published Online: 01-09-2015

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Objective

To evaluate which factors affect the intraoperative and postoperative morbidity in cases of peripartum hysterectomy.

Study design

A retrospective study of all cases of peripartum hysterectomy performed during a 5-year period (January 2008–June 2013) in a tertiary maternity hospital.

Results

A total of 22,437 deliveries were reviewed and 63 cases of peripartum hysterectomy (2.8/1000) were identified. The indications for peripartum hysterectomy included: uterine atony (10 cases—15.9%), placenta accreta (21 cases—33.3%), placenta previa (30 cases—47.6%) and cervical pregnancy (2 cases—3.2%). Significantly higher rates of perioperative blood transfusion were noted in the emergency cases group, compared to the elective hysterectomies. Hypogastric artery ligation did not have any significant impact on the outcome. Preoperative bilateral ureteral catheterization was associated with lower need for blood transfusion (p < 0.001), and with less complications, although this was not statistically significant.

Conclusion

Maternal morbidity is significantly higher in emergency cases of peripartum hysterectomies compared to expected-planned cases.

How to cite this article

Daskalakis G, Antsaklis P, PergialiotisV, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015;9(3):234-238.


PDF Share
  1. Emergency obstetric hysterectomy in a university hospital: A 25-year review. J Obstet Gynaecol 2008;28(1):69-72.
  2. Peripartum hysterectomy between 2009 and 2010 in Sichuan, China. Int J Gynaecol Obstet 2013;120(2):183-186.
  3. Emergency obstetric hysterectomy in a tertiary hospital in sokoto, Nigeria. Ann Med Health Sci Res 2012;2(1):37-40.
  4. Incidence and determinants of peripartum hysterectomy in the metropolitan area of the District of Columbia. J Reprod Med 2013;58(3-4):167-172.
  5. Peripartum hysterectomy for primary postpartum haemorrhage: incidence and maternal morbidity. J Obstet Gynaecol 2007;27(1):44-47.
  6. Emergency peripartum hysterectomy in Nnewi, Nigeria: a 10-year review. Niger J Clin Pract 2012;15(2):168-171.
  7. Changing trends in peripartum hysterectomy over the last 4 decades. Am J Obstet Gynecol 2009;200(6):632.e1-6.
  8. Peripartum hysterectomy: 1999 to 2006. Obstet Gynecol 2008;111(3):732-738.
  9. Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage. BJOG 2007;114(11):1380-1387.
  10. Optimal management strategies for placenta accreta. BJOG 2009;116(5) 648-654.
  11. Morbidity and mortality of peripartum hysterectomy. Obstet Gynecol 2010;115(6):1187-1193.
  12. Massive blood transfusion during hospitalization for delivery in New York State, 1998-2007. Obstet Gynecol 2013;122(6):1288-1294.
  13. Emergency peripartum hysterectomy in a tertiary hospital in Ankara, Turkey: a 5-year review. Arch Gynecol Obstet 2012;286(5):1131-1134.
  14. Emergency peripartum hysterectomy in a tertiary hospital in Lagos, Nigeria: a 5-year review. Trop Doct 2010;40(1):1-4.
  15. Emergency peripartum hysterectomy in a Nigerian hospital: a 20-year review. J Obstet Gynaecol 2004;24(4):372-373.
  16. Maternal morbidity in cases of lacenta accreta managed by a multidisciplinary care team compared with standard obstetric care. Obstet Gynecol 2011;117(2 Pt 1):331-337.
  17. Cesarean and postpartum hysterectomy. Int J Gynaecol Obstet 1996;54(2):109-113.
  18. Emergency peripartum hysterectomy: a 9-year review. Arch Gynecol Obstet 2006;274(2):84-87.
  19. Regionalization of care for obstetric hemorrhage and its effect on maternal mortality. Obstet Gynecol 2010;115(6):1194-1200.
  20. Maternal haemorrhage. Br J Anaesth 2009;103 Suppl 1:i47-56.
  21. Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: a management paradox. Am J Obstet Gynecol 2012;207(3):216.e1-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.