Emergency peripartum hysterectomy in the Dubai health system: A fifteen year experience.

Autor:	Tahlak MA; Dubai Health Authority, Latifa Women and Children Hospital, Clinic of Obstetrics and Gynegology Dubai, United Arab Emirates., Abdulrahman M; Dubai Health Authority, Clinic of Medical Education, Dubai, United Arab Emirates., Hubaishi NM; Dubai Health Authority, Dubai Hospital, Clinic of Obstetrics and Gynegology, Dubai, United Arab Emirates., Omar M; Dubai Health Authority, Latifa Women and Children Hospital, Clinic of Obstetrics and Gynegology Dubai, United Arab Emirates., Cherifi F; Dubai Health Authority, Dubai Hospital, Clinic of Obstetrics and Gynegology, Dubai, United Arab Emirates., Magray S; Dubai Health Authority, Latifa Women and Children Hospital, Clinic of Obstetrics and Gynegology Dubai, United Arab Emirates., Carrick FR; Bedfordshire Centre for Mental Health Research in Association with University of Cambridge, Department of Neurology and Senior Research, Cambridge, United Kingdom.; Harvard Medical School-Harvard Macy Institute, Clinic of Nevrology, Boston, USA.; Carrick Institute, Cape Canaveral, Clinic of Nevrology, Florida, USA.
Jazyk:	angličtina
Zdroj:	Turkish journal of obstetrics and gynecology [Turk J Obstet Gynecol] 2018 Mar; Vol. 15 (1), pp. 1-7. Date of Electronic Publication: 2018 Mar 28.
DOI:	10.4274/tjod.55492
Abstrakt:	Objective: To determine the incidence, demographic data, risk factors, indications, outcome and complications of emergency peripartum hysterectomy (EPH) performed in two major tertiary care hospitals in Dubai, and to compare the results with the literature. Materials and Methods: The records of all women who underwent EPH from January 2000 to December 2015 in two major tertiary care hospitals in Dubai were accessed and reviewed. Maternal characteristics, hysterectomy indications, outcomes, and postoperative complications were recorded using descriptive statistics to describe the cohort. Results: There were 79 EPH out of 168.293 deliveries, a rate of 0.47/1000 deliveries. The most common indications for hysterectomy were abnormal placentation (previa and/or accreta) and uterine atony. The majority of hysterectomies were subtotal (70%). The complications were dominated by massive transfusion, urinary tract injuries, one case of maternal death, and one case of neonatal death. Conclusion: The main indication for EPH was abnormal placentation in scarred uterus and uterine atony. The major method of prevention of EPH is to assess women's risks and to reduce the number of cesarean section deliveries, by limiting the rate of primary cesareans. This is challenging in the United Arab Emirates (UAE) where the culture is for high gravidity and high parity. Recommendations to act to reduce primary and repeated cesareans should be included on the national agenda in UAE. Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors.
Databáze:	MEDLINE
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