Emergency peripartum hysterectomy in a tertiary hospital in southern Nigeria
| Autor: | Aniekan M Abasiattai, Otobong Peter Asuquo, Emmanuel Columba Inyang-Etoh, Ntiense M Utuk, AJ Umoiyoho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Emergency peripartum hysterectomy extensive uterine rupture uncontrollable haemorrhage Uyo extensive uterine rupture medicine.medical_treatment uyo Nigeria Hysterectomy Uterine Rupture Pregnancy Case fatality rate medicine Humans uncontrollable haemorrhage Hospitals Teaching Perinatal Mortality Retrospective Studies lcsh:R5-920 Obstructed labour business.industry Uterine Inertia Obstetrics emergency peripartum hysterectomy Research lcsh:Public aspects of medicine Postpartum Hemorrhage Infant Newborn Retrospective cohort study lcsh:RA1-1270 General Medicine medicine.disease Uterine rupture Uterine atony Female Emergencies business lcsh:Medicine (General) |
| Zdroj: | Pan African Medical Journal; Vol 15, No 1 (2013) The Pan African Medical Journal, Vol 15, Iss 60 (2013) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | Introduction: Emergency peripartum hysterectomy, a maker of severe maternal morbidity and near miss mortality is an inevitable surgical intervention to save a woman’s life when uncontrollable obstetric haemorrhage complicates delivery. This study was conducted in order to determine the incidence, types, indications and maternal complications of emergency peripartum hysterectomy at the University of Uyo Teaching Hospital, Uyo, Nigeria. Methods : The case records of all women who underwent emergency peripartum hysterectomy between 1 st January 2004 and 31 st December 2011 were studied. Results: There were 12,298 deliveries during the study period and 28 emergency peripartum hysterectomies were performed resulting in a rate of 0.2% or 1 in 439 deliveries. The modal age group of the patients was 26-30 years (35.7%), majority were of low parity (64.4%), while 17.9% attained tertiary level education. Half of the patients (50.0%) were unbooked while 14.3% were antenatal clinic defaulters. Extensive uterine rupture (67.8%) was the most common indication for emergency hysterectomy distantly followed by uterine atony with uncontrollable haemorrhage (17.9%). Subtotal abdominal hysterectomy was performed in 92.8% of the cases. The case fatality rate was 14.3% while the perinatal mortality rate was 64.3%. Conclusion: Emergency peripartum hysterectomy is not uncommonly performed in our centre and extensive uterine rupture from prolonged obstructed labour is the most common indication. In addition, it is associated with significant maternal and perinatal mortality. There is need to enlighten women in our communities on the benefits of ANC and hospital delivery as well as the dangers of delivering without skilled attendance. Government should consider enacting legislation to discourage people or organisations who operate unlicensed maternity homes in our environment. Key words: Emergency peripartum hysterectomy, extensive uterine rupture, uncontrollable haemorrhage, Uyo |
| Databáze: | OpenAIRE |
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