Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2020, vol. 26, issue4
Subject Area:
Medicine
-
DOI:
10.5272/jimab.2020264.3387
Published online: 21 October 2020
Original article

J of IMAB. 2020 Oct-Dec;26(4):3387-3389
PERIPARTUM HYSTERECTOMIES – LEADING RISK FACTORS AND CAUSES
Tihomir Totev


, Desislava Staneva
, Tsvetan Oslekov
, Georgi Stamenov
,
Department of Obstetrics and Gynaecology, “Nadezhda” Women’s Health Hospital, Sofia, Bulgaria.
ABSTRACT:
Purpose: To define the frequency, significant factors and causes that necessitated peripartum hysterectomies.
Material and Methods: We studied retrospectively and prospectively 21 patients who underwent peripartum hysterectomies at “Nadezhda” Women’s Health Hospital between January 2013 and July 2019.
Results: The frequency of peripartum hysterectomy was 1.96/1000 deliveries, and 95 % of them were performed during or after a cesarean birth. The intrapartum ones were carried out mainly because of uterine atony or abnormal insertion of the placenta. The interventions made in the early postoperative period were undertaken in cases of severe pelvic inflammations and postoperative hematomas.
Conclusion: Patients undergoing cesarean section are at risk for peripartum haemorrhages, which are associated with many risk factors: previous cesarean section and other interventions such as myomectomy, placenta praevia.
Keywords: peripartum hysterectomy, postpartum haemorrhage,
- Download FULL TEXT /PDF 593 KB/
Please cite this article as: Totev T, Staneva D, Oslekov T, Stamenov G. Peripartum Hysterectomies – Leading Risk Factors and Causes. J of IMAB. 2020 Oct-Dec;26(4):3387-3389.
DOI: 10.5272/jimab.2020264.3387
Correspondence to: Tihomir Totev MD, Ph D, Department of Obstetrics and Gynaecology, "Nadezhda" Women's Health Hospital – Sofia; 3, Blaga vest str., Sofia, Bulgaria; E-mail: t.totev@mail.bg
REFERENCES:
1. Christopoulos P, Hassiakos D, Tsitoura A, Panoulis K, Papadias K, Vitoratos N. Obstetric hysterectomy. A review of cases over 16 years. J Obstet Gynaecol. 2011; 31(2):139-41. [PubMed] [Crossref]
2. Forna F, Miles AM, Jamieson DJ. Emergency peripartum hysterectomy: a comparison of cesarean and postpartum hysterectomy. Am J Obstet Gynecol. 2004 May;190(5):1440–4. [PubMed] [Crossref]
3. Whiteman MK, Kuklina E, Hillis SD, Jamieson DJ, Meikle SF, Posner SF, et al. Incidence and determinants of peripartum hysterectomy. Obstet Gynecol. 2006 Dec;108(6):1486–92. [PubMed] [Crossref]
4. Flood KM, Said S, Geary M, Robson M, Fitzpatrick C, Malone FD. Changing trends in peripartum hysterectomy over the last 4 decades. Am J Obstet Gynecol. 2009 Jun;200(6):632.e1–6. [PubMed] [Crossref]
5. Yucel O, Ozdemir I, Yucel N, Somunkiran A. Emergency peripartum hysterectomy: a 9-year review. Arch Gynecol Obstet. 2006 May;274(2):84–7. [PubMed] [Crossref]
6. Deneux-Tharaux C, Bonnet MP, Tort J. Epidemiology of post-partum haemorrhage. J Gynecol Obstet Biol Reprod (Paris). 2014 Dec;43(10):936–50. [PubMed] [Crossref]
7. Sentilhes L, Vayssière C, Deneux-Tharaux C, Guy Aya A, Bayoumeu F, Bonnet MP, et al. Postpartum hemorrhage: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF): in collaboration with the French Society of Anesthesiology and Intensive Care (SFAR). Eur J Obstet Gynecol Reprod Biol. 2016 Mar;198:12–21. [PubMed] [Crossref]
8. Said Ali A, Faraag E, Mohammed M, Elmarghany Z, Helaly M, Gadallah A, et al. The safety and effectiveness of Bakri balloon in the management of postpartum hemorrhage: a systematic review. J Matern Fetal Neonatal Med. 2019 Apr 24:1-8. [PubMed] [Crossref]
9. Matsubara S, Takahashi H. Bakri balloon for placenta accreta spectrum disorder: an alternative to caesarean hysterectomy? J Obstet Gynaecol. 2018 Nov;38(8):1186. [PubMed] [Crossref].
Received: 01 November 2020
Published online: 21 October 2020
back to Online Journal