Emergency Peripartum Hysterectomy in a Developing Country

Omole-Ohonsi, A; Olayinka, Hassan Taiwo

doi:10.1016/s1701-2163(16)35409-3

Cited by 40 publications

(44 citation statements)

References 16 publications

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“…In a case-control study that included 30 patients who underwent emergency peripartum hysterectomies, 27 24 women were not booked for delivery at the study hospital; a rupture of the uterus was the indication for hysterectomy in 22 of the unbooked patients, and 21 of the 24 were experiencing hypovolemic shock on admission. 27 Similar results were reported in two studies investigating postpartum complications; 28,29 a large majority (81%-88%) of patients who experienced postpartum hemorrhage and retained placenta, having not booked for delivery or having failed to attend a booking, delivered outside the study hospital and were subsequently admitted.…”

Section: Transitioning Between Prenatal Care and The Management Of supporting

confidence: 80%

Systematic review of obstetric care from a women‐centered perspective in Nigeria since 2000

Hirose

Owolabi

Imamura

et al. 2016

Intl J Gynecology & Obste

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Section: Transitioning Between Prenatal Care and The Management Of supporting

confidence: 80%

Systematic review of obstetric care from a women‐centered perspective in Nigeria since 2000

Hirose

Owolabi

Imamura

et al. 2016

Intl J Gynecology & Obste

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“…[7][8][9] The incidence in previous studies ranged from 0.2 per 1000 births in the developed countries to 5.6 per 1000 births in the low and middle-income countries. 10 Ours is a tertiary care centre catering to women in the districts in and around Thrissur. Most (78%) of the women were referred to our centre from peripheral health care facilities.…”

Section: Discussionmentioning

confidence: 99%

Peripartum hysterectomy: a five year review at a tertiary care centre

Deepak

Jacob

Maria

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Peripartum hysterectomy is a life-saving procedure resorted to when conservative measures fail to control obstetric haemorrhage. Several predisposing factors, suboptimal care and lack of infrastructure may lead to this emergency procedure. We wanted to find out factors associated with peripartum hysterectomy and the adverse maternal outcomes at our centre.Methods: A retrospective case series analysis of 40 cases of peripartum hysterectomy performed over a period of 5 years from January 2010 to December 2014 at Government Medical College Hospital, Thrissur, Kerala was done.Results: The incidence of peripartum hysterectomy was 0.29%. The most common indication for peripartum hysterectomy was hysterectomy was uterine atony (50%). Thirty-five women (88%) were between 20 and 35 years. Most of the subjects were unbooked. There were two maternal deaths (case fatality rate of 5%) following peripartum hysterectomy during this period. All the subjects required blood transfusion.Conclusions: Prompt performance hysterectomy before the patient’s clinical condition deteriorates is the key to success. The incidence of adherent placenta is increasing, so every effort should be taken to reduce the caesarean section rates globally.

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“…The reported incidence of emergency peripartum hysterectomy varies between 0.1 and 5.4 in 1000 deliveries [7][8][9][10][11]. In general, the average incidence is put at 1 in 1000 deliveries, the higher incidence is being reported from the developing world while developed countries generally report lower rates [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Obstetric Hysterectomy Performed at N’Djamena Mother and Child Hospital (Chad): Indications and Prognosis

Lhagadang¹

2016

OGIJ

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Results FrequencyDuring the study period 29,490 patients were delivered at N'Djamena Mother and child hospital. A total of 46 obstetrics hysterectomies were performed, 11(24%) followed vaginal delivery, 29 (63%) during the course of, or following a caesarean section, and 6(13%) in the postpartum period. The frequency of obstetric hysterectomy was 0.16% of all deliveries (i.e., 1.6 obstetric hysterectomies for 1000 deliveries) ( Table 1).The age group between 30-34 years was the most represented with 41.3%. The average age was 31.2 years, with the extremes ranging from 15 to 44 years. Twenty six patients (56.5%) were not schooled. Parity ranged from 1-13, with a mean of 6.2 ± Research ArticleObstet Gynecol Int J 2016, 4(1): 00095 AbstractBackground: Obstetric hysterectomy is a life saving procedure in severe obstetrical hemorrhage.Objective: Determine its frequency, indications and prognosis. Patients and methods:This was a retrospective and descriptive survey performed at the department of Obstetrics and Gynecology, of N'Djamena Mother and Child Hospital. All patients who had undergone obstetric hysterectomy during the four-year study period from April 2011 to April 2015 were studied.Results: During the study period, 29,490 patients were delivered at N'Djamena Mother and child hospital. A total of 46 obstetrics hysterectomies were performed that give a frequency of 0.16%. The average age was 31.2 years, with the extremes ranging from 15 to 44 years. Parity ranged from 1-13 with 41.7% of grand multipara. The commonest cause of obstetric hysterectomy was ruptured uterus, seen in 29 (63%) patients. Uterine atony was responsible in 10 (21.7%) cases. In 91.3% of the cases (n=42) subtotal hysterectomy was performed and in others total hysterectomy was performed (8.7%). Main maternal complications were: sepsis (6.5%) and urological injuries (6.5%). Maternal outcome was enameled by three deaths giving a lethality rate of 6.5%. Fetal prognosis was worst with a fetal death rate of 69.5%. Conclusion:Obstetric hysterectomy remains frequent in our regions. Adequate prenatal consultation and surveillance of patients during labor are required for curbing the frequency of obstetric hysterectomy.

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Emergency Peripartum Hysterectomy in a Developing Country

Cited by 40 publications

References 16 publications

Systematic review of obstetric care from a women‐centered perspective in Nigeria since 2000

Systematic review of obstetric care from a women‐centered perspective in Nigeria since 2000

Peripartum hysterectomy: a five year review at a tertiary care centre

Obstetric Hysterectomy Performed at N’Djamena Mother and Child Hospital (Chad): Indications and Prognosis

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