Cezarean Hysterectomy, A lifesaving Procedure that Albanian Obstetricans Must Be Familiar With

Abstract

Cesarean Hysterectomy refers to emergency peripartum hysterectomy - EPH, which is performed as a life-saving procedure in cases of continual obstetric hemorrhage secondary to uterine atony, uterine rupture, placental disorders, fibroids, and lacerations during cesarean section - CS or vaginal parturition. Emergency peripartum hysterectomy - EPH, although rare in modern obstetrics, remains a life- saving procedure in cases of severe hemorrhage. In contemporary obstetrics, the overall incidence of severe postpartum hemorrhage was reported to occur in 6.7/1,000 deliveries worldwide. It is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by many authors mentioning a few; Sakse et al., White- man et al., Bai et al., and Zeteroglu et al., respectively. Nevertheless, there is a lack of Albanian data on EPH. To our knowledge, there is no Portuguese information on postpartum hemorrhage and EPH, which does not mean that we do not have such obstetrical complications and therefore such emergency intervention. This paper’s intention is to bring awareness of such catastrophic obstetrical complications especially in young primigravida and primipara women.