Peripartum hysterectomy in a tertiary hospital in Western Sydney

Shamsa, Aiat; Harris, Anthony; Anpalagan, Anbu

doi:10.3109/01443615.2014.961907

Cited by 10 publications

(9 citation statements)

References 18 publications

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“…Since the incidence of caesarean section is increasing in the developing countries, it raises the number of previous CS, thereby increasing the rate of abnormal placentation 19 . Even more, the complicated case with the combination of placenta praevia, previous caesarean history, and morbid adherent placenta, which mandates urgent caesarean hysterectomy, was found in this study and is supported by previous studies [20][21][22] .…”

Section: Discussionsupporting

confidence: 77%

“…However, the commonest types of placenta praevia were Type III and Central, which invariably had history of previous caesarean section. 18,20 . Since the incidence of caesarean section is increasing in the developing countries, it raises the number of previous CS, thereby increasing the rate of abnormal placentation 19 .…”

Section: Discussionmentioning

confidence: 99%

“…2,7,11,[14][15][16]18,20,[33][34][35] . Markedly, the incidence rate of EPH is even lower in the developed world, since Saudi Arabia has 1/2559; America and Europe 1/2000; United Kingdom 1/2500; Canada 1/2000.7,11 However, the timed definition of EPH changes among studies.…”

Section: Discussionmentioning

confidence: 99%

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Emergency Peripartum Hysterectomy: A Life Saving Procedure in Obstetrics

Zeba

Biswas²,

Das³

et al. 2018

Faridpur Med Coll J

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Abstract:Emergency peripartum hysterectomy refers to the uterine removal after a caesarean section or normal vaginal delivery for any life saving purpose, immediately after delivery or within the puerperium. In general, abnormal placentation, uterine rupture, and postpartum haemorrhage are the common indications. The prime objective of this study was to determine the frequent indications, peroperative and postoperative complications, maternal and perinatal outcome. This retrospective descriptive study was conducted by analysing recorded data of one year between July 2016 and June 2017 in Faridpur district of Bangladesh. Total 40 cases were analysed. Placenta praevia was the most common indication, whereas uterine rupture was the second one. Urinary bladder injury was the frequent peroperative complication. This bladder injury was common in cases of previous repeated caesarean section associated with placenta praevia. All the patients required three to six unit blood transfusions on average. Four patients expired due to various causes. Most of the patients were elderly aged, multiparous and had previous caesarean sections. The relevant literature analysis was done for comparison, where similarities were found. Total abdominal hysterectomy was the preferred method in this study. Overall, the study will direct the future ways of management.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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Emergency Peripartum Hysterectomy: A Life Saving Procedure in Obstetrics

Zeba

Biswas²,

Das³

et al. 2018

Faridpur Med Coll J

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“…In these two patients, HAL together with uterine compression sutures failed to stop hemorrhage. We did not perform B-Lynch et al (9) (19). evaluated 46.177 births and reported 56 cases of peripartum hysterectomy, a rate of 1.22 per 1000 births.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital

Kasap¹,

Akbaba²,

Öner³

et al. 2016

Haseki

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Abs tractAim: To retrospectively evaluate patients with postpartum hemorrhage (PPH) and to report the incidence, indication, and complications of PPH-related hysterectomies.Methods:We evaluated medical records of patients who received the diagnosis of in a university-affiliated tertiary care hospital between February 2013 and September 2014.Results:A total of 1724 deliveries were included in the study. 36 deliveries (2.08%) were complicated with PPH. PPH was found to result from the following conditions; uterine atony (n=19), placenta previa (n=8), vaginal lacerations (n=7), and coagulation disorders (n=2). A total of 7 patients (19.4%) with PPH, of whom two had uterine atony and five had placenta previa, underwent hysterectomy (4.06 per 1000 births). Application of B-Lynch uterine compression suturing and hypogastric artery ligation did not stop PPH in two patients with atony after primary caesarean section. Balloon tamponade was successful in 71.4% of patients with placenta previa. The most common complication among hysterectomy patients was admission to intensive care unit. Conclusion:Despite the improvements in conservative management strategies, our hysterectomy rate was higher than the reported literature. We conclude that management options should be individualized according to diagnosis, hemodynamic stability of patients and also facilities of the medical centre.

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“…Common interventions include fundal massage, uterotonic medications, balloon tamponade (BT), uterine compression sutures, uterine artery embolization (UAE), and dilation and curettage. 5,6 Although studies have shown a decrease in maternal morbidity from implementation of PPH protocols, 7-9 few studies have been able to demonstrate whether earlier initiation of specific interventions improves outcomes or whether an optimal time to implement interventions can be identified. One study by Zhao et al 10 found that patients who received interventions for PPH at an estimated blood loss (EBL) of 500-700 mL, when compared to those with an EBL of >700 mL, had a lower mean EBL, a lower frequency of blood transfusion, and a higher mean fibrinogen.…”

mentioning

confidence: 99%