Analysis of emergency peripartum hysterectomy in Northern Tasmania

Abstract

The rate of peripartum hysterectomy in rural Tasmania is higher compared with other Australian tertiary-level hospitals, suggesting that Australian women birthing in rural and regional areas might be at greater risk. Maternal morbidity associated with abnormal placentation is high; hence, better diagnostic modalities and multidisciplinary antenatal management are required to improve maternal outcomes.

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

“…32,59,70,84,99,113,116,117,139 Second, larger population-based studies are needed to make statements with more vigor, for instance through the International Network of Obstetric Surveillance Systems. Finally, the cohort of women in low-income settings may include individuals who were in a personal highincome bracket, just like the other way around.…”

“…5,10,26,58,60,61,64,66,70,74,75,80,84,85,87,92,93,95,97,100,102,104,105,111,113,116,117,119,123,125,126,129,133,[136][137][138][139] Oxytocin and ergometrine were given to 1,846 (85.7%) women and prostaglandins to 843 (39.1%). 5,10,26,58,60,61,64,66,70,74,75,80,84,85,87,…”

“…1,5,6,9,10,[17][18][19]22,23,34,40,43,[48][49][50]54,57,[60][61][62]66,[67][68][69][70][71]73,[78][79][80][84][85][86][87][90][91][92]95,[97][98][99][100][101][102][103]105,106,111,113,114,116,117,…”

“…10,24,31,56,59,61,63,64,66,67,[85][86][87][88][90][91][92][93][94][95][96][97][98][102][103][104]110,112,113,[115][116][117]119 Some mentioned other risk indicators. * Includes both uterine rupture and extension of uterine incision.…”

Peripartum Hysterectomy

“…It is mostly performed as an emergency procedure to control torrential life-threatening haemorrhage and remains a life-saving procedure [1,2,5].…”