Emergency peripartum hysterectomy and associated risk factors.
| Autor: | Stanco LM; Department of Obstetrics and Gynecology, University of Southern California, Los Angeles., Schrimmer DB, Paul RH, Mishell DR Jr |
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| Jazyk: | angličtina |
| Zdroj: | American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1993 Mar; Vol. 168 (3 Pt 1), pp. 879-83. |
| DOI: | 10.1016/s0002-9378(12)90838-8 |
| Abstrakt: | Objective: Peripartum hysterectomy at Los Angeles County-University of Southern California Medical Center was reviewed and associated risk factors were identified. Study Design: Retrospective descriptive and cohort analysis from January 1985 to June 1990 was carried out. Adjusted relative risks for hysterectomy with 95% confidence intervals for identified risk factors were calculated where possible. Results: There were 123 cases of emergency peripartum hysterectomy (incidence of 1.3/1000 births). Indications for hysterectomy were primarily placenta accreta (n = 61), uterine atony (n = 25), unspecified uterine bleeding (n = 19), and uterine rupture (n = 14). The relative risk of emergency hysterectomy was 95.5 (95% confidence interval 66.7 to 136.9) for cesarean delivery, 10.78 (95% confidence interval 7.56 to 15.37) for prior cesarean delivery, and 97.29 (95% confidence interval 70.28 to 134.70) for placenta previa. Conclusions: Cesarean delivery, prior cesarean delivery, placenta previa, placenta accreta, and uterine atony were identified risk factors for emergency peripartum hysterectomy. |
| Databáze: | MEDLINE |
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