Emergency peripartum hysterectomy: A 10-year review at the Royal Hospital for Women, Sydney

Abstract

In our series, abnormal placentation causing severe haemorrhage was the commonest indication for EPH. Previous CS is a risk factor for abnormal placentation and particularly for morbid adherence of the placenta. The morbidity associated with EPH is considerable.

Emergency peripartum hysterectomy in a tertiary hospital in Upper Egypt: six years analysis

“…The most common complication found was intraoperative bladder injury in 21.13% of cases. This is rate is high but nearly similar to Awan et al 29 results who reported 22.6% of intraoperative urinary tract injuries in their series. A planned rather than an emergency caesarean hysterectomy in women at high risk of EPH may be associated with lower morbidity rates.…”

A Comparative Study on Maternal and Fetal Outcome in Cases of Placenta Previa with Previous Cesarean Section and Without Previous Cesarean Section

“…Mathuriya et al study also concluded similar results 9 .incidence of placenta previa increases with increasing age and parity 10 .Getahun D et al study concluded that there is a dose response pattern in the risk of previa with increasing no of prior cesarean section and short pregnancy interval is also associated with increased risk 11 .study by Ihab m usha et al also showed increase in rate of placenta previa with increase in no of previous cesarean 12 .various literature concluded that increasing parity increases the risk of placenta previa 13 .our study included only multigravida in order to avoid biass. Placenta previa poses more risk of complications like PPH and its surgical treatments cesarean hysterectomy and operative morbidity are more in case group 14,15 . In present study all cases of adherent placenta seen in previous cesarean which is consistent with Clark etal study 16 .…”

Sepsis: Primary indication for peripartum hysterectomies in a South African setting

“…[5][6][7][8]11,12,22,24,25] In middle-income countries the aetiology is variable, with studies from Turkey, India and Thailand showing similar indications to high-resource settings but with higher rates of uterine rupture. [4,15,16,21,[26][27][28] Sepsis has been reported as an indication in low-resource settings.…”

“…Definitions include a hysterectomy performed within 24 hours of delivery, [2][3][4][5] a hysterectomy performed within the same hospitalisation, [6][7][8][9][10] a hysterectomy performed within 72 hours of delivery, [11] a hysterectomy performed within 1 month of delivery [12,13] to a hysterectomy performed within 6 weeks of delivery. [14] Some even limit the definition to a hysterectomy performed for uncontrolled haemorrhage only [4,[15][16][17][18][19][20][21][22] and exclude cases of infection.[12] The varying definitions make it difficult to compare incidences and aetiology. If a short time period after delivery is used, complications related to sepsis and delayed haemorrhage may be underestimated.…”